“`html Emergency Department Nurse Location Puyallup, WA Facility Profile • Level III Trauma Center • 375 Licensed Beds • 46 Behavioral Health and Fast Track beds • Average of 200 patients per day Patient Population • Wide range of patient types from pediatrics to geriatrics, including: • Trauma • Gunshot Wounds • Sepsis • COVID-19 • STEMI • Stroke • Diabetic Ketoacidosis (DKA) • Mental health issues • Respiratory issues • Geriatric care, particularly falls and STEMI cases • Adult Psych cases • High acuity medical cases Patient Ratios • Day shift: 1 nurse to 4-5 patients (may flex based on acuity and staffing) Required Certifications • BLS (Basic Life Support) • ACLS (Advanced Cardiac Life Support) • PALS (Pediatric Advanced Life Support) • TNCC (Trauma Nursing Core Course) • NIHSS (National Institutes of Health Stroke Scale) • CPI/MOAB (Crisis Prevention and Intervention/Management of Aggressive Behavior) Required Skills • General Emergency Department experience, including: • Cardiac rhythm interpretation • IV insertion and management • Administration of drips and medications • Procedural sedation • Blood administration • Administration of TNK (Tissue Plasminogen Activator), preferred • Cardiac medication management • Recent experience with the EPIC charting system is required Unit Support • ER Technicians for glucose checks, iStat, and assisting with splinting • Charge Nurse (rarely takes patient assignments) • Resource/Float Nurse available • Respiratory Therapists available 24/7 • ED Educator on staff • Increased security presence 24/7 • Social Work Services available 24/7 • Pharmacy support available 24/7 for sedation medication management and code assistance Charting System and Equipment • EPIC charting system experience required • Alaris IV pumps • Pyxis medication management system • Central and bedside telemetry monitoring Orientation Process • Day 1: New Employee Orientation, EPIC training if necessary, time spent in mental health area • Day 2: 12-hour shift with a preceptor (assigned shift) • Traveler Telemetry Competency required prior to starting, to be graded by SimpliFi Compliance Scheduling • Shifts: • Days/Mids: 0700, 1100 • Mids/Nights: 1500, 1900 • Weekly schedules will be provided 3 weeks in advance • Weekend shifts will vary based on the needs of the unit • Time off requests approved by Nurse Manager • Holiday expectations: work 2 of the 5 major holidays (Thanksgiving, Christmas Eve, Christmas Day, New