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 standard ICU patients
  • 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
• Intensivist and respiratory therapist coverage 24/7
• Respiratory equipment includes vents, BiPAP, CPAP, Vapotherm, etc.
• No telemetry/monitor techs; RNs read and document their own telemetry strips (GE monitors)

Required Qualifications

• Current RN license appropriate for Wisconsin
• Certifications: ACLS (AHA), BLS (AHA), NIHSS required; TNCC preferred
• Experience with high acuity ICU patient populations required
• Experience with CRRT, IABP, Impella, and ECMO is desirable but not required
• Ability to titrate drips including epinephrine, norepinephrine, propofol, precedex, vasopressin, dobutamine, heparin, insulin, dopamine, neosynephrine, milrinone
• Must be able to care for immediate post-op heart patients (POD 1) who require 1:1 nursing

Work Schedule & Staffing

• 12-hour shifts: 0700-1930 (days) or 1900-0730 (nights)
• Self-scheduling for staff; agency nurses scheduled to unit needs
• Weekend requirement: every other weekend or more if willing
• Holiday requirement: every other holiday or more if willing
• Charge nurse present every shift; usually does not take patient assignments unless census requires
• Nursing house supervisor available 24/7
• Nurse aide support: one NA during day shift; typically no NA at night
• Floating: may be required to float to MICU or serve as patient observer within hospital if not needed in SICU

Orientation & Other Details

• One day system onboarding and computer-based training (CBT)
• Two orientation shifts on unit with skills checklist completion required
• Clean and professional dress code; no specific scrub color required
• Clinicians must clock in and out at the facility
• Prior employment with this facility must have ended at least 6 months before reapplying

Additional Notes

• Call or standby only during scheduled shift if census is low (per agency allowed hours)