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Job Title:
Registered Nurse - Acute - Surgical/Abdominal (with Med/Surg Residency option)
Cost Center:
301351175 MfdHos-Med-Surg-4N
Scheduled Weekly Hours:
36
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-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 shifts including a 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
4 North-Surgical/Abdominal
Registered Nurse-Acute
DEPARTMENT/UNIT DESCRIPTION
4 North is a 25-private bed unit within the department of Adult Medical Surgical Services. The unit provides inpatient-nursing care to patients admitted with surgical care needs.
Services Provided/Patient Conditions:
Surgical patient populations admitted to 4 North include:
- General Surgery
- Surgical Oncology
- ENT (including trachs)
- Bariatric Surgery
- Eye Surgery
- Oral Surgery
- SDA Wound
Staffing Mix:
4 North provides inpatient-nursing care to patients utilizing a Synergy Model of Care. 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. Additionally, therapy services are provided to patients through Physical, Occupational, Speech and Respiratory Therapy services. Operational support is provided to the department from HUC’s.
Patient Population:
In addition to the Surgical population, 4 North provides care to patients with wounds undergoing hyperbaric treatments and serves as an overflow unit for patients with general medical diagnoses.
Frequent Procedures:
4 North is dedicated to providing nursing care and education to their patients and families. Clinical procedures performed frequently on the unit include:
- Antibiotic therapy
- Anticoagulation therapy
- Electrolyte therapy
- Blood product administration
- Management of venous access devices, central lines, PICC’s
- Management of drains – JP, Duval, g-tubes
- Management of epidurals
- Management of PCAs
- Management of ileostomy and colostomy
- Care and management of new and established tracheostomies
- Insertion and management of NG tubes - suction
- Insertion and care of feeding tubes
- Monitoring and management of oxygen therapy modalities
- Wound/dressing care - staple/suture removal, wound vacs
- Nutrition therapy – TPN, Lipids, tube feeding
Frequent drips administered:
- Lidocaine
- Heparin
- Cardizem
- Nitroglycerin
- Insulin
- Magnesium
- Calcium
- Phosphorous
- Potassium
- Acetaminophen
- PCA/Epidural
- Antibiotic
- Maintenance Fluids
- TPN/Lipids
Equipment used:
Department-specific equipment/skills most frequently seen on 4 North include:
- Dinamap – vitals check
- Urostomy/suprapubic cath
- Novameter
- K-pad
- Stryker beds and bed alarms
- Posey chair alarms
- Dopplers
- Enema
- Tympanic thermometer
- Oral thermometer
- O2 saturation monitor/ETCO2 monitors
- Alaris IV Smartpumps
- PCA pumps
- CADD pumps
- Kangaroo feeding pumps
- Bard pumps
- Sequential TEDS
- Wound Vacs
- Foley
- Flexiseal incontinence devices
- Oxygen delivery equipment (including bipap/c-pap)
- Bladder scanner
- EZ lift/stand
- Ceiling lifts
- Braces, splints, immobilizers, traction and fixators
- Trapeze
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:
Preferred/Optional:
- Certification/Specialization in Bariatric Services
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.
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.
