Stepdown RN
Marshfield, Wisconsin
Marshfield Medical Center

Med Surg/PCU/Tele RN - Neuro Trauma

Location: Marshfield, Wisconsin Contract Length: 13 weeks Shift: Days and nights, 12-hour shifts (7a-7:30p, 7p-7:30a) Hours: 36 per week Unit: PCU, 28 beds

Required Qualifications

• 2 years of MS, PCU, or ICU experience
• Experience in the setting within the last 1 year
• Drip experience
• Certifications: BLS (AHA), NIHSS
• Open to first-time travelers

Preferred Qualifications

• Home trach vent experience (travelers are highly preferred to have it)
• Willingness to learn: RNs are trained on vents but must be open to learning

Patient Population

• Focus: Strokes, seizures, Guillain-Barré, myasthenia gravis, spinal injuries, thrombectomies, TNK/TPA 24 hours post, endovascular neuro, AMS, dementia
• Trauma/ortho: Hematomas and bleeds, falls on thinners, farm and MVA accidents

Staffing and Ratios

• Patient ratios: Days 1:4-5, nights 1:5-6, depending on acuity
• Nurse aides: Days 1:9, nights 1:12
• Charge nurse: Takes an assignment. Nights take a full team; days take a smaller assignment.
• Telemetry/monitor techs: Central monitor is located in a different area.

Clinical Responsibilities

• RNs are required to titrate drips.
• Common titratable or set-rate drips: heparin, nitro, diltiazem, amiodarone, 3%, insulin
• RT equipment: vents, trachs, CPAP, BiPAP, Vapotherm, EtCO2

Floating

• May float to sister MS units across 6 specialties: mixed care, cardiac, general, MS ortho, heme/onc, and general patients

Scheduling

• Self-scheduling; manager balances schedules. Schedules open 6 weeks in advance.
• Same shifts cannot be guaranteed for travel duos.
• Weekends: every other Friday, Saturday, and Sunday
• Holidays: typically 2 of 3 winter holidays, otherwise every other holiday
• No call or standby requirement

Orientation and Logistics

• Orientation: 1 shift of general orientation and 1 shift with a preceptor
• Scrubs: any solid color
• All clinicians must clock in and out at the facility.

Submission Requirements

• Must note in submission if the clinician has ever worked for the facility. If they previously worked there, their end date must be at least 6 months before the submission date.