Med Surg RN
Wilmington, NC
LanceSoft
3x12 hrs, Nights

*RTO after booking is not allowed and is not allowed to be worked out onsite. Any call offs or additional RTO on unit, could possibly turn into a cancel and DNR.*****THIS IS AN ED HOLDING SUPPORT POSITION LOCATED IN THE FLOAT POOL****-The ED Holding unit has patients located within the Emergency Department that are waiting for an inpatient bed in the hospital. They could have any medical/surgical adult diagnosis. Traveler may have PCU level patients. Travelers are expected to take MS/Tele cases as well as float to ED and MedSurg areas as needed.REQUIRED SKILLS / CERTS / EXP:Minimum Years of Experience: 2 yearTraveler Experience: NOT REQUIREDLocals Accepted / Rate Difference: YesSkills: MS/Tele, Interpretation of dysrhythmias, Management of dysrhythmias, Telemetry - on the unit monitoring, Telemetry - remote monitoring, Use of Rapid Response Teams. Colostomy care, Feeding tube care and management, Renal Failure, Blood Product Administration, Peripheral Line Care/Management, Phlebotomy, PICC line management, Heparin, Insulin, Isolation Precautions, Chest tubes-Emerson/Pleur-evac, CPAP/BiPAP, High Flow Nasal Cannula (HFNC), Interpretation of ABGs, Nasal Cannula, Non-invasive airway management, Oral Suctioning, Oxygen face masks, Portable Oxygen tank, and Trachesotomy ManagementCerts: BLS, ACLSPREFERRED SKILLS / CERTS / EXP: NIHSS, IV insulin protocols, Pre/Post Hemodialysis Management, Accessing Ports, Central line blood draw, Starting IVs, CVA, Pre/Post Neuro Surgery, Spinal cord injuries, Traumatic Brain injury, Ortho trauma, Total Joint Replacements, Wound Care/Wound VacJOB DETAILS:Ratios: Target Ratios: 1:6 for MS/Tele or 1:4 for PCU level patients.Shift: NIGHT, 36 or 48 hours*THIS IS AN ED HOLDING UNIT*RTO: 7 days MAXFloat Requirement: This unit has patients located within the Emergency Department that are waiting for an inpatient bed in the hospital. They could have any medical/surgical adult diagnosis. Traveler may have PCU level patients. Travelers are expected to take MS/Tele cases as well as float to ED and MedSurg areas as needed.Weekend Requirement: Every other weekend required.** Contract staff will be assigned and expected to work a Storm Team and/or Hurricane Team. Contract staff may be required to report to work during a catastrophic event, mass casualty or disaster. Consolidation to the Centralized Office mid contract may occur and the contract staff may be preassigned to units as neededPATIENT DIAGNOSES: Any adult Medical/Surgical diagnosesSPECIAL PROCEDURES / UNIT DETAILS: EDIP is our inpatient holding area located within the Emergency DepartmentSPECIAL EQUIPMENT: Standard Equipment, cardiac monitors, IV pumps, other monitoring systemsUNIT SYSTEMS (Medication, Documentation, Communication): Pyxis, Epic, SBARSCHEDULING TYPE: Manager SchedulesUNIT ORIENTATION: 12 hoursSCRUBS: Navy*** INTERNAL NOTES ******Must pass EKG Testing prior to start for this specialty***Mixed unit with high acuity patients. Due to high turnover rate, all candidates will be interviewed Modified Time:8/3/2026 12:00:00 AM Account Manager: Lindsay Marmon Account Manager Email: COVID-19 Vaccine: Not Required Flu Vaccine: Required - Medical/Religious Exemptions Only Submittals:Low Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 2 Patient Ratio Experience : Charting System Experience : Preferred Charting System Name : Epic Community Hospital Experience : - LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : Yes Certifications : BLS, CPI*, NIHSSSkills : Accessing/Managing Ports*, BiPAP/CPAP management, Blood Product Administration, Central line care/management*, Chest tubes-Emerson/PleurEvac, CVA (Cerebrovascular Accident)*, ER Holding*, Feeding tube care and management, Heparin Protocols, High Flow Nasal Cannula (HFNC), Interpretation of Arterial Blood Gases (ABGs), Interpretation of dysrhythmias, Isolation Precautions/PPE, IV insulin protocols*, Management of dysrhythmias, MS/Tele, Nasal Cannula, Non-invasive airway management, Ortho trauma*, Oxygen administration, PCU/DOU/IMC/Stepdown*, Peripheral Line Care/Management, Phlebotomy, PICC line management, Pre/Post Hemodialysis Management*, Pre/Post neurosurgery*, Renal failure, Spinal cord injury*, Starting and maintaining IVs*, Telemetry - on the unit monitoring, Telemetry - remote monitoring, Total joint replacement*, Tracheostomy care/management, Traumatic Brain injury*, Use of Rapid Response/Code teams, Wound Care/Wound Vac* Unit Details Staffing & Scheduling Scheduling Type : Other Patient Ratios Days : - Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : - Call Required : No call required. Weekend Coverage : True Number of Weekend Shifts Per Contract : - Pre-Approved Time Off : one Orientation Hours : 12 Facility & Patient Care Details Patient Age Groups : Adults, Geriatrics Daily Census : 30 Number of Visits Per Day : 52 Number of Rooms : 30 Number of Beds : 30 Additional Unit Information Interdisciplinary Support : Respiratory Services, Interpretation Services, Radiology, Social Services, Rapid Response Teams, Pharmacy, Transportation Patient Diagnoses : THIS IS A VERY FAST PACED EDIP AREA with VERY SICK PTS Special Procedures/Unit Details : Patient's located within the Emergency Department that are waiting for an inpatient bed in the hospital. THIS IS AN ED HOLDING UNIT Special Equipment : Standard medical equipment such as cardiac monitors, iv pumps, etc.Ratio's- MS/Tele- 1:6-1:7 and may see PCU patients with 1:3-1:4 #Tier2 Travel Compliance Candidate must go into the lab within 48 hours after signing. All testing must be completed within 48 hours. Submission Process : All units are utilizing Clinical for direct profile review Submission Details : Former Novant/New Hanover employees (PERM/PRN/EP) must wait 12 months before applying. Disclosure required (with hospital name/dates employed) at submission; facility approval needed. Current travel Per Diem clinicians aren't eligible for travel contracts they must choose one. Include status and intent in the submission. Local candidates (50 miles) : Lower rate applies. RTO : Up to 7 days auto approved (no holidays). Must work 2 of 3 major holidays. No RTO during first week. All RTO must be pre-approved. Cannot request additional RTO after signing. NC or Compact license pending OK for submittal. Floating: Candidates must be open to floating within/near facility per job description. Travel pairs : Allowed (must be on different units and disclosed). Charting : See job description. References can be pending at submission. Modules : Pre-start modules are non-billable, time spent on modules should be margined separately from orientation hours. Acute Care: ~8-10 hours of modules Non-Acute: ~4-5 hours of modules Must be completed pre-start and annually (varies by specialty) Conducted online - must use Google Chrome or Microsoft Edge as your browser Submittal Details: #Tier2 Travel ComplianceCandidate must go into the lab within 48 hours after signing. All testing must be completed within 48 hours.    Submission Process:All units are utilizing Clinical for direct profile review    Submission Details: Former Novant/New Hanover employees (PERM/PRN/EP) must wait 12 months before applying. Disclosure required (with hospital name/dates employed) at submission; facility approval needed.Current travel Per Diem clinicians aren't eligible for travel contracts they must choose one. Include status and intent in the submission.Local candidates (50 miles): Lower rate applies.RTO: Up to 7 days auto approved (no holidays). Must work 2 of 3 major holidays. No RTO during first week. All RTO must be pre-approved. Cannot request additional RTO after signing.NC or Compact license pending OK for submittal.Floating: Candidates must be open to floating within/near facility per job description.Travel pairs: Allowed (must be on different units and disclosed).Charting: See job description.References can be pending at submission.Modules:Pre-start modules are non-billable, time spent on modules should be margined separately from orientation hours.Acute Care: ~8-10 hours of modulesNon-Acute: ~4-5 hours of modulesMust be completed pre-start and annually (varies by specialty)Conducted online - must use Google Chrome or Microsoft Edge as your browser