ED RN
Wisconsin Rapids, Wisconsin
Marshfield Medical Center

ER RN

Location: Wisconsin Rapids, Wisconsin Contract Length: 13 weeks Shift: Days, 12 hours per shift, 36 hours per week Schedule: 7A-7P or 7P-7A block schedule; some 7A-7P and 10A-10P dayshift/midshift flex as needed

Facility and Department

• Trauma level: Non-designated
• Beds/trauma bays: 7 plus triage
• Fast Track: ED/Urgent Care combined; Urgent Care hours 8a-8p
• New facility, open date listed as 3/1/3036; expected 30-40 patients per day
• Triage: No designated triage nurse; bedside triage
• ED holds are mixed within the ED; transfers out for specialty care, ICU, or critical patients
• No separate psych/seclusion rooms
• No security onsite; panic button available 24/7, linked to 911 and shuts down ED access
• Nurse-to-patient ratio: 1:3-4

Patient Population

• Common diagnoses: Cardiac, Diabetic, Stroke, Tick Bites, Respiratory, Wounds (triage, treat, and transfer out; can take a full day to transfer)
• Common drips: Heparin, Diltiazem

Coverage and Support

• ED provider 24/7; PA Monday-Saturday 8a-8p
• Charge RN takes an assignment; 2 RNs in house, 3 on Monday, Tuesday, and Friday, with more requested as needed; staffed up for the initial opening and the first month or two
• 1 ED/HUC tech 24/7 to assist with sitting, labs, IVs, EKGs, and patient care
• No RT onsite; RN is responsible for respiratory care; ED HUC/techs can perform EKGs; provider orders vent settings and adjusts at bedside
• Monitor techs: RNs read their own strips; telemetry monitors (GE)
• X-ray and CT available 24/7 and transport themselves; MRI truck on certain days, not likely ordered from ED; POC ultrasound available
• RN/techs draw labs; lab picks up from the unit

Required Qualifications

• ACLS, BLS, and PALS certifications
• 2 years ED experience, if no previous travel; or 1 year CAH or similar setting, if a first-time traveler
• Comfortable working with limited resources
• Must be willing to work inpatient medical-surgical (MS) and flex to do so; inpatient unit will not open for the first year
• Must assist with intubation and monitor transport ventilators until transfer

Preferred Qualifications

• TNCC, NRP, and ENPC certifications (strongly preferred)

Float and Assignment Scope

• All agency contracts must work in the ED
• Inpatient unit (10 beds, once open) will be scheduled in both areas as needed
• Potential to assist at another location of the same size and setup
• Duos are acceptable, but the exact same schedule may not be possible

Call and Scheduling

• No on-call requirement in addition to scheduled shifts; may be placed on call if no inpatients are in house (rotated)
• Weekends: every third weekend (Friday, Saturday, Sunday)
• Holidays: every third holiday; expected to work the major winter holiday

Dress Code

• Solid-color scrubs; navy blue likely but not mandatory yet

Orientation

• 3 full shifts on the ED unit at another location the week prior to opening
• Mandatory orientation paperwork and CBTs; first 2 days completed on paper with a trainer; follow up with manager if issues arise