Stepdown PCU RN
Marshfield, Wisconsin
Marshfield Medical Center

IMC/Tele RN - Cardiac/Tele/Dialysis

Location: Marshfield, Wisconsin Contract Length: 13 weeks Job Title: RN (Registered Nurse) Shift: Days, 12-hour shifts, 48 hours per week Schedule: Every other weekend and holiday. A 36-hour guarantee is also available.

Required Qualifications

• Certifications: ACLS, BLS
• Experience: Minimum 2 years of recent RN experience in a busy hospital environment
• Must-have skills:

  • Experience with post-procedural cath lab patients
  • Management of TR band compression devices
  • Management of chest pain
  • Experience with post-cardiac surgical patients

Unit Details

• Department: MS/IMC RN
• Beds: 29
• Nurse-to-patient ratios: 1:4 on days through 2300; 1:5-6 on nights after 2300
• Nurse aides: 1:10 on days, 1:10-12 on afternoons, and 1:15 after 2300 (possibly more on nights if the unit moves to an all-RN model)
• Common diagnoses and 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)
• Drips: RNs are required to titrate drips. No vasopressors are used. Common titratable or set-rate drips include nitroglycerin, heparin, diltiazem, amiodarone, Lasix, Bumex, and dobutamine.
• Telemetry: A 24/7 central telemetry unit monitors all non-critical care patients and reads the strips.
• Charge role: The charge RN takes a modified assignment.
• Respiratory therapy: RT is available 24/7 and handles nebulizers and inhalers. RNs are responsible for incentive spirometry. RT assists with CPAP, BiPAP, and Vapotherm (high flow).

Scheduling and Expectations

• Self-scheduling: Not available. Block scheduling is used if it meets unit needs and is generally not guaranteed in contract agreements. A Friday/Saturday/Sunday option is available.
• Call: None, unless it is an extra shift.
• Floating: As needed based on unit census.
• Orientation: 1 shift of HR onboarding and 1 shift on the unit.
• Scrubs: Not provided, and there is no required scrub color.
• Clocking in and out: All clinicians must clock in and out at the facility.

Submission Requirements

• Candidates must state in their submission whether they have ever worked for the facility. If they previously worked there, their end date must be at least 6 months before the submission date.