Job info

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