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

Registered Nurse (MS/Tele) - Travel/Contract

Location: Wilmington, North Carolina
Contract Length: 16 weeks

Job Summary

• Night shift: 18:45 - 07:15 (4 shifts per week, 12 hours each, 48 hours/week)
• Patient ratio: 1:6
• Float requirement: May be required to float to a nearby main campus (~32 minutes away)
• Weekend requirement: Every other weekend
• No call requirement
• Must be able to work holidays
• Return to open (RTO) maximum: 7 days
• Contract staff may be assigned to Storm/Hurricane Teams and may be required to work during catastrophic events or disasters
• Unit orientation: 24 hours
• Scrubs: Navy blue or white

Patient Population / Diagnoses

Includes but not limited to:

• Diabetes, dementia, COVID-19, pneumonia, COPD, sepsis, encephalopathy
• GI bleed, anemia, hip fracture, congestive heart failure (CHF), urinary tract infection (UTI)
• Various surgical recovery cases, renal failure, hypertension, cellulitis, failure to thrive

Requirements / Qualifications

• Valid Registered Nurse (RN) license in North Carolina
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Minimum 2 years of Medical-Surgical / Telemetry nursing experience, including experience within the last year
• BLS certification issued by American Heart Association or American Red Cross
• NIH Stroke Scale (NIHSS) certification
• Interpretation and management of dysrhythmias
• Feeding tube care and management
• Pre/Post Hemodialysis management
• Central line blood draws and phlebotomy
• PICC line management
• Patient-controlled analgesia (PCA) management
• BiPAP/CPAP management and maintenance
• High Flow Nasal Cannula (HFNC) management

Preferred Skills & Certifications

• ACLS certification
• Telemetry on-unit monitoring
• Post angiogram, post cardiac surgery, post myocardial infarction care
• IV insulin protocols
• Bariatric surgery care
• Continuous bladder irrigation (CBI)
• Accessing/managing ports
• Cerebrovascular accident (CVA) care
• Substance withdrawal management
• Surgical drains care
• Interpretation of arterial blood gases (ABGs)
• Pre/Post thoracic surgery care
• Tracheostomy care/management
• Previous charge nurse experience
• Electronic documentation proficiency
• Community hospital experience

Certifications Required

• BLS (Basic Life Support)
• NIH Stroke Scale (NIHSS)

Licensing

• Must hold an active Registered Nurse (RN) license valid in North Carolina

Testing & Competency Requirements

• Must pass EKG/Dysrhythmia competency exam prior to start (score 82% or higher, with up to 3 attempts)
• Color blindness testing within 1 year (minimum 80% score)
• Medication/pharmacology competency exam (for new contracts)
• Other competency exams as required by the facility

Health & Immunization Requirements

• Negative TB test or chest X-ray within 1 year (or proof of past positive with appropriate documentation)
• Measles (Rubeola) immunity by titer or vaccination
• Mumps, Rubella, Hepatitis B, Varicella immunizations per standard requirements
• Seasonal flu vaccination or approved exemption (mask required if exempt)
• Drug screening within 6 months of start (9-panel acceptable)
• Physical exam (per travel agency standards, not required by client)

Scheduling & Work Conditions

• Self-scheduling
• No block schedules except weekend blocks
• Must be able to work holidays
• May be required to float to other units or campuses
• No call required

Orientation & Training

• 24-hour unit orientation
• Must complete facility-specific education modules including medication safety and confidentiality agreements
• Must complete annual compliance and mandatory education as applicable
• Must complete Non-Novant Health Worker Clinical Education Checklist (for North Carolina travel candidates)

Additional Requirements

• Photo for badge (passport style, solid white background, business attire) must be submitted immediately after signing contract
• Must complete corporate ID setup and I-Learn login within 24 hours of receiving credentials
• Background check required within 6 months of start
• Various accounting and employment documents required prior to start (e.g., W4, tax forms, ID verification)
• Must be able to work in a fast-paced, acute care environment with diverse patient diagnoses
• Must be prepared to respond to disaster or mass casualty events as part of Storm/Hurricane Team

Summary

This is a 16-week travel Registered Nurse position on a Medical-Surgical Telemetry unit in Wilmington, NC, requiring a minimum of 2 years RN experience. The role involves night shifts with a 1:6 patient ratio, care for complex medical and surgical patients, and requires multiple certifications including BLS and NIHSS. Candidates must pass an EKG competency exam and meet all health and licensing requirements. Flexibility to float and work holidays is mandatory.