Med Surg/PCU Telemetry Neuro Trauma RN
Marshfield, Wisconsin
Marshfield Medical Center

Registered Nurse (Med Surg/PCU/Telemetry Neuro Trauma)

Location: Marshfield, Wisconsin
Contract Length: 13 weeks

Unit Overview

• 28-bed Progressive Care Unit (PCU) with a neuro trauma focus
• Common patient diagnoses: strokes, seizures, Guillain-Barré syndrome, Myasthenia gravis, spinal injuries, thrombectomies, post-TNK/TPA care, neuro specialties (endovascular, AMS, dementia), trauma orthopedic injuries (hematomas, bleeds, falls on blood thinners, farm and motor vehicle accidents)
• Nurse-to-patient ratios:

  • Days: 1:4-5
  • Nights: 1:5-6 (dependent on acuity)
• Nurse aides available with ratios:

  • Days: 1:9
  • Nights: 1:12
• Respiratory therapy equipment on unit: vents, trachs, CPAP, BiPAP, VapoTherm, EtCO2 monitors
• Central telemetry monitoring located off-unit; RNs are not required to read their own strips
• Charge nurse role:

  • Nights: full patient assignment
  • Days: smaller assignment

Schedule & Shifts

• 12-hour night shifts (7:00 PM – 7:30 AM)
• Self-scheduling with manager balancing; schedule opens 6 weeks in advance
• Weekend requirement: every other Friday, Saturday, and Sunday
• Holiday requirement: typically 2 out of 3 winter holidays, otherwise every other holiday
• No call or standby requirements
• Floating required to sister Med Surg units with varied specialties (mixed care, cardiac, general, ortho, heme/onc)

Required Qualifications

• Active RN license appropriate for Wisconsin
• Minimum 2 years of experience in Med Surg, PCU, or ICU settings
• Experience must include at least 1 year within the last 12 months in a similar setting
• Must have drip titration experience (heparin, nitro, diltiazem, amiodarone, 3% saline, insulin)
• Trach and ventilator experience highly preferred, especially home trach vents
• Willingness to learn ventilator management if not already experienced
• BLS (AHA) and NIH Stroke Scale (NIHSS) certifications required
• Open to first-time travel nurses
• Must be able to titrate drips independently

Orientation & Onboarding

• Unit-specific orientation includes 1 shift of general orientation plus 1 shift with a preceptor
• Clinicians must clock in and out at the facility
• Previous employment with this facility requires a minimum 6-month gap before reapplying

Dress Code

• Any solid color scrubs

Additional Notes

• Prior travel experience is not required
• This position is night shift only with approximately 48 hours per week
• Floating to other units is expected as part of the role