ED Emergency Department RN
Marshfield, WI
ADN Healthcare
4x12 hrs, Nights
Referral Bonus

ER RN

Location: Marshfield, Wisconsin Contract Length: 13 weeks Shift: Evening and night, 12-hour variable shifts (36 hours/week) Shift start times: 05:00, 07:00, 08:00, 09:00, 10:00, 11:00, 15:00, 17:00, 19:00 Guarantee: Cannot offer a 48-hour guarantee

Required Qualifications

• Certifications: ACLS, BLS, NIHSS, PALS, TNCC
• Experience: Pediatric experience; Level 1 or 2 trauma experience

Preferred Qualifications

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

Facility and Department Overview

• Trauma and specialty designations: Adult and Pediatric Level 2 Trauma Center; STEMI receiving center; Stroke center
• Size: 38-bed unit combining Emergency and Urgent Care, with 5 trauma bays/resuscitation rooms
• Volume: 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
• Triage: Two triage bays behind the registration desk; travelers are expected to triage walk-in patients and all nurses triage ambulance arrivals
• Holding and psych: ER holds are intermixed within the ER; 4 dedicated psych rooms within the department; no separate seclusion area
• Fast track: None; there is an Urgent Care
• Security: In-house 24/7, not housed in the ER; local police are a quick call away
• Provider support: ED physicians, mid-levels (PAs and NPs), and UC physicians
• Charge and supervision: Day-shift charge nurse usually does not take an assignment; night-shift charge nurse may take patients depending on census. House supervisor is available 24/7.

Support Staff and Services

• Techs: Scheduled 07:00-03:00; can perform IVs, labs, blood cultures, EKGs, and assist with ADLs. Usually two on during the busiest parts of the day.
• Unit clerk: One HUC on 24/7, performing only that role
• Paramedics: On staff; can assist RNs with medications, discharges, and procedural tasks
• Respiratory therapy: Available 24/7 and in house, not in the ER full-time. Performs ABGs, breathing treatments, and assists with intubations and respiratory emergencies. RNs may troubleshoot equipment (vents, CPAP, BiPAP, high flow), but calling RT is recommended.
• Monitoring: No monitor techs. GE monitors in the ER and UC; RNs monitor patients and rhythms, with displays throughout the department.
• Imaging and transport: X-ray and CT within the department; transport team operates 06:00-21:00
• Phlebotomy: RNs draw labs. Phlebotomy draws blood cultures unless unavailable within 20 minutes, then the RN or tech draws them.

Schedule and Assignment Details

• Scheduling: RN scheduler; no self-scheduling. Block scheduling is typically not available unless it fits regular staffing, with no guarantees.
• Weekends: Every other weekend
• Holidays: Every other holiday
• Call and standby: No on-call. Occasional standby if census is low for a couple of hours before shift start.
• Floating: Only to other units as a patient sitter or helping hands, not required to take a team of patients. Floating is infrequent, if it occurs at all.
• Orientation: Three days: day 1 covers computer-based training and department orientation; days 2 and 3 are on the unit with an RN preceptor.

Other Requirements

• Scrubs: Any solid color, clean and professional
• Clinicians must clock in and out at the facility.
• Clinicians who previously worked for the facility must have an end date at least 6 months before the submission date, and this must be noted in the submission.