Med Surg/Telemetry RN
Marshfield, Wisconsin
Marshfield Medical Center

Med Surg/Tele RN - 7N Ortho/Uro/Neuro

Location: Marshfield, Wisconsin Job Title: RN (Registered Nurse) Contract Length: 13 weeks Shift: Days, 12-hour shifts, 36 hours per week

Required Qualifications

• BLS (AHA) certification
• 1-2 years of acute care nursing experience
• Must note in the submission if you have ever worked for the facility. If you previously worked there, your end date must be at least 6 months before your submission date.

Unit Details

• Unit: 7N, Med Surg/Tele (telemetry)
• Beds: 29
• Nurse:Patient Ratios: Days 1:4-5; Nights (NOCs) 1:5-6
• Patient Types: Ortho trauma (fractures, joint replacements); vascular (fem-pop bypass, carotid endarterectomy, heparin drips, many with wound dressing changes); urology (TURP, TURBT, continuous bladder irrigation); neuro-spine (laminectomy, fusion, back pain); OB/GYN oncology (TAH/BSO); acute medical patients may also be admitted to the unit
• Drips: RNs titrate drips following a prescribed nomogram. Common titratable or set-rate drips include heparin, with occasional nitroglycerin, bivalirudin, Cardizem, and insulin.
• Telemetry Monitoring: Telemetry techs watch monitors 24/7. RNs are not required to read their own strips.
• Charge Nurse: Charge nurse takes an assignment on all shifts. A house supervisor is on all shifts.
• Nursing Assistants: 0630-1900 at 1:8-10; 1900-2300 with 2 CNAs for the unit; 2300-0700 with 1 CNA for the unit. From 1900-0700, RNs carry different responsibilities than the day model for vital signs and ADLs.
• Respiratory Therapy/Equipment: CPAP, BiPAP, and high-flow oxygen therapy. No ventilators. RT support is present.

Schedule and Expectations

• RN Shifts: 0700-1930, 1100-2330, 2300-0700
• Scheduling: No self-scheduling. Block scheduling is used to the best extent possible, depending on staffing.
• Weekends: Every other weekend
• Holidays: Every other holiday
• Call/Standby: None
• Floating: Float required to other adult medical/surgical nursing units
• Dress Code: Any color, clean and professional
• Clocking: All clinicians must clock in and out at the facility

Orientation

• 1 day of computer training
• 1-2 precepted floor orientation shifts