MultiCare includes the expected start date they prefer on their job postings. Please keep this in mind when listing your start date availability! If you can start on the day they are requesting, you are more likely to be selected for an interview or offer.
Please expect someone with a 501 (Arkansas) area code or from the facility to reach out to interview you for this position!
Required Skills/Experience:
2 years of PCU experience required for PCU/PCU ER holds.
ICU assignments require cardiac rhythm interpretation, ventilator management, invasive line management, ostomy care, general drain management, and tracheostomy care.
PCU assignments require cardiac rhythm interpretation, chest tube and lumbar drain management, tracheostomy care, and IV medication titration, including amiodarone, Cardizem, nitro, dopamine, dobutamine, non-DKA insulin, heparin, and sometimes Cardene.
Med-surg assignments require IVs, PCAs, chest tubes, drains, ostomies, and IV antibiotics.
Traveler telemetry competency is required.
If you have a multistate license, you will be required to complete a 1-time 6-hour suicide prevention training according to WA state regulations.
Special Requests:
Any RTO or special requests not included on your application will NOT be considered.
No holiday requests.
Time off requests of up to 5 days may be approved; for additional days, email NM Todd Murray.
If requesting time off, you must be willing to add the time off to the end of the assignment.
You can only have 1 active application for the same position (same unit & shift at the same facility). Example: if you apply for day shift, you can also apply for night shift on the same unit and facility, but you cannot apply for another day shift position on the same unit & facility.
Unit Details:
The float pool supports ICU, PCU/CCU, medical-surgical, inpatient rehabilitation, ED Holding, and COVID overflow.
ED Holding will be the primary unit, with mixed diagnoses, isolation patients, non-ambulatory patients, and a fast-paced environment.
ICU case mix includes respiratory failure, GI bleeds, DKA, sepsis, complicated postoperative patients, CVAs, flap surgeries, post-arrest patients, ETOH, and IVDA.
PCU/CCU case mix includes respiratory compromise, sepsis, renal failure, bleeding disorders, general medical/surgical patients, CHF, COPD, pneumonia, and orthopedic cases.
Medical-surgical assignments include oncology and neutropenic patients, postoperative and psychiatric patients, general medical-surgical patients with COPD, CHF, sepsis, DVT, AKI, dialysis, or COVID, as well as total-joint, post-surgical, general medical overflow, and palliative-care patients with pneumonia, PE, or occasional surgical cases.
Rehabilitation case mix includes stroke, spinal cord injury, TBI, multi-trauma, post-COVID, and post-ICU patients. Vents and tracheostomies are present, and the unit has medical-surgical-level acuity.
Higher-level ICU therapies include Rotoprone, manual proning, hypothermia protocol, CRRT, TPA, and flap surgeries; patients requiring these therapies will not be taken. The ICU also does not take craniotomies, major traumas, or major cardiothoracic cases.
ED Holding ratios are 1:2 for ICU patients, 1:4 for PCU patients, and 1:5 for MS patients; ICU and PCU nurses receive a 1:5 assignment when working MS. Other ratios are ICU 1:2 based on acuity, PCU and CCU 1:4 depending on acuity or if a patient is discharging, medical and surgical 1:5, and rehab 1:8 under a team model (RN, LPN, Tech).
ACLS transport includes transporting patients throughout the hospital, including inpatient units, ED, CT, MRI, nuclear medicine, PACU, and Cath Lab.
Day-shift ACLS transport RNs typically become busy at 0730-0800 and remain busy for the rest of the day.
Equipment includes Alaris IV pumps and Pyxis medication dispensing.
Shift & Scheduling:
The clinician must call the RMC staffing office at least 30-45 minutes before each shift to get an assignment; this is the preferred option.
Weekend scheduling varies depending on unit needs.
The schedule is provided 3 weeks at a time, around 10 days before the schedule begins.
Self-scheduling is not available.
No on-call.
Floating Requirements:
The assignment will mainly involve ED-Hold floating and support for GSH 1 Dally/2 River North and South/Float Pool teams.
Floating may occur for partial shifts.
Floating will be within scope of practice and below.
Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process.
To help match you with the right jobs, we use AI tools (our own and some from outside partners) to review your application and see how your background lines up with what each role needs. By applying, you agree to let us use your application and personal data for this.