Thank you for your interest in the Nurse Residency Program at Ministry Saint Joseph’s Hospital in Marshfield, WI. Ministry 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 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 Medical Intensive Care Unit Pediatric Intensive Care Unit Emergency Department Peri-Anesthesia Care Unit Cath Lab/Radiology Specials The 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 Nurse Residency Program your choice to start your professional career in nursing. Regards, Heather Dietzler, MSN, RN, CNE Professional Development Manager Saint Joseph’s Hospital Ministry Saint Joseph’s Hospital Nurse Residency Program Application checklist Please attach all completed materials for consideration for the Nurse Residency Program at Saint Joseph’s Hospital to your online application. Do not submit your online application until you have all required materials or your application will be incomplete. Do not submit this entire packet or checklist, only required documents. ______ Completed Employment Online Application Form ______ Resume (With a detailed senior level of clinical experience) ______ Professional Nursing Goals Statement ______ Area of Interest Form ______ Academic Unofficial Transcripts (Cumulative Grade Point Average (GPA) of 3.0 or above on a 4.0 system) ______ Three exemplary letters of reference ______ Copy of Basic Life Support card Please note: Wisconsin RN Licensure is required within eight weeks of starting the program. You are required to submit completed materials online as attachments to your application. Please do not mail, email, or fax materials to us. We are not responsible for items that are mailed, faxed or emailed. 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. Ministry Health Care Critical Care Nurse Residency Program Amy Paull, Recruitment Consultant Amy.Paull@ministryhealth.org 715-499-1600 Ministry Saint Joseph’s Hospital Nurse Residency Program Phases of the Nurse Residency Program New RN Orientation/ Advanced Med/Surg Phase (8 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. It also allows 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. Universal competencies: completion of Centricity Training, Pyxis Training, Cattails Training, Nova Meter, DIOFS, 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 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. Critical Care Knowledge Development: Advanced medication knowledge, trauma care, 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 recognition 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 Ministry Saint Joseph’s Hospital Nurse Residency Program I. Program Eligibility Requirements Graduation from an NLN accredited nursing program Licensed as a Registered Nurse in the State of Wisconsin within eight weeks after the start of the 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 Current Basic Life Support Certification II. Educational Emphasis The 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 postprogram at Ministry Saint Joseph’s Hospital; 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 MSJH Develop and utilize professional attributes Foster mentoring relationships Participate actively in learning experiences Work variable shifts for clinical experiences Compensation and Benefits at Ministry Saint Joseph’s Hospital The Nurse Residency is a paid, full-time program in which you will receive full-time benefits. 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 (PDO) Short-Term Disability Voluntary Long-Term Disability Holiday Premiums Annual Benefits Enrollment Life Insurance Child Care Center with Sniffle Center Vacation Name: _______________________________________________________ Program Start Date: __________________________________ Area of Interest Listed below is a short description of the Nurse Residency Areas for your information. Please review and specify your interest by indicating your top two choices with #1 and #2. ______ Surgical Intensive Care Unit (SICU) ______ Medical Intensive Care Unit (MICU) ______ Pediatric Intensive Care Unit (PICU) ______ Emergency Department (ED) ______ Peri-Anesthesia Care Unit (PACU) ______ Critical Care Float Pool (Includes MICU and SICU) ______ Cath Lab/Radiology Specials 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. PICU – 8-bed, Pediatrics: Patients range in age from infants through 18 years. Our PICU nurses work closely with our Pediatric Intensivists and the Trauma Team to provide care to critically ill or injured children. Along with our trauma population, we also see children with a variety of medical/surgical diagnosis found on the general Pediatric floor. Those patients who require frequent monitoring and have a greater probability of requiring critical care interventions are in the PICU. ED -20 bed, Adult/Pediatric: Level II trauma center and will see a variety of patients. Annual census of 20,000 per year. PACU – Adult/Pediatric: (Pre Admission & Recovery) Admission of all surgical patients, procedure patients to include mylograms, ERCP, post-op care for procedure and surgical patients. Procedures performed in area Bronchoscopy, TEE’s, pain, cardiovascular, ECT. Recovery of all surgical patients, general surgery, ortho, neuro, thoricac, pediatrics, EENT. Cath Lab/Radiology Specials -- This area consists of three sections (Cath Labs, EP Labs and Vascular Labs). Our 504-bed hospital performs many state of the art procedures, such as TAVR. We perform approximately 8,000 procedures a year in this cutting edge facility. 3 N - 40 bed, Adults: Cardiology (medical and surgical). Surgical cardiology: pacemakers, implantable defibrillators, post open heart patients, also medical cardiology, unstable angina, MI, heart rhythm disturbances, PTCA, CHF, cardiac cath. 4 N - 50 bed, Adults: Surgical/abdominal/ENT. This includes bowel obstruction and ileus, occasionally some GYN surgery and urology surgery patients. 5 N - 34 bed, Adults: Neurology: includes stroke, seizures, MS, Parkinson’s disease. Neurosurgery: includes brain surgery, back surgery. Also includes orthopedic spine surgery and trauma. 6 N - 48 bed, Adults: General internal medicine, endocrinology, gastroenterology, nephrology, infectious disease patients, rheumatology and pulmonary. 7 N- 48 bed, Adults: Surgical/orthopedics. Includes orthopedics; plastic surgery; oral surgery; urology surgery; GYN surgery; spine, skin and urology medical. There is some vascular, GI, ophthalmology, small bowel and ileus patients. 8 N- 36bed, Adults: oncology/hematology. General medical patient population includes tumors, blood malignancies, DVT, anemia, and non-malignant pain dementia, etc. Typical treatment modalities include chemotherapy, brachytherapy, and human progenitor cell transplants. Outpatient 5 chair, blood transfusion and IV infusion: includes antibiotics and chemotherapy. 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.