Unit Notes
***** auto deducts the 1.75 WA state tax - you are able re-add that back in.**
Region II: Primary to St Elizabeth Hospital but if needed, travelers will be required to float throughout Region Two: St. Clare Hospital Lakewood, WA; St. Elizabeth Hospital Enumclaw, WA; St Joseph Medical Center Tacoma, WA. Additional *** hours when floated within Region II that's not the primary facility.
Unit ICU
# of beds 4 ICU beds, 19 Medical beds in a combined unit. Can convert more beds to ICU or PCU if needed. All nurses take a Med Surg assignment in a rotation and float down.
Ratios MedSurg 1:5, may get pediatric patients (ages 4-17, that ratio would be 1:4), PCU is 1:3-4. ICU 1:1 or 1:2 and they do not flex their ICU ratio.
Required Certifications BLS, ACLS, NIHSS, PALS or ENPC
Common diagnoses/Types of patients Vents, resp distress not needing a pulmonologist. Medical, ortho, abd surgury. Occasional a stable stroke with TPA, STEMI's not needing intervention, Hysterectomies, Infectious Disease. Fairly low COVID numbers currently. Peds - lap appy's, GI doc that takes pediatricss for scopes, general clean outs. No dialysis, no cath lab. Unstable patients would transfer out.
Experience or 'Must have' skills 2 years of ICU experience with the ability to take a full MedSurg assignment. Good knowledge of Vent management.
Are RNs required to titrate drips? Yes, all critical drips.
Common titratable &/or set rate drips Sedation, vasoactive medications, paralytics etc.
Charge Nurse/House Supervisor Charge Nurse and/or Hospital Resource Nurse (HRN) on every shift. SWAT RNs support PICC/midline/IV needs. HRN supports pharmacy needs after hours.
Are there nurse aids on this unit/Ratios CNA's, Usually 2 per shift.
Hospitalist or Intensivist in house Virtual hospitalist for admissions overnight. ED doc in house 24/7. Specialty docs such as GI, in during the day and on call outside of normal hours.
RT in ICU 24/7 In house 24/7, will manage Vent, BiPap and CPAP settings.
RT Equipment (vents, Cpap, BiPap, etc) All modes of oxygen delivery. Nasal cannula to vents.
Is there tele on this unit? Monitor Techs? RNs read strips? Yes, virtual monitor tech can contact them through vocera. Nurses need to be able to read and interperet their own telemetry. Virtual ICU nurses and cameras in every room.
Shifts & Scheduling 12 hr shifts 6p to 0630. Tries to do set schedules. may be able to block schedules. 6 weeks at a time.
Weekend Requirement Every other, Nights: friday saturday sunday. Days: Saturday Sunday.
Holiday Requirement Rotate with permanent staff.
Is there a call or standby requirement? No
Floating Requirements Must be able to function well in ICU and take full Med Surg assignments. This is a combined unit.
Scrub Color/Dress Code Any color professional scrubs.
Unit/Department specific orientation 2-6 shifts depending on comfort level of the traveler.
Additional Notes Will need 2 years of ICU experience and ability to float down to Med Surg. Peds experience preferred, not required. ICU nurse also a member of Code Team - travaler will not be required to function on Code Team unless they have that experience.
Additional Questions Will need strong skills, good with autonomy. Willing to ask questions and reach out for help when needed.