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Job Title:Registered Nurse - Acute - Surgical/Ortho (with Med/Surg Residency option)

Cost Center:301351178 MfdHos-Med-Surg-7N

Scheduled Weekly Hours:36

Employee Type:Regular

Work Shift:12-hour night shifts, variable days (United States of America)

Job Description:

This position may be eligible for a recruitment bonus paid on the first paycheck of employment

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

Nights shift (NOC) , to include a weekend a 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

7 North-Surgical/Ortho

Registered Nurse-Acute

DEPARTMENT/UNIT DESCRIPTION

7 North is a 29 bed patient care unit within the department of Adult Medical Surgical Services.   The unit provides inpatient-nursing care to patients utilizing a Synergy Model of Care. Patients can be admitted with Orthopedic, Urology, Plastic, Vascular, Wound Healing, and GYN-Oncology Surgical care needs, along with non-surgical medical treatment needs.

Services Provided/Patient Conditions:

Specific surgical patient diagnoses include but are not limited to:

Total joint replacement and non-traumatic fracture repairCervical, Lumber, and Thoracic Laminectomy, Diskectomy, Facetectomy and FusionsRobotic & Radical ProstatectomyRadical Cystectomy with Ileal ConduitBladder repairRadical NephrectomyNephrolithotomyVascular Bypass, Carotid Endarterectomy, Vascular Aneurysm RepairComplex wound care and Skin graftingRobotic & Radical HysterectomyVulvectomyTumor Reductive Surgeries

In addition, other specific patients that may be admitted to 7 North include:

General Medical diagnoses

Staffing Mix:

Patient care on 7 North 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 via a shift management tool.  Fluctuations in daily staffing models may vary from shift to shift, or day to day, due to acuity of patients and availability of staff. 

A multidisciplinary approach is taken to meet patient needs. Therapeutic care is provided to patients through Physical, Occupational, Recreational and Respiratory Therapy services. Wound/Ostomy Nurse Specialists work to assist in the management of care for patients with complex wound healing needs. Spiritual support is available 24/7 from Chaplains and local ministries. Case managers and Social Workers assist in discharge planning, and linking patient’s to resources in the community. Registered Dieticians and Speech Language Pathologists assist in meeting nutritional needs. Operational support is provided to the department from Health Unit Coordinators and Decentralized Transport.   

Patient Population:

The population cared for on 7 North ranges from early adult (20-29 years) and young adult (30-44 years), to middle adult (45-65 years) and geriatric adult (>65 years).  Cultural needs are considered for Native Americans, Hmong, Amish/Mennonite, and Hispanic patients who account for a small percentage of our total patient population. Interpretative services are available to patients and caregivers as needed.  

Frequent Procedures:

7 North staff 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 Blood product administrationManagement of venous access devices Management of drains Insertion and care of nasogastric tubes Monitoring and management of oxygen therapy modalities Wound/dressing care including staple/suture removal and wound vacuums.Complex pain management- perineural nerve sheath catheters, epidural, and IV PCA’s.

Equipment used:

Department-specific equipment/skills most frequently seen on 7 North include:

IVAC –Vital Check Tympanic thermometer O2 saturation monitor IV pumps Tube feeding pumps Sequential TEDSBladder scanner EZ lift/stand Braces, splints, immobilizers, traction and fixators Ceiling liftsCPM machineBlood Glucose machinesOxygen delivery equipment (including bipap/c-pap)

​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:

Per RN Job Description

Preferred/Optional:

Certification in specific area of Medical-Surgical Nursing per staff interest

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.