SICU Registered Nurse
Marshfield, Wisconsin
Marshfield Medical Center

ICU Registered Nurse (RN) - 2E SICU

Location: Marshfield, Wisconsin
Contract Length: 13 weeks

Unit Overview

• 16 beds plus 2 procedural beds
• Nurse-to-patient ratios:

  • 1:2 typical
  • 1:1 for higher acuity patients (e.g., CRRT, immediate post-op heart patients, MTP, OPO)
  • 1:3 for med-surg/floor status patients
• Patient types include cardiovascular surgery (CABG, AVR, MVR, AAA), trauma (level 2 trauma center), NSTEMI/STEMI, vascular surgery, neurosurgery, general surgery, orthopedic surgery, ENT surgery, and other surgical ICU patients

Required Skills and Experience

• Experience with high acuity ICU patient populations is required
• Experience with CRRT, IABP, Impella, and ECMO is preferred but not required
• Must be able to titrate drips (e.g., epinephrine, norepinephrine, propofol, precedex, vasopressin, dobutamine, heparin, insulin, dopamine, milrinone)
• Prior travel experience is not explicitly required

Certifications

• Required: ACLS (AHA), BLS (AHA), NIHSS
• Preferred: TNCC

Staffing and Support

• Charge nurse on every shift (usually does not take patient assignments unless census requires)
• Nursing House Supervisor available 24/7
• One nurse aide during day shift; typically no nurse aide at night
• Intensivist in-house 24/7
• Respiratory Therapist available 24/7 with full range of equipment (vents, BiPAP, CPAP, vapotherm, etc.)
• No telemetry techs on unit; RNs monitor and document their own telemetry strips

Scheduling and Work Requirements

• Shifts: 7:00 AM – 7:30 PM or 7:00 PM – 7:30 AM
• Self-scheduling for staff; agency nurses scheduled to meet unit needs
• Weekend requirement: every other weekend (or more if willing)
• Holiday requirement: every other holiday (or more if willing)
• Call/standby only during scheduled shift if census is low
• Floating: may be required to float to MICU or serve as patient observer within hospital if not needed in SICU or MICU
• Dress code: clean and professional, no specific scrub color required

Orientation

• One day system onboarding and computer-based training (CBT)
• Two orientation shifts on unit with skills checklist completion

Required Qualifications

• Valid RN license in Wisconsin
• Associate of Science in Nursing / Associate Degree in Nursing
• Minimum of 2 years of RN experience in an ICU/high-acuity patient care setting, including experience within the last year
• Experience with high-acuity ICU patient populations, including caring for POD 1 heart patients
• ACLS certification issued by the American Heart Association
• BLS certification issued by the American Heart Association
• NIHSS certification

Additional Notes

• Clinicians who have previously worked at this facility must have ended employment at least 6 months prior to submission
• All clinicians must clock in and out at the facility