Medical-Surgical Float Pool RN
Grafton, WI
Olaro
3x12 hrs, Nights

Job Opportunity: Nursing Float Pool

Employment Type: Contractor
Contract Length: 13 weeks

Job Overview

• Float as an RN to various medical-surgical (MS) units throughout the hospital.
• Units include General Surgical, Cardiac Neuro, Oncology, Ortho, PCU, Surgical Surge Admission Holding Unit, and ED Holding.
• Provide care for a wide range of patient types including post-surgical, cardiac telemetry, oncology, neuro, and general medical patients.
• No ICU patient assignments or ventilated patients.
• First-time travelers are welcome.

Patient Types and Care Areas

• MS 1 General Surgical: SBO, hemicolectomy, thyroidectomy, prostatectomy, mastectomy, pneumonia, COVID, respiratory issues, sepsis, cellulitis, IV drug abuse, BiPAP, CPAP, nitric oxide, cardiac/neuro overflow, Cardizem drip.
• MS 2 Cardiac Neuro: Cardiac telemetry (post cath, CHF, A-fib), neuro (strokes, TIA, altered level of consciousness, dementia), general medical (sepsis, pneumonia, COPD, DKA, AKI).
• MS 3 Oncology: Neutropenic patients, various cancers, psychiatric, general medical (COPD, CHF, sepsis, DVT, AKI, dialysis).
• MS 4 Ortho: Post-surgical ortho (total joints, ORIF, external fixation), other post-surgical (GI, GU, GYN, ENT).
• 3W Cardiac Tele: Cardiac stepdown for high acuity medical, surgical, cardiac patients (post cath, 24h post open heart, SVT, A-fib, sepsis, bariatrics, CKD/HD).
• Surgical Surge Admission Holding Unit: Stable fresh surgical patients post PACU phases 1 & 2; includes ortho, GI, GYN, plastics, ENT surgeries.
• ED Holding: General medical patients awaiting MS bed.

Patient Ratios

• RN:

  • Day shift: 1:5
  • Night shift: 1:6
• CNA:

  • Day shift: 1:6
  • Night shift: 1:9

Required Certifications

• Registered Nurse (RN) license in Wisconsin
• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NIH Stroke Scale certification

Required Skills

• Minimum 2 years of RN experience required.
• Telemetry experience required.
• Strong general medical-surgical nursing skills.
• Cardiac rhythm interpretation.
• Drain management (JP drain, hemovac).
• Nasogastric tube (NGT) placement and management.
• Central line management (PICC).
• Continuous bladder irrigation (CBI).
• Dressing changes, wound care, wound vac management.

Floating Assignments

• Medical-Surgical Units (MSUs)
• Surgical Surge Overflow (including LTACH patients)
• ED Holding
• Surgical Surge Unit
• ICUs (as support, no patient assignments or medication administration outside RN scope)
• Sitter duties

Note: When floating outside primary unit, RNs will provide care within their scope and below.

Orientation

• One shift of orientation.
• Nurse Manager assigns the MS unit for orientation.
• First day includes meeting the Nurse Educator and working with a preceptor.

Scheduling

• Weekend rotation every other weekend.
• 6-week schedule provided 1-2 weeks in advance.
• Shift times:

  • Day: 07:00 - 19:30
  • Night: 19:00 - 07:30
• No on-call required.
• Holiday work every other holiday based on start date and department needs.

Unit Support

• Charge Nurse available (Day ratio 1:2; Night ratio 1:4-5).
• Unit Secretary (07:00 - 19:00).
• Respiratory Therapist available 24/7.
• Hospitalist available 24/7.
• Phlebotomy for peripheral draws; RNs handle central line draws.
• Centralized telemetry monitoring with telemetry tech support.

Charting Systems and Equipment

• EPIC (preferred)
• Alaris infusion pumps
• Pyxis medication dispensing system

Additional Information

• Scrub color: Any (no camo, denim, or logos).
• Protective, wipeable footwear required.
• No earbuds or AirPods allowed.
• Free parking available.
• Team-oriented culture with strong CNA/RN relationships and supportive environment.

Requirements/Qualifications

• Valid Registered Nurse (RN) license in Wisconsin
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Minimum 1 year of recent Medical-Surgical and Telemetry nursing experience
• BLS (Basic Life Support) certification
• ACLS (Advanced Cardiovascular Life Support) certification
• NIH Stroke Scale (NIHSS) certification