ICU Registered Nurse
Wilmington, NC
Wayward Medical
3x12 hrs, Nights
Relocation Bonus

ICU Registered Nurse Travel/Contract Job - Wilmington, North Carolina

Job Details

• Specialty: Registered Nurse (ICU)
• Location: Wilmington, North Carolina
• Employment Type: Travel/Contract
• Contract Length: 13 weeks
• Shift: Night shift, 3 shifts per week, 12 hours each (18:45 - 07:15)
• Patient Ratio: 1:2
• Float Requirement: Yes, may float to Medsurg if needed
• Weekend Requirement: Every other weekend, minimum 6 weekend shifts per contract
• Call Requirement: None
• Scheduling Type: Self-scheduling
• Unit Orientation: 24 hours

Required Experience & Qualifications

• Valid Registered Nurse (RN) license in North Carolina
• Minimum 2 years of experience as a Registered Nurse, including 2 years of ICU (Intensive Care Unit) experience within the last year
• Completion of at least one travel nursing assignment
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Certifications:

  • ACLS (Advanced Cardiac Life Support) issued by American Heart Association
  • BLS (Basic Life Support) issued by American Heart Association or American Red Cross
  • NIHSS (National Institutes of Health Stroke Scale)
• Medical Intensive Care Unit patient management experience
• Interpretation and management of cardiac dysrhythmias
• Management of patients with multisystem organ dysfunction or failure
• Central Venous Pressure (CVP) monitoring
• Administration of IV insulin protocols
• Care for patients with liver failure, acute kidney injury, and chronic/acute renal failure
• Accessing and managing ports
• Arterial line management

Clinical Skills & Competencies

• Medical Intensive Care Unit (MICU) experience
• Interpretation and management of dysrhythmias
• Management of multisystem organ dysfunction/failure
• Obtaining and interpreting 12-lead EKG/ECG
• Central Venous Pressure (CVP) monitoring
• IV insulin protocols
• Care for liver failure, acute kidney injury, chronic/acute renal failure
• Intake and output monitoring, urine output assessment
• Accessing and managing ports and central lines
• Arterial line management
• Blood product administration
• Starting and maintaining IVs, TPN/Lipids administration
• Continuous IV sedation and emergency medication administration
• Procedural sedation administration and monitoring
• Titration of cardiac and vasoactive drips
• Assisting with chest tube insertion/removal
• BiPAP/CPAP and ventilator management, including suctioning (ETT, NT)
• High Flow Nasal Cannula (HFNC) management
• Interpretation of arterial blood gases (ABGs)
• Management of pulmonary edema, pulmonary embolism, respiratory failure
• Infection prevention, isolation precautions, and PPE use
• Phlebotomy and coagulation monitoring (PT/PTT, INR)
• Recognition of infection in immunosuppressed patients
• Management of high-output drains

Preferred Skills & Experience

• Cardiovascular ICU (CVICU), Neuro ICU, or Surgical ICU experience
• Thermoregulation (hypothermia/hyperthermia)
• Post cardiac surgery care (not directly from OR)
• GI surgery experience
• PICC line management
• Previous charge nurse experience
• Community hospital experience

Patient Diagnoses Commonly Seen

• Sepsis
• Diabetic Ketoacidosis (DKA)
• Chronic Obstructive Pulmonary Disease (COPD)
• Heart Failure

Special Procedures & Equipment

• Central line insertion
• Chest tube management
• Arterial line insertion and invasive monitoring
• Use of HelloCare and Tele-ICU systems
• Unit systems: Pyxis (medication dispensing), EPIC (documentation), SBAR (communication)

Compliance & Documentation Requirements

• Background check within 6 months for clinical candidates
• Drug screening (9-panel) within 6 months of start
• Negative TB test or chest X-ray within 1 year of start (with exceptions for past positives)
• Required immunizations and titers: Measles (Rubeola), Mumps, Rubella, Hepatitis B, Varicella
• Physical exam (per Aya Healthcare standards)
• Mandatory facility-specific education and compliance training, including:

  • Medication Safety module completion
  • Confidentiality Agreement
  • Tobacco-Free Campus Acknowledgement
  • Annual Compliance Training
  • Non-Novant Health Worker Orientation (for NC travel candidates)
• Photo for badge (passport style, solid white background, business attire)
• Corp ID and I-Learn account setup within 72 hours of contract signing
• Dysrhythmia/EKG competency exam (must pass with 82% or higher within 72 hours of start)
• Color Blind Testing within 1 year
• Medication/Pharmacology competency exams as required

Additional Notes

• Candidates must be prepared to float to Medsurg if needed.
• No call requirement.
• Weekend shifts are mandatory every other weekend.
• Orientation is 24 hours.
• Flu vaccination is required unless a medical or religious exemption is approved; exempted candidates must wear masks on campus.
• Candidates must provide all required documentation promptly to avoid start delays.

This position is ideal for experienced ICU RNs with prior travel contract experience seeking a challenging night shift role in a critical care setting.