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Job Title:

Registered Nurse - Acute - Neuro/Trauma (with Med/Surg Residency option)

Cost Center:

301351176 MfdHos-Med-Surg-5N

Scheduled Weekly Hours:

32

Employee Type:

Regular

Work Shift:

Variable (United States of America)

Job Description:

This position may be eligible for a recruitment bonus!

JOB SUMMARY

The Registered Nurse-Acute 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 evening shifts; 3:00 pm - 11:30 pm to include every other weekend and 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

5 North-Neuro/Trauma

Registered Nurse-Acute

DEPARTMENT/UNIT DESCRIPTION

5 North is a 28-bed adult inpatient care unit in the department of Medical/Surgical Services. The unit provides 24-hour inpatient care to patients admitted with Neuro-Medical and Neuro-Surgical care needs as well as patients from Trauma Services.

Services Provided/Patient Conditions:

The more frequent patient populations specific to 5 North include:

• Neuro-medical patients: ischemic/hemorrhagic CVA, TIA, cerebral aneurysm, encephalopathy, brain tumor

• Neuro-surgical patients: thrombectomy, aneurysm coiling/clipping, tumor resections, craniotomies, deep brain stimulator placement, VP shunt placement/revision

• Seizure disorders

• Trauma: blunt force, penetrating injuries, large bone fractures, surgical repair, TBI, etc.

In addition, the following patient types may be admitted to 5 North:

• Baclofen pump placement/revision for treatment of spasticity

• Chronic ventilator dependent patients

• Other neurological disorders (for ex: Multiple Sclerosis, Guillain-Barré, Myasthenia Gravis)

• Surgical procedures involving the cervical or thoracic spine

• Patients with medical diagnoses

Staffing Mix:

Patient care is accomplished by 24/7 staffing through a combination of nursing personnel that include RN’s and CNA’s. Direct caregiver skill mix is determined each shift through established guidelines provided to the charge nurses by unit management. Fluctuations in daily staffing models may vary from shift to shift or day to day due to acuity of patients and availability of resources.

Patient Population:

The age groups treated on 5 North range from:

• 1% adolescent

• 10% early adult

• 24% middle adult

• 30% late adult

• 35% geriatric

The predominant age range of the patients on 5 North is greater than 65 years of age. The least frequent age group is within the adolescent category. Patients from various cultures seen on 5 North including Native American, Hmong, Hispanic and Amish/Mennonite.

Frequent Procedures:

Department-specific procedures most frequently performed include:

• Antibiotic therapy

• Anticoagulation therapy

• Management of venous access devices

• Management of drains – pleuravac, JP, Duvall, lumbar, ventriculostomy

• Care and management of tracheostomies

• Insertion and care of feeding tubes

• Monitoring and management of oxygen therapy modalities

• Wound/dressing care including staple/suture removal/wound vacuums

• Video EEG monitoring

Less Frequent Procedures:

Department-specific procedures less frequently performed include:

• Chest tube insertion

• Central line insertion

• Lumbar punctures

• Blood product administration

Equipment used:

Department-specific equipment/skills most frequently seen:

• Dynamap –Vital Check

• Tympanic thermometer

• O2 saturation monitor

• Alaris – IV pumps

• PCA pumps

• Tube feeding pumps

• Sequential TEDS

• Oxygen delivery equipment

• Bladder scanner

• Ventilators

• Cardiac chairs

• EZ lift/stand and in-room ceiling lifts

• Video EEG monitoring equipment

• Braces, splints, immobilizers, traction, fixators

Department-specific equipment less frequently seen:

• Specialty beds

• Halo traction

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:

• National Institute of Health Stroke Scale (NIHSS) certification awarded by Apex Innovations within 3 months of hire

Preferred/Optional:

• Trauma Nursing Core Course (TNCC) certification awarded by the Emergency Nurses Association within 2 years of 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.