Cardiac Stepdown RN
Marshfield, Wisconsin
Marshfield Medical Center

IMC/Tele RN

Location: Marshfield, Wisconsin Contract Length: 13 weeks Shift: Nights, 12 hours per day, 36 hours per week (1900 - 0730) Unit: 3N (Cardiac/Tele/Dialysis), 29 beds

Required Qualifications

• Certifications: ACLS and BLS
• Minimum 2 years of recent RN experience in a busy hospital environment
• Experience with post-procedural cath lab patients
• Experience managing TR band compression devices
• Experience managing chest pain
• Experience with post-cardiac surgical patients
• Must note in submission if the clinician has ever worked for the facility. If they previously worked there, their end date must be 6 months before the submission date.

Clinical Details

• Nurse-to-patient ratios: 1:4 on days through 2300; 1:5-6 on nights after 2300
• Patient types: Cardiac medical and surgical patients, including post-cath lab (stent, pacemaker, ICD, Watchman, mitral clip, TAVR) and post-cardiac surgery (CABG, valve replacement, AFib, chest pain, CHF, arrhythmias, syncope, bradycardia with temporary pacemaker)
• Titration: RNs are required to titrate drips, but there are no vasopressors.
• Common drips: Nitroglycerin, Heparin, Diltiazem, Amiodarone, Lasix, Bumex, Dobutamine
• Telemetry: A 24/7 central telemetry unit monitors all non-critical care patients and reads the strips.
• Nurse aides: 1:10 on days, 1:10-12 on evenings, 1:15 after 2300 (possibly more on nights if an all-RN model is used)
• Respiratory therapy: RT is available 24/7, handles nebulizers and inhalers, and assists with CPAP, BiPAP, and Vapotherm (high flow). RNs are responsible for incentive spirometry.

Assignment Details

• Charge RN: Takes a modified assignment
• Scheduling: No self-scheduling; block scheduling if it meets unit needs (not generally guaranteed in contract agreements). Fri/Sat/Sun option available.
• Weekends and holidays: Every other weekend and every other holiday
• On-call: None, unless it is an extra shift
• Floating: As needed based on unit census
• Dress code: No scrubs provided; no scrub color
• Clock in/out: All clinicians must clock in and out at the facility.
• Orientation: 1 shift of HR onboarding and 1 shift on the unit