ER RN
Marshfield, WI
Host Healthcare
3x12 hrs, Nights
Referral Bonus

ER RN (Registered Nurse)

Location: Marshfield, Wisconsin Contract Length: 13 weeks Shift: Nights, 12-hour shifts, 36 hours per week Department: ER (combined Emergency and Urgent Care, 38 beds, 5 trauma bays/resuscitation rooms)

Required Qualifications

• Certifications: ACLS (AHA), BLS (AHA), NIHSS, PALS (AHA), TNCC
• Pediatric experience
• Level 1 or 2 trauma experience

Preferred Qualifications

• ENPC certification (encouraged, not required)
• At least 2 years of ER experience

Facility Overview

• Adult and Pediatric Level 2 Trauma Center
• STEMI receiving and Stroke Center
• 140-180 patients per day (24 hours)
• Nurse-to-patient ratios: ER 1:3, UC 1:6
• Common diagnoses: chest pain, abdominal pain, sepsis, syncope, elevated heart rate, headache, suicidal ideation
• Common drips: heparin, nitroglycerin, diltiazem, amiodarone, nicardipine, norepinephrine
• No fast track; there is an Urgent Care
• Two triage bays behind the registration desk; all nurses triage ambulance arrivals, and travelers are expected to triage
• ER holds are intermixed within the ER (no separate holding area)
• 4 dedicated psych rooms within the department (no separate seclusion area)
• Security is in-house 24/7 but not housed in the ER
• X-ray and CT are within the department
• Transport team operates 06:00-21:00

Staffing and Support

• Charge nurse: day shift usually does not take an assignment; night shift depends on department volume
• House supervisor on duty 24/7
• One HUC on duty 24/7 (HUC role only)
• Techs scheduled 07:00-03:00 and can perform IVs, labs, blood cultures, EKGs, and ADL assistance; usually 2 techs during the busiest hours
• Paramedics on staff to assist RNs with meds, discharges, and procedural tasks
• RT is in house 24/7 (not in the ER full-time) for ABGs, breathing treatments, intubation assistance, and respiratory concerns
• RT equipment includes vents, CPAP, BiPap, and high flow; RNs may troubleshoot but should call RT for issues
• No monitor techs; GE monitors in the ER and UC, and RNs monitor their own patients' rhythms
• RNs draw labs; phlebotomy draws blood cultures unless they cannot arrive within 20 minutes, in which case the RN or tech draws them

Schedule and Requirements

• Scheduling is done by an RN scheduler; no self-scheduling; block scheduling is not guaranteed
• Weekends: every other weekend, 12-hour night shifts (Friday, Saturday, Sunday)
• Holidays: every other holiday
• No on-call; occasional standby if census is low for a couple of hours before shift start
• Floating: only as a patient sitter or helping hands (not required to take a team of patients); floating rarely occurs
• Scrubs: any solid color, clean and professional
• Orientation: 3 days (day 1 computer-based training and department orientation; days 2 and 3 on the unit with an RN preceptor)
• Clinicians must clock in and out at the facility
• Clinicians who have previously worked for this facility must note it in their submission, and their previous end date must be at least 6 months before the submission date