Med Surg/Telemetry RN
Marshfield, Wisconsin
Marshfield Medical Center

Med Surg/Tele RN - Ortho/Uro/Neuro

Location: Marshfield, Wisconsin Contract Length: 13 weeks Shift: Days, 12 hours per shift (36 hours per week) Start Date: Not specified

Required Qualifications

• BLS certification (AHA)
• 1-2 years of acute care nursing experience
• Clinicians who have previously worked for the facility must have an end date at least 6 months before their submission date.

Unit Overview

• Beds: 29
• Patient Ratios: Days 1:4-5, nights 1:5-6
• Common Diagnoses and 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.
• Respiratory Equipment: CPAP, BiPAP, high-flow oxygen therapy. No ventilators. RT support is present.

Responsibilities

• RNs are required to titrate drips following a prescribed nomogram. Common titratable or set-rate drips include heparin (most common), with occasional nitroglycerin, bivalirudin, Cardizem, and insulin.
• RNs are not required to read their own telemetry strips. Telemetry techs watch the monitors 24/7.
• The charge nurse on all shifts takes an assignment. A house supervisor is present on all shifts.
• Nursing assistants are present: 1:8-10 from 0630-1900, 2 CNAs from 1900-2300, and 1 CNA from 2300-0700. From 1900-0700, RNs carry different responsibilities than the day-shift model for vital signs and ADLs.
• Float is required to other adult medical/surgical nursing units.

Schedule

• RN Shifts: 0700-1930, 1100-2330, 2300-0700
• CNA Shifts: 0630-1900, 1830-0700
• Self-scheduling is not available. Block scheduling is used to the best of the facility's ability, depending on staffing.
• Weekends: Every other weekend
• Holidays: Every other holiday
• No on-call or standby requirement
• Clinicians must clock in and out at the facility.

Orientation and Dress Code

• Orientation: 1 day of computer training and 1-2 precepted floor orientation shifts
• Dress Code: Any scrub color; clean and professional