Stepdown RN
Marshfield, Wisconsin
Marshfield Medical Center

Med Surg/IMC/Tele RN - 6N

Location: Marshfield, Wisconsin Contract Length: 13 weeks Shift: Days, 12 hours per day, 48 hours per week (can also do 36 hours) Hours: 0700 to 1930, every other weekend and holiday

Required Qualifications

• Certifications: BLS (AHA), NIHSS
• Majority of cardiac experience (heavy cardiac unit)
• 1 year of Tele, IMC/Stepdown RN experience
• Drip experience
• RNs must titrate drips
• Must note in submission if the clinician has ever worked for this facility. If so, their end date must be at least 6 months before their submission date.
• All clinicians must clock in and out at the facility.

Preferred Qualifications

• Previous travel experience

Unit Details

• Beds: 28
• Patient mix: Up to 75% cardiac patients, including pre/post caths, pre-CABG, chest pain, and NSTEMIs. Also general patients with CHF, COPD, pneumonia, diabetes, dialysis, altered mental status, nephrology, hematology, and wounds, plus overflow strokes. No post-CABG patients, but procedural cardiac patients are seen.
• Nurse ratios: 1:5 on days and evenings. 1:5 to 1:7 on nights (average 6; must be comfortable with 7 patients).
• Nurse aides: 1:9 on days and evenings, 1:14 on nights if full.
• Titratable/set-rate drips: Insulin, heparin, nitro, diltiazem, Lasix
• Equipment: Continuous CPAP and BiPAP, high flow, Vapotherm, nebulizers, chest PT. No ventilators.
• Monitoring: Tele techs are stationed elsewhere and provide 24/7 monitoring. There is a monitor on the unit for nurses to check their own rhythms.
• Charge RN: Carries a partial assignment and serves as a resource to RNs and NAs.

Schedule and Coverage

• Shift times: 0700-1900, 1100-2300, and 1900-0700
• Scheduling: No self-scheduling. Block scheduling is accommodated when possible but not guaranteed.
• Weekends: Every other weekend (Friday, Saturday, and Sunday)
• Holidays: Every other holiday
• On call: Agency staff are not on call. Shifts are scheduled in 4-hour blocks, and staff may be sent home or reallocated if staffing needs drop.

Float Requirements

• Staff float to other Med/Surg floors on a rotating basis.
• Staff may need to float outside the Med/Surg cluster, especially for 1:1 patient observer needs. Candidates with other specialty experience may float there.

Orientation and Dress Code

• Orientation: One 12-hour day off the unit and one 12-hour shift on the unit
• Dress code: Any scrub color, clean and professional