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Surgical Intensive Care Unit (SICU) Medical Intensive Care Unit (MICU) Critical Care Float Pool between SICU and MICU Emergency Department (ED)

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Thank you for your interest in the Critical Care Nurse Residency Program at Ministry Saint Joseph’s Hospital in Marshfield, WI. Saint Joseph’s Hospital is 500+ bed tertiary care teaching institution, the only major rural referral medical center and level-two trauma center in Central and Northern Wisconsin.

Our Critical Care Nurse Residency is an innovative six month paid multi-modality program offering classroom education, simulation lab, online and on-the-job clinical training in a tertiary care environment. The primary goal is to improve the quality of preparation for the new and/or experienced nurse looking to begin or expand their career to critical care nursing.

This unique professional development option is available to nurses seeking a challenging and fulfilling nursing career in one or more areas in our hospital:

 Surgical Intensive Care Unit (SICU)  Medical Intensive Care Unit (MICU)

 Critical Care Float Pool between SICU and MICU  Emergency Department (ED)

The Critical Care Nurse Residency Program runs twice a year, starting in January and July (positions dependent on available unit needs). Enclosed in this packet is the structure of the residency program, eligibility requirements, application process, and pertinent hospital information.

I hope you make Ministry Saint Joseph’s Hospital and the Critical Care Nurse Residency Program your choice to start your professional career in nursing.

Regards,

Heather Dietzler, MSN, RN

Professional Development Manager Ministry Saint Joseph’s Hospital Heather.Dietzler@ministryhealth.org

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Saint Joseph’s Hospital

Critical Care Nurse Residency Program

Application checklist

Once you have all required documents, submit all completed materials online with your application for consideration for the Critical Care Nurse Residency Program at Saint Joseph’s Hospital. Do not submit this entire packet, only required

documents.

______ Completed Employment Online Application

______ Resume (With a detailed senior level of clinical experience) ______ Professional Nursing Goals Statement

______ Area of Interest Form

______ Academic Unofficial Transcripts ______ Three exemplary letters of reference ______ Copy of Basic Life Support card

Note: There is a limitation of 5 unique attached documents to your online

application. You may need to save some materials within the same document; be sure to title your attachments appropriately. Also, when attaching please note the individual file size- documents with background shading, watermarks, outlines, and other symbols may need to be cleaned up/electronically compressed prior to saving. We are not responsible for documents sent to us via email, fax, or mail. All of your materials should be submitted online with your application.

Amy Paull, Recruitment Consultant 715-499-1600

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Saint Joseph’s Hospital

Critical Care Nurse Residency Program

Phases of the Critical Care Nurse Residency Program

New RN Orientation (Two Weeks + Every Monday for Five Weeks)

This fundamental stage provides new graduates and experienced nurses new to the ministry health care organization to gain knowledge of Universal Competencies, Leadership Development and confidence in basic skills.

Universal competencies: completion of Centricity Training, Pyxis Training, Cattails Training, Accudata, conflict resolution, age specific competency, cultural competency, customer service, IV pump training, and other general training.

Leadership Development: leader skill development, communication, ethics, legal implications of care, attributes of professional nursing, nursing governance, forces of magnetism, shared leadership, Synergy Model of Patient Care, and other leadership development.

Advanced Medical/Surgical Phase (Six Weeks)

This Medical/Surgical Phase of the model allows the participants to achieve clinical skill development through assigned clinical hours to gain organization, time management, prioritization, and care delivery of patients with various disease processes. Skill lab experience utilizing the SimMan skill laboratory will also be completed at this time. Advanced Knowledge Development: assessment skills, monitoring skills,

pharmacology, equipment use, medical/surgical pathology, technical skill building, care coordination and discharge preparations, and critical laboratory interpretation. Participant will also complete the area specific on-line EKG training at this time.

Clinical Skill Development: participants will be in the medical/surgical setting for 20-28 hours per week to gain hands-on skill and knowledge in caring for patients with various disease processes. The medical/surgical phase allows for the residents to see and feel the perspective of these areas as they will be working closely with them once transitioning to the Critical Care area. This is also the time to solidify basic nursing skills and learn time management. This will be supervised by a preceptor and nurse educator.

Critical Care Phase (Four Months)

Care of the critical patient during this phase will allow the nurse to develop critical care skills, knowledge of advanced critical care issues, and advanced skill lab experience utilizing the SimMan skill laboratory.

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CRRT/CVVH overview, in-depth pathophysiology of various illnesses/injuries, end of life discussion, organ procurement, grief and bereavement, critical care pathology, family dynamics in the critical care setting, ACLS and PALS certification for appropriate units as well as other pertinent professional certification requirements.

Critical Care Skill Development: participants will be in the critical care setting for approximately 36 hours per week to gain hands-on skill and knowledge in caring for the critical patient under direction of a preceptor and nurse educator.

Advanced Skill Lab: hemodynamic monitoring, advanced airway, new tracheostomy care, arterial lines, mock code situations, artificial ventilation, chest tubes, multiple trauma, dialysis, PICCO, intercool, cooling blankets, Bair huggers, Ventriculostomies, Swans, post anesthesia recovery, multi-system failure, etc.

Program Goals and Objectives

 Develop clinical skill and technical competence  Develop competence with pharmacological agents  Enhance critical thinking skills

 Develop care coordination and discharge planning skills

 Develop communication skills commensurate with organizational expectations  Develop advanced assessment skills (population specific)

 Develop nursing leadership skills

 Develop ability to deliver quality, evidenced-based care  Improved skills in clinical decision-making

 Develop professional nursing attributes  Successful socialization into the work group  Successful integration into their chosen area  Improved staff satisfaction

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Saint Joseph’s Hospital

Critical Care Nurse Residency Program

I. Program Eligibility Requirements

 Graduation from an accredited nursing program

 Licensed as a Registered Nurse in the State of Wisconsin within eight weeks after the start of the Critical Care Nurse Residency Program  Cumulative Grade Point Average (GPA) of 3.0 or above on a 4.0 system  Completed Professional Nursing Goals Statement

 Three exemplary letters of reference

 Up-to-date Basic Life Support Certification II. Educational Emphasis

The Critical Care Nurse Residency Program places a high emphasis on development of critical thinking, professional attributes, and successful integration into the hospital setting. The program is multi-modality in nature which includes expert clinical speakers, online education programs in

collaboration with classroom exercises to develop exemplary critical thinking skills, simulation labs, professional development series, and coaching to clinical success. There is an individualized approach of education for each unit as they do not all require the same skills and experiences. Education in ACLS, TNCC, PALS, and ENPC is included for the appropriate areas. III. Expectations of the Nurse Resident

As a nurse resident you will be expected to:

 Commit to full-time employment for a minimum of three years post-program; failure to meet three year commitment will result in $10,000 payback to Ministry St. Joseph’s Hospital

 Adhere to all policy and procedures as a registered nurse at Saint Joseph’s Hospital

 Develop and utilize professional attributes  Foster mentoring relationships

 Participate actively in learning experiences  Work variable shifts for clinical experiences

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Compensation and Benefits at Saint Joseph’s Hospital

The Critical Care Nurse Residency is a paid, full-time program in which you will receive full-time benefits. Ministry Saint Joseph's Hospital is committed to providing new and existing employees a value based work environment, leadership and personal

development, and a competitive compensation and benefits package. Here is a list of some of the benefits available to our employees:

 Employee Assistance Program  Tuition Reimbursement  Clinical Reach Ladder  Educational Scholarships  Unpaid Leave of Absence  Funeral Leave

 Jury Duty Leave

 Educational Seminars and Workshops  Employee Health Program

 Military Reserve Benefits  Travel Accident Insurance  Paid days off (PTO) - Vacation  Short-Term Disability

 Voluntary Long-Term Disability  Holiday Premiums

 Annual Benefits Enrollment  Life Insurance

 403b Retirement Savings Plan with company matching program  Child Care Center with Sniffle Center

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Name: _______________________________________________________

Program Start Date: __________________________________

Area of Interest

Listed below is a short description of the Critical Care Nurse Residency Areas for your information. Please review and specify your interest by indicating your top two choices with #1 and #2. If you have no preference, then check No Preference.

______ Surgical Intensive Care Unit (SICU) ______ Medical Intensive Care Unit (MICU)

______ Critical Care Float Pool between SICU and MICU ______ Emergency Department (ED)

______ No preference

SICU – 18-bed, Adults: open heart recovery, neurosurgery, trauma, general surgery and continuous renal replacement therapy.

MICU – 16 bed, Adults: MI/thrombolytic patients, CHF, cardiogenic shock, arrhythmias, acute respiratory failure, pneumonia, GI bleed, renal, innercool, continuous renal replacement therapy, sepsis or any other acute medical conditions requiring intensive care.

ED -20 bed, Adult/Pediatric: Level II trauma center and will see a variety of patients. Annual census of 20,000 per year.

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Name: _______________________________________________________

Program Start Date: __________________________________

Professional Nursing Goal Statement

Please complete and submit a one-page typewritten letter clearly stating your specific nursing career goals and motivation for a position as a nurse.

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