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Job Title:

Registered Nurse - Acute - Critical Care - Surgical ICU (Experienced RN Only)

Cost Center:

301351130 MfdHos-SICU-2E

Scheduled Weekly Hours:

36

Employee Type:

Regular

Work Shift:

Variable (United States of America)

Job Description:

THIS POSITION MAY BE ELIGIBLE FOR A SIGN ON BONUS

JOB SUMMARY

The Registered Nurse-Hospital 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-Hospital 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 every other holiday.

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

Surgical Intensive Care Unit [SICU]

Registered Nurse-Hospital-Critical Care

DEPARTMENT/UNIT DESCRIPTION

The 18 bed Surgical Intensive Care Unit provides 24 hour nursing care to critically ill adult patients.

Services Provided/Patient Conditions:

This unit provides nursing care to critically ill adult patients with the following surgical and medical conditions: cardiothoracic, trauma, interventional neurologic and neurosurgical, general surgical and patients requiring CRRT. SICU may serve as an overflow unit for MICU or PICU in the event either unit is full and unable to triage.

Staffing Mix:

The SICU 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 SICU. These include:

• Open heart orientation

• CRRT orientation

• BLS certification

• ACLS certification

• TNCC certification

This orientation process, as well as periodically scheduled in-services and maintenance of required certifications throughout the year, prepares the nurse for participation in the following duties/responsibilities:

• Execution and documentation of the nursing process (assessment, plan, intervention and evaluation), and subsequent notification of a physician when prescribed parameters are exceeded.

• Parenteral administration of fluids (including electrolytes), blood and blood components, and nutrition.

• Administration of emergency medications as authorized or ordered.

• Recognition of and attention to the psychosocial, growth and development needs of the patient and families.

• Effective and safe operation of electrical/electronic equipment and life support equipment common to the unit (see orientation checklist).

• Infection control/universal precaution, transfer, electrical, fire and hazardous product identification and safety.

• Participation in the Emergency Response Team and the Trauma Response Team.

• Bedside bronchoscopy assistance.

• Percutaneous tracheostomy assistance.

Patient Population:

Adult patients (>18 years of age) requiring intensive care.

Frequent Procedures & Equipment Used:

Therapeutic modalities/equipment on the unit include but are not limited to:

• Performance of Advanced Cardiac Life Support skills

• Airway/oxygenation/ventilation support and monitoring

• Simple and complex dysrhythmia interpretation and interventions to achieve rhythm stability

• Pulmonary artery monitoring and PICCO interventions to achieve hemodynamic stability

• Pacemakers (temporary transvenous/transthoracic/external)

• Intra-aortic balloon pumps

• Chest tubes and autotransfusion units

• Blood warmers/transfusers for massive fluid resuscitation

• Continuous Renal Replacement Therapy blood pumps (CRRT)

• Medication administration

• Monitoring of lab values

• Intracranial pressure monitoring

• Lumbar and ventricular drains

• Cervical spine precautions

• Peripheral nerve stimulation

• Patient-controlled analgesia

• Wound/skin/tube/drain care

• Nutritional support

• Thermoregulation

• Operation of specialty beds

Invasive and non-invasive procedures are planned and equipment is provided to handle emergency and nonemergency situations. This may include BLS, ACLS, subdural and ventricular tapping, bedside bronchoscopy, percutaneous tracheostomy, tissue debridement, transvenous/thoracic/external temporary pacing, open sternum arrests or tamponade.

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) on hire

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.