NICU RN
Wilmington, NC
American Traveler
3x12 hrs, Days

Assignment Overview

• Shift: Days, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Dec 14, 2026
• Length: 13 weeks
• Openings: 2

Description

American Traveler is hiring an experienced RN for a Level III NICU position requiring 2+ years of Level III NICU experience and NC or compact RN licensure.

Details

• 45-bed Level III NICU with all private rooms and an average daily census of 41
• Care for critically ill neonates ranging from 22 weeks gestation to term, including surgical neonatal patients
• Patient diagnoses include prematurity, persistent pulmonary hypertension of the newborn (PPHN), and neonatal therapeutic hypothermia
• Patient ratios of 1:2-3
• Day shift schedule, 3x12-hour shifts from 6:45 AM to 7:15 PM
• Every other weekend required
• Floating required to Mother/Baby, Labor, and Pediatrics to care for appropriate patients
• Neonatologist on call 24 hours with NNP overnight coverage and in-house pediatric surgery availability
• Uses Pyxis for medication administration and Epic for documentation
• Communication follows SBAR format

Requirements

• Active NC or compact RN license required (pending license accepted at submission)
• Current BLS and NRP certifications required
• Minimum 2 years of experience with Level III NICU patients required
• Experience with neonates less than 24-28 weeks and 29-34 weeks gestation required
• Skilled in dysrhythmia interpretation/management and invasive hemodynamic monitoring
• Experience with blood glucose monitoring, hyperbilirubinemia, and phototherapy
• Proficient in breastfeeding support, colostomy/ileostomy care, and feeding techniques (bottle, breast, gavage)
• Experience managing necrotizing enterocolitis (NEC) and placement of oral/nasogastric/nasojejunal tubes
• Knowledge of isolation precautions, PPE, neonatal sepsis, and sepsis workup
• IV therapy skills including blood product administration, arterial line management, central line care, PICC lines, and UAC/UVC management
• Experience with neonatal medications including antibiotics, antivirals, antiseizure medications, IV vasopressors, steroids, and surfactants, with accurate neonatal dosage calculations
• Skilled in assisting with lumbar punctures and managing neonatal abstinence syndrome
• Proficient in developmental care, patient/family teaching, phlebotomy, and thermoregulation
• Experience in family-centered care and working in a private room setting
• Respiratory skills including bubble CPAP, HFNC, oxygen delivery systems, suctioning (ETT/NT), and ventilator management (AC/PC/SIMV/CPAP/BiPAP/PEEP)
• Epic documentation experience preferred
• Experience attending high-risk deliveries, NICU IV, and PICU preferred
• Experience with insulin administration, gastroschisis/omphalocele management, and post-abdominal surgery care preferred
• Knowledge of seizure disorders and therapeutic hypothermia/cooling blanket preferred
• APGAR scoring experience preferred
• Experience with high-frequency ventilation, chest tube management, meconium aspiration, and nitric oxide (iNO) preferred

Additional Information

• Provide comprehensive nursing care to critically ill neonates in a Level III NICU setting
• Support services available include interpretation services, IV teams, pharmacy, physical therapy, respiratory services, social services, and unit secretary
• Unit orientation consists of 24 hours across two 12-hour clinical shifts
• Navy blue scrubs required
• Must be willing and able to work during catastrophic events, mass casualties, or disasters as part of a Storm Team or Hurricane Team
• May be reassigned to other units if consolidation to a centralized office occurs mid-contract
• Must work 2 of the 3 major holidays
• Up to 7 days of RTO auto-approved excluding holidays; no RTO permitted during the first week of assignment; all RTO must be pre-approved
• First-time travelers will be considered depending on experience level
• Former Novant Health or New Hanover employees (PERM/PRN/EP) must wait 12 months before reapplying and disclose prior employment details for facility approval
• Current travel per diem clinicians at this facility must choose between per diem or travel contract status
• Local candidates within 50 miles accepted at a lower rate
• Travel pairs allowed if assigned to different units and disclosed at submission