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Job Title:

Registered Nurse - Acute - Critical Care - Medical ICU

Cost Center:

301351127 MfdHos-ICU-Medical-Cardiac-3N

Scheduled Weekly Hours:

36

Employee Type:

Regular

Work Shift:

See Job Description for detail (United States of America)

Job Description:

This position may be eligible for a recruitment bonus!

JOB SUMMARY

The Registered Nurse-Acute-Critical Care functions as a vital member of the healthcare team by demonstrating a customer/patient focus, effective communication, professionalism self-development, and teamwork. The individual utilizes the nursing process to assess, plan, implement and evaluate comprehensive care provided to selected patient populations and their families. The Registered Nurse-Acute is expected to demonstrate excellent clinical, problem-solving, interpersonal and leadership skills and make decisions consistent with hospital policies, department protocols/guidelines, and the Wisconsin Nurse Practice Act.

WORK SHIFT

Variable 12 hour shifts including every third weekend and holiday rotation.

JOB QUALIFICATIONS

EDUCATION

For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.

Minimum Required: Diploma or degree in nursing.

Preferred/Optional: Bachelor’s degree in nursing.

EXPERIENCE

Minimum Required: None

Preferred/Optional: Two years’ hospital nursing experience.

Those inpatient facilities participating in the Clinical Nurse Advancement Portfolio (CNAP) clinical ladder, refer to program documents for eligibility to advance/maintain CNAP level.

CERTIFICATIONS/LICENSES

The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.

Minimum Required:

• Current State of Wisconsin Registered Nurse License or Nurse Compact License.

• Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) within three months of employment.

• Additional department-specific certifications, licenses, or memberships may be required (varies by department/location).

Preferred/Optional:

Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) at time of hire.

Marshfield Medical Center

Medical Intensive Care Unit [MICU]

Registered Nurse-Acute-Critical Care

DEPARTMENT/UNIT DESCRIPTION

The staff of the 16-bed MICU provides 24-hour nursing care to critically ill adult/geriatric patients >18 years of age with a variety of medical conditions and strives to meet the unique cultural and developmental needs of the patients. MICU may serve as an overflow unit for SICU or PICU in the event either unit is full and unable to triage.

Services Provided/Patient Conditions:

Conditions treated in the MICU include:

• Myocardial infarction

• Acute coronary syndrome

• Cardiomyopathy

• Congestive heart failure

• Dysrhythmias

• Pulmonary Emboli

• Deep Vein Thrombosis

• Interventional radiology procedures (i.e., PTCAs, stents, angiogram, coiling, IA tPA, thrombolectomies)

• Cerebral Vascular Accidents

• Subarachnoid Hemorrhage

• Intracranial Hemorrhage

• Respiratory Failure

• Pneumonia

• COPD

• Sepsis

• Cardiogenic/septic shock

• GI Bleed

• Acute and Chronic Renal Failure

• Liver failure

• Pancreatitis

• Drug Overdose

• Seizure

• Multiple Organ Failure

• Acute Respiratory Distress Syndrome (ARDS)

Staffing Mix:

The MICU Unit is staffed with registered nurses and is supported with nursing assistants and health unit coordinators. Nurse to patient ratio is based on acuity and is usually 1:2 or 1:1. Registered Nurses function as the primary care giver or as direct supervisors to the care provided by nursing assistants.

Registered nurses complete a 10-12 week clinical and didactic critical care orientation addressing general critical care practices, as well as unit specific practices, or, they have completed the MMC Critical Care Residency Program. Specialty orientations to address acute high risk patients and populations and unit required certifications are completed within the first year of employment in MICU.

Registered nurses are the primary caregivers in MICU. Other team members of the MICU include: physicians, physician assistants, nurse clinicians, pharmacists, certified nursing assistants, respiratory therapists, physical, occupational, and speech therapists, as well as individuals from the Spiritual Services Department, Metabolic Support Team and Dietary, Patient Care Advocate, Case Management and Social Work, and Cardiac Rehabilitation.

Additional resources may be used to achieve the most appropriate multidisciplinary team for care of the patient and family. Nursing practice and delivery of care is provided in accordance with the Critical Care Standards of Practice and American Association of Critical Care Nurses guidelines.

Patient Population:

Critically ill adult/geriatric patients >18 years of age with a variety of medical conditions.

Frequent Procedures & Equipment Used:

Intensive care services include the following therapies:

• Simple and complex dysrhythmia interpretation and intervention

• Hemodynamic stability monitoring and intervention

• Airway maintenance/oxygenation/ventilatory supports needs

• Delivery of PCA/sedation with BIS monitoring as needed

• Peripheral nerve stimulation monitoring

• Medication administration (including vasoactive drug administration and titration)

• Blood product administration

• Specialty bed operation

• Nutritional support (parenteral and enteral)

• Lab value monitoring

• Wound/skin/tube/drain care

• Chest tube maintenance/monitoring

• Pulmonary artery monitoring

• Intra-aortic balloon pump monitoring

• Pacemaker monitoring (temporary transvenous or transcutaneous and permanent)

• Thermoregulation via blood/body cooling/warming/transfusers

• Continuous renal replacement therapy

• Percutaneous LVAD/Impella monitoring

• Therapeutic hypothermia/normothermia monitoring

• Continuous EEG monitoring

• Proning

SERVICE LINE/DEPARTMENT LICENSES, REGISTRATIONS OR CERTIFICATIONS

Individual must meet the minimum qualifications as stated within the system job description. The items noted below are in addition to the minimum qualifications.

Minimum Required:

• Advanced Cardiac Life Support (ACLS) certification on hire or during orientation.

Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.

At Marshfield Clinic Health System, we are fully committed to addressing health equity, diversity and inclusion for our employees and providers, our patients, and the communities we serve. We believe that every individual should have the opportunity to attain their highest level of health. We embrace diversity and welcome differences in who we are and how we think. We believe that any individual or group should feel welcomed, respected and valued. View our Equity and Inclusion Statement here (https://www.marshfieldclinic.org/mAboutUs/Documents/30922-000_Equity-and-Inclusion-Statement%20%282%29.pdf) .

Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program .

Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

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When given the tools needed to excel, great things happen: connection with colleagues, recognition in the community, better care for our patients. All this is available with affordable living rich in leisure. Welcome to Marshfield Clinic Health System . Where career meets community.

Positions listed as 30 hours per week or greater are offered the level 1 benefit package.

Positions listed as 20 – 29 hours per week are offered the level 2 benefit package.

Positions listed as less than 19 hours per week are non-benefited.

Benefits for temporary positions vary. Details will be discussed in the interview process.

At Marshfield Clinic Health System, we are fully committed to addressing health equity, diversity and inclusion for our employees and providers, our patients, and the communities we serve.

We believe that every individual should have the opportunity to attain their highest level of health. We embrace diversity and welcome differences in who we are and how we think. We believe that any individual or group should feel welcomed, respected and valued. View our Equity and Inclusion Statement here (https://www.marshfieldclinic.org/mAboutUs/Documents/30922-000_Equity-and-Inclusion-Statement%20%282%29.pdf)