Medical-Surgical/Telemetry Registered Nurse
Wilmington, NC
Wayward Medical
4x12 hrs, Nights
Relocation Bonus

Travel Registered Nurse – Medical Surgical (North Carolina)

Job Details

• Location: Wilmington, North Carolina
• Employment Type: Travel/Contract
• Contract Length: 13 weeks
• Shift: Night shift, 12-hour shifts (typically 4 shifts per week, 18:45–7:15)
• Target Nurse-to-Patient Ratio: 1:5-6
• Floating: Required
• Weekend Requirement: 12-16 weekend hours per contract
• Orientation: 24 hours unit orientation plus hospital orientation week one (attendance required for classes daily)
• Scrubs: Navy or white
• Special Procedures/Unit Details:

  • Isolation area for COVID patients
  • Multi-level care including stepdown (staffed by stepdown nurses)
• Unit Systems: Pyxis, Epic, SBAR communication
• Scheduling: Based on unit needs
• Additional: Contract staff may be assigned to Storm/Hurricane Teams and required to work during catastrophic events or disasters

Required Skills & Experience

• Minimum Specialty Experience: 2 years as a Registered Nurse
• Traveler Experience: Accepts first-time travelers (no prior travel experience required)
• Clinical Skills:

  • Medical-Surgical nursing
  • Telemetry with remote monitoring
  • Use of Rapid Response Team
  • Dysrhythmia interpretation
  • IV insulin protocols
  • Colostomy care
  • Feeding tube care and management
  • Pre/Post Hemodialysis management
  • Blood product administration
  • Central line blood draws
  • Peripheral line care/management
  • Phlebotomy
  • PICC line management
  • Starting IVs
  • Heparin administration
  • PCA management
  • Chest tubes (Emerson/Pleuravac)
  • CPAP/BiPAP
  • High Flow Nasal Cannula (HFNC)
  • Nasal cannula oxygen delivery
  • Non-invasive airway management
  • Oral suctioning
  • Oxygen face masks and portable oxygen tanks
  • Isolation precautions
  • Wound care including Wound Vac

Preferred Skills & Certifications

• Medical-Surgical/Telemetry experience on the unit
• Management of dysrhythmias
• Accessing ports
• Insulin administration
• Stroke (CVA) care
• Surgical drains management
• ABG interpretation
• Tracheostomy management
• Experience with EPIC electronic health record system

Required Certifications

• BCLS (Basic Cardiac Life Support)
• Must pass EKG/Dysrhythmia competency testing prior to start (minimum score 82%, up to 3 attempts allowed)

Patient Diagnoses Commonly Seen

• Dementia
• Diabetes
• COVID-19
• Pneumonia
• COPD
• Sepsis
• Encephalopathy
• GI bleed
• Anemia
• Hip fracture
• Typical medical-surgical diagnoses plus COVID

Compliance & Documentation Requirements

• Background check within 6 months for clinical candidates
• Drug screening within 6 months (9-panel or instant acceptable)
• Negative TB test or chest X-ray within 1 year (or documentation of past positive TB with appropriate follow-up)
• Required immunizations and titers: Measles (Rubeola), Mumps, Rubella, Hepatitis B, Varicella
• Flu vaccination or approved exemption with mask requirement during flu season
• Physical exam (per Aya Healthcare standards)
• Medication safety training and competency exams
• Color blindness testing within 1 year
• Various facility-specific mandatory education and compliance trainings (e.g., confidentiality, tobacco-free campus, annual compliance)
• Photo for badge (passport style, white background, business attire) required immediately after signing contract
• Must complete Novant-specific orientation and education modules as assigned

Additional Notes

• No Return to Origin (RTO) allowed after booking; call-offs or additional RTO may result in cancellation
• Must be available to work assigned shifts and float as needed
• Must be able to work during disaster or mass casualty events if required
• Navy or white scrubs required
• Must complete all required documentation and training prior to start to avoid delays

Requirements/Qualifications

• Valid Registered Nurse (RN) license in North Carolina
• Minimum of 2 years of Medical-Surgical nursing experience
• Medical-Surgical nursing experience within the last year
• Current BLS certification issued by the American Heart Association or American Red Cross
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Interpretation of dysrhythmias
• IV insulin protocols
• Feeding tube care and management
• Pre/Post Hemodialysis management
• Central line blood draws
• Phlebotomy
• PICC line management
• PCA management
• Chest tubes (Emerson/Pleuravac)
• High Flow Nasal Cannula (HFNC)