RN – Step-Down

Specialty: Step-Down
Facility: Good Samaritan Hospital
State License: WA
Certs/Licenses:
Years of Experience:
Shift: 12H Nights
Guaranteed Hours: 36
Description: Specialty: PCUFacility: Good Samaritan HospitalState License: WACerts/Licenses: Years of Experience: Shift: 12H NightsGuaranteed Hours: 36Description: Simplifi Clincial Interviewing-Will be Mainly ED-HOLD FLOATINGMainly SupportingGSH 1 Dally/2 River North and South/Float Pool Teams.Hospital Information:Address:401 15thAve SE, Puyallup, WA 98372Level III Trauma CenterBeds: 375 Licensed BedsThe COVID vaccine mandate 10/18/2021.MultiCare is only accepting medical and religious exemption requests at this time.General InformationWill float within scope and belowAreas of float need:MSICU: 14 bedsCVICU: 10 (no specific CVICU experience needed, just added for bed count visibility)PCU: 40 beds2R PCU Obs: 18 Beds OBS South when open for overflow can increase to 27 total bedsCCU: 30 bedsMedical: 89 bedsSurgical: 55 bedsFlex Unit: 9 beds (consists of PCU and MS patients)Inpatient Rehab: 47 beds on two floorsER holding unit (Patients waiting on a bed)Any COVID overflowMinimum experience:ICU: 1 year ICU experiencePCU: 1.5 years PCU experiencePCU ER holds: 1 year with strong PCU experience and great referencesMS: 1 yearFirst time traveler: YesCould float for partial shiftsPatient Ratios:ICU 1:2 based on acuityPCU and CCU 1:4 depending on acuity or if patient dischargingMedical and Surgical 1:5If PCU floated to MS- will have a 1:5 ratioRehab: 1:8 team model (RN, LPN, Tech)Patient Types the Travelers are Expected to Care For:ICU: 14 bedsRespiratory Failure, GI Bleeds, DKA, Sepsis, Complicated Post-operative Patients, CVA s, Flap surgeries, Post-Arrest, ETOH, IVDAHigher Level Therapies: Rotoprone, Manual Prone, Hypothermia Protocol, CRRT, TPA, Flap Surgeries (will not take these patients)No craniotomies, major traumas, or major cardiothoracicPCU: 40 beds: 2R Obs 18 bedsRespiratory compromise, Sepsis, renal failure, bleeding disorders, general medical/surgical patients, CHF, COPD, Pneumonia, General, ortho casesMed-Surg: Medical: 89 beds Surgical: 55 bedsMS Oncology:Oncology: Neutropenic, post-opPsychGeneral Medical Surgical: post-op, COPD, CHF, Sepsis, DVT, AKI, Dialysis, COVIDCOVID is common on this floor.MS Ortho:Total joints, post-surgical patients, general medical overflowMS Palliative:General Medical: pneumonia, sepsis, CHF, COPD, AKI, DVT, PE, occasionally surgical, COVIDRehab: 47 beds on two floorsNeuro: Stroke, Spinal Cord injury, TBI, Multi-Trauma, Post Covid, Post ICUVents, Traches are on the unitRespiratory therapy works to give just in time trainingMed-Surg level acuity type patientsED HoldingThis will be the primary unit the traveler will be working (per NM 8.2.2022)Will have mixed diagnosisICU patients 1:2; PCU 1:4; MS 1:5ICU PCU nurses will have a 1:5 assignment if MSWill have isolation patients, non-ambulatory patientsIs a fast-paced unitTraveler will need to be flexible and resourcefulACLS TransportThis RN will transport patients throughout the entire hospital. This would include all inpatient units, ED, CT, MRI, Nuc Med, PACU, Cath Lab, etc.Night shift ACLS RN. After 2300 the transports slow way down and at that time we want the ACLS RN to go down to ED Holds Area and be a resource to help assist that unit with breaks, med administration, etc when they are not transporting someone. Typically the day shift ACLS RNs start getting busy right at 0730-0800 and never slow down the rest of the day.Support on Unit:TechsICU: 1:14PCU: 1:10MS: 1:8-10RT 24/7Hospitalist 24/7Intensivist 24/7Certifications:ICU: ACLS, BLS, NIHSSPCU: ACLS, BLS, NIHSSMed-Surg: BLS, NIHSSSkills requiredICU: Cardiac rhythm interpretation, Vent management, invasive line management, ostomy, general drains, trachsPCU: Cardiac rhythm interpretation, Chest tubes, lumbar drains, traches, IV med titration (Amiodarone, dopamine, dobutamine, insulin, heparin)Med-Surg: IVs, PCAs, Chest Tubes, drains, ostomies, IV ABXAll clinicians must also have good communication and patient teaching/education skillsCharting System:EPICAlarisPyxisScheduling:ASK IF INTERESTED IN 48-HR CONTRACTMust call RMC staffing office at least 30-45 mins to get assignment each shift.(Preferred Option)Number given during orientation.Assignment also post outside the door of the House Supervisor s office.Must be on time to the correct unit by 0700 or 1900Cannot clock in before 0653/1853Must work every other weekend; Rarely will have to work back to back weekendsNo holiday requests, self scheduling, on-callWill receive schedule at least 1 week before. Schedule is made in 3 week increments for travelers.Approve time off up to 5 days, additional days email NM Todd MurrayIf requesting time off, must be willing to add to the end of the assignmentOrientation2 days of hospital orientation: login access, modules, etc1 day on assigned unitEntitled to receive 4h of orientation to other units, when the traveler floats thereTraveler Telemetry Competency RequiredRequired to be completed and passed prior to start. SimpliFi Compliance is responsible for grading this exam. Program name:MHS 2021