Travel Float Pool ICU RN

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American Traveler is seeking a travel nurse RN Critical Care Float Med Surg for a travel nursing job in Puyallup, Washington.

Job Description & Requirements\n

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• Specialty: Critical Care Float
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• Discipline: RN
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• Start Date: 09/21/2026
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• Duration: 15 weeks
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• 36 hours per week
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• Shift: 12 hours, days
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• Employment Type: Travel
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\n Assignment Overview\n

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• Shift: Days, 3x12hrs
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• Hours: 36 hrs/wk
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• Start Date: Sep 21, 2026
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• Length: 15 weeks
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• Openings: 1
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Description\n

American Traveler is hiring a Registered Nurse for a Nursing Float Pool ICU position at a Level III Trauma Center, requiring 2+ years of ICU experience and a WA or compact RN license.

Details\n

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• >Level III Trauma Center with 375 licensed beds
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• Position is part of the Nursing Float Pool, floating across ICU, PCU/CCU, Med-Surg, Rehab, and ED Holding units based on need
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• Primary assignment is expected to be in the ED Holding unit, which handles mixed-diagnosis patients including ICU, PCU, and Med-Surg level care
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• ICU patient population includes respiratory failure, GI bleeds, DKA, sepsis, complicated post-op patients, CVA's, flap surgeries, post-arrest, ETOH, and IVDA cases
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• Higher level ICU therapies include Rotoprone, manual prone positioning, hypothermia protocol, CRRT, and TPA administration; does not accept craniotomies, major trauma, or major cardiothoracic cases
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• PCU population includes respiratory compromise, sepsis, renal failure, bleeding disorders, general medical/surgical, CHF, COPD, pneumonia, and ortho cases
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• Med-Surg units cover oncology, ortho, and palliative patient populations including post-op, COPD, CHF, sepsis, DVT, AKI, dialysis, and COVID cases
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• Rehab unit cares for neuro patients including stroke, spinal cord injury, TBI, multi-trauma, and post-COVID/post-ICU patients, including vents and tracheostomies
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• Patient ratios: ICU 1:2, PCU/CCU 1:4, Medical/Surgical 1:5, Rehab team model 2:8 (RN, LPN, Tech)
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• In ED Holding, ratios are ICU 1:2, PCU 1:4, and MS 1:5 depending on assignment
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• May also work ACLS Transport duties, transporting patients throughout the hospital including ED, CT, MRI, Nuc Med, PACU, and Cath Lab
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• Night shift ACLS RNs assist in the ED Holding area after 2300 when transport volume decreases
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• 12-hour day shifts, 36 hours per week
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• Uses EPIC EMR (required), Alaris IV pumps, and Pyxis medication dispensing system
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• May float for partial shifts within scope of practice
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Requirements\n

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• Active WA or compact RN license required
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• BLS certification required for all units
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• ACLS and NIHSS certification required for ICU and PCU assignments
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• NIHSS certification required for Med-Surg assignments
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• Minimum 2 years of ICU experience required for ICU assignments
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• Minimum 2 years of PCU experience required for PCU/PCU ER holds assignments
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• Minimum 2 years of acute care experience required for Med-Surg assignments
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• ICU skills required: cardiac rhythm interpretation, ventilator management, invasive line management, ostomy care, drain management, and tracheostomy care
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• PCU skills required: cardiac rhythm interpretation, chest tube management, lumbar drain care, tracheostomy care, and IV med titration (Amiodarone, Cardizem, nitro, dopamine, dobutamine, non-DKA insulin, heparin, occasionally Cardene)
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• Med-Surg skills required: IV management, PCA management, chest tube care, drain care, ostomy care, and IV antibiotic administration
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• EPIC EMR experience required
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• Strong communication and patient teaching/education skills required
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• First-time travelers are welcome to apply
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Additional Information\n

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• Support staff includes techs at ratios of 1:14 (ICU), 1:10 (PCU), and 1:8-10 (Med-Surg)
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• 24/7 support available from respiratory therapy, hospitalists, and intensivists
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• Orientation includes 2 days of hospital orientation (login access, modules, etc.) plus 1 day on the assigned unit
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• Traveler telemetry competency required as part of orientation
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• Phones are not permitted on the unit; scheduled breaks are required
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• Scrubs may be any color except camouflage and must maintain a professional appearance
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• ED Holding unit is fast-paced, requiring flexibility and resourcefulness from the traveler
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• Candidates should be prepared to work with isolation and non-ambulatory patients in the ED Holding unit
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• Rehab unit staff receive 'just in time' training from respiratory therapy for ventilator and tracheostomy care as needed
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American Traveler Job ID #P-743286. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - ICU

About American Traveler\n \n