Med Surg/Telemetry RN
Marshfield, Wisconsin
Marshfield Medical Center

Med Surg/Tele RN - Ortho/Uro/Neuro

Location: Marshfield, Wisconsin Contract Length: 13 weeks Shift: Nights, 12 hours/day, 36 hours/week Job Type: RN (Registered Nurse)

Required Qualifications

• BLS certification
• 1-2 years of acute care nursing experience

Unit Overview

• Unit: Med Surg/Tele, Ortho/Uro/Neuro
• Beds: 29
• Nurse:Patient Ratios: Days 1:4-5; NOCs 1:5-6
• Common diagnoses/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

Clinical Responsibilities

• RNs are required to titrate drips following a prescribed nomogram.
• Common titratable and/or set-rate drips: heparin, occasionally nitroglycerin, bivalirudin, diltiazem, and insulin.
• Telemetry techs monitor the monitors 24/7. RNs do not need to read strips.
• Charge nurse takes an assignment on all shifts. A house supervisor is available on all shifts.
• Equipment: CPAP, BiPAP, and high-flow oxygen therapy. No ventilators. RT support is present.

Nursing Assistant Coverage

• 0630-1900: 1:8-10
• 1900-2300: 2 CNAs for the nursing unit
• 2300-0700: 1 CNA for the nursing unit
• From 1900-0700, RNs carry different responsibilities than the day-shift model for vital signs and ADLs.

Scheduling and Logistics

• RN shifts: 0700-1930, 1100-2330, 2300-0700
• No self-scheduling; block scheduling is used to the best of the unit's ability, depending on staffing.
• Every other weekend and every other holiday
• No call or standby requirement
• Float required to other adult medical/surgical nursing units
• Scrubs: any color, clean and professional
• Orientation: 1 day of computer training and 1-2 precepted floor orientation shifts
• All clinicians must clock in and out at the facility.

Submission Requirement

• Clinicians must note in their submission if 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.