I hope you make Ministry Health Care and the Nurse Residency Program your choice to start your professional career in nursing.

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1 Thank you for your interest in the at Ministry Saint Joseph s Hospital in Marshfield, WI and Ministry Saint Clare s Hospital in Weston, WI. Ministry Saint Joseph s Hospital is 500+ bed tertiary care teaching institution, the only major rural referral medical center and Level II trauma center in Central and Northern Wisconsin. Ministry Saint Clare s Hospital is a 99-bed tertiary care, state-of-the-art Level III trauma center and one of the few rural hospitals in the Midwest that offers a full Open Heart Surgery program. 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 hospitals: Surgical Intensive Care Unit Medical Intensive Care Unit Pediatric Intensive Care Unit Post Anesthesia Care Unit Emergency Department Adult Full-Service Intensive Care Unit/Progressive Care Unit The 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 Health Care and the your choice to start your professional career in nursing. Regards, Ministry Health Care Recruitment

2 Ministry Health Care Application checklist Please return all completed materials for consideration for the at Ministry Health Care. Completed Employment Online Application Form Resume (With a detailed senior level of clinical experience) Professional Nursing Goals Statement Area of Interest Academic Unofficial Transcripts Three letters of reference Copy of Basic Life Support card You must submit the completed materials online as a PDF attachment to your application. Do not apply online until you have all of your required documents in a PDF format. Do not attach this entire packet, only the required sections. Recruitment Contact: Ministry Health Care Ministry Saint Joseph s Hospital McKenzie Masiak, Recruitment Consultant Phone: McKenzie.Masiak@ministryhealth.org Ministry Health Care Ministry Saint Clare s Hospital Emily Smits, Recruitment Consultant Phone: Emily.Smits@ministryhealth.org

3 Ministry Saint Joseph s Hospital General Hospital Phase 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 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 28 hours per week to gain hands-on skill and knowledge in caring for patients with various disease processes. This will be supervised by a preceptor and nurse educator. Critical Care Phase (For Critical Care Residents Only) 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, indepth 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, post anesthesia recovery, multi-system failure, etc.

4 Ministry Saint Clare s Hospital General Hospital Phase This fundamental stage provides new graduates and experienced nurses new to the ministry health care organization to gain knowledge of Universal Competencies, and confidence in basic skills. Universal competencies: completion of Centricity Training, Pyxis Training, Cattails Training, conflict resolution, age specific competency, cultural competency, customer service, IV pump training, and other general training. Advanced Progressive Care Phase This Progressive Care 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. Potential experience utilizing the SimMan skill laboratory may also be completed at this time. Advanced Knowledge Development: assessment skills, monitoring skills, pharmacology, equipment use, technical skill building, care coordination and discharge preparations, and critical laboratory interpretation. Participant will also complete EKG training at this time. Clinical Skill Development: participants will be in Progressive Care setting for 36 hours per week to gain hands-on skill and knowledge in caring for patients with various disease processes. This will be supervised by a preceptor and nurse educator. Intensive Care Phase Care of the intensive care patient during this phase will allow the nurse to develop advanced critical care skills. Intensive Care Knowledge Development: Advanced medication knowledge, CRRT 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, and ACLS certification. Intensive Care Skill Development: participants will be in the intensive 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, dialysis, post anesthesia recovery, multi-system failure, etc.

5 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

6 Ministry Health Care I. Program Eligibility Requirements Graduation from an NLN accredited nursing program Licensed as a Registered Nurse in the State of Wisconsin within eight (8) weeks at the start of the Cumulative Grade Point Average (GPA) of 3.0 or above on a 4.0 system preferred Completed Professional Nursing Goals Statement Three letters of reference Current Basic Life Support Certification II. Educational Emphasis The places a high emphasis on development of critical thinking, professional attributes, and successful integration into the hospital setting. The program is multimodality 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. Certification 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 3 years post-program; failure to meet 3 year commitment will result in $10,000 payback to Ministry Health Care Adhere to all policy and procedures as a registered nurse Develop and utilize professional attributes Foster mentoring relationships Participate actively in learning experiences Work variable shifts for clinical experiences Compensation and Benefits at Saint Joseph s Hospital The Nurse Residency is a paid, full-time program in which you will receive full-time benefits. Ministry Health Care is committed to providing new and existing employees a value based work environment, leadership and personal development, and a competitive compensation and benefits package.

7 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 which units you are interested in: Ministry Saint Joseph s Hospital: Surgical Intensive Care Unit (SICU) Medical Intensive Care Unit (MICU) Pediatric Intensive Care Unit (PICU) Post Anesthesia Care Unit (PACU) Emergency Department (ED) Ministry Saint Clare s Hospital: _ Adult ICU/PCU SICU MICU PICU ED PACU 18 bed, Adults: open heart recovery, neurosurgery, trauma, general surgery and continuous renal replacement therapy. 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. 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. 20 bed, Adult/Pediatric: Level II trauma center and will see a variety of patients. Annual census of 20,000 per year. 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. ICU/PCU 24 bed, Adults: A blended unit of Intensive Care and Progressive Care (step-down/imc).the multipurpose ICU/PCU serves critically ill, unstable patients including multisystem failure, cardiothoracic surgical, peripheral vascular and cardiac conditions.

8 Please use an additional page for the following using this format: 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.