Med-Surg/Telemetry RN - ED Holding Float Pool
Wilmington, NC
Host Healthcare
3x12 hrs, Nights
Referral Bonus

Job Opportunity: Registered Nurse (MS/Tele) - Travel/Contract

Location: Wilmington, North Carolina
Contract Length: 13 weeks

Job Summary

• Position in the ED Holding Support unit located in the Float Pool.
• Patients are adults with any medical/surgical diagnosis, including PCU level patients.
• Responsibilities include caring for MS/Tele cases and floating to ED and MedSurg areas as needed.
• Night shift only, 36 hours per week.
• Every other weekend required.
• Target patient ratios: 1:7 for MS/Tele or 1:4 for PCU level patients.
• Maximum of 7 days RTO allowed after booking (no working out RTO onsite).
• Contract staff may be required to work during catastrophic events or disasters (Storm/Hurricane Team).

Required Qualifications

• Specialty: Registered Nurse (MS/Tele)
• Minimum Years of Experience: 2 years
• Prior Travel Experience: Not required
• Certifications:

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

Required Skills

• MS/Telemetry nursing skills including:

  • Interpretation and management of dysrhythmias
  • Telemetry monitoring (on unit and remote)
  • Use of Rapid Response Teams
• Clinical skills including:

  • Colostomy care
  • Feeding tube care and management
  • Renal failure management
  • Blood product administration
  • Peripheral line and PICC line care/management
  • Phlebotomy
  • Heparin and insulin administration
  • Isolation precautions
  • Chest tubes (Emerson/Pleur-evac)
  • CPAP/BiPAP and High Flow Nasal Cannula (HFNC)
  • Interpretation of ABGs
  • Non-invasive airway management, oral suctioning, oxygen delivery devices (nasal cannula, face masks, portable oxygen tanks)
  • Tracheostomy management

Preferred Skills (Not Required)

• NIH Stroke Scale (NIHSS)
• IV insulin protocols
• Pre/Post Hemodialysis management
• Accessing ports and central line blood draws
• Starting IVs
• Care of CVA, neuro surgery, spinal cord injuries, traumatic brain injury
• Ortho trauma and total joint replacements
• Wound care and wound vac management

Orientation & Training

• Unit orientation: 12 hours
• Must complete Non-Novant Health Worker Orientation modules (approx. 8 hours) prior to start
• Must complete medication safety training and other facility-specific modules before starting
• Navy scrubs required

Patient Population & Unit Details

• Adult medical/surgical patients in ED Holding area awaiting inpatient beds
• Mixed acuity with potential PCU level patients
• Unit uses standard cardiac monitors, IV pumps, and other monitoring systems
• Documentation and communication systems: Pyxis, Epic, SBAR

Background & Compliance Requirements

• Criminal background checks within 90 days for all locations lived in last 7 years
• Education verification for highest degree earned (pending verification allowed if license is valid)
• Drug screening within 30 days of start (10-panel urine drug screen)
• Physical exam within 1 year of start (30 days if past positive TB)
• Fit mask testing (N95 or PAPR training) within 1 year of start
• Immunizations and titers required:

  • Measles (Rubeola), Mumps, Rubella, Varicella (titer or 2 vaccines)
  • Hepatitis B titer or facility-specific declination form
  • Seasonal flu vaccine or approved exemption (required during flu season)
• TB testing: PPD, Qgold, or Tspot within 1 year; chest x-ray if positive
• References: 2 professional references within 3 years (travel/per diem acute care)
• Employment application and skills checklist required

Additional Notes

• Candidates must be prepared for a high turnover, fast-paced environment.
• Must be able to float between multiple units as needed.
• Candidates will be interviewed due to the mixed unit and acuity level.
• Must comply with all facility-specific policies, confidentiality agreements, and training requirements.
• May be required to participate in disaster response teams during contract.

This position offers a challenging and dynamic environment for experienced MS/Tele RNs interested in travel nursing with a reputable healthcare system in North Carolina.