Emergency Department Nurse General Information Location: Puyallup, WA Department: Emergency Department (ED) Facility Type: Level III Trauma Center Licensed Beds: 375 Average Patient Load: 200 patients per day Patient Population The Emergency Department serves a diverse patient demographic, including: • Pediatrics to geriatrics • Trauma cases • Gunshot wounds (GSW) • Sepsis • COVID-19 • STEMI (Significant cases) • Stroke • Diabetic Ketoacidosis (DKA) • Mental health issues • Respiratory problems • Geriatric cases, including falls and STEMI • Adult psychiatric cases Patient Ratios Day shift staffing ratios: 1 nurse to 4-5 patients, with flexibility based on acuity and staffing levels. Required Certifications Candidates must hold the following certifications: • BLS (Basic Life Support) • ACLS (Advanced Cardiovascular Life Support) • PALS (Pediatric Advanced Life Support) • TNCC (Trauma Nursing Core Course) • NIHSS (National Institutes of Health Stroke Scale) • CPI/MOAB (Crisis Prevention Institute/Management of Aggressive Behavior) Essential Skills The ideal candidate will possess the following skills and experience: • General Emergency Department experience • Cardiac rhythm interpretation • IV skills and knowledge of medication administration • Experience with procedural sedation • Blood administration • TNK administration (preferred) • Knowledge of cardiac medications • Recent experience with the EPIC charting system Support on the Unit The Emergency Department includes a variety of support roles such as: • ER Technicians for glucose checks and assistance with splinting • Resource/Float Nurse • Respiratory Therapists available 24/7 • ED Educator • Increased security presence for safety 24/7 • House Supervisor on-site 24/7 • Social Work Services available in the ED 24/7 • Pharmacy support available 24/7 during codes Charting System and Equipment The following systems and equipment are utilized: • EPIC (recent experience required) • Alaris infusion pumps • Pyxis medication management system • Central and bedside telemetry monitoring Orientation Process Orientation includes the following: • Day 1: NEO (New Employee Orientation), EPIC training (if needed), mental health area rotation • Day 2: 12-hour shift with a preceptor • Completion of Traveler Telemetry Competency required before starting Scheduling Information The position offers varied scheduling options: • Possible 48-hour contract • Shifts: Days/Mids (0700, 1100), Mids/Nights (1500, 1900) • Shifts are assigned on a weekly basis and may change as needed • Schedule provided 3 weeks in advance • Weekend shifts will vary based on departmental needs • 2 of 5 major holidays required Additional Information Dress Code: Any professional scrub color is acceptable. Mod