ICU

Nights Description: Simplifi Clincial Interviewing-Will be Mainly ED-HOLD FLOATINGMainly Supporting GSH 1 Dally/2 River North and South/Float Pool Teams.Hospital Information:Address: 401 15th Ave 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,

Program name: SimpliFi

Travel :103