Medical-Surgical Telemetry Registered Nurse
Wilmington, NC
Access Healthcare
4x12 hrs, Nights

Registered Nurse Travel/Contract Job - Wilmington, North Carolina

Position Overview

• Specialty: Registered Nurse
• Location: Wilmington, NC
• Employment Type: Travel/Contract
• Contract Length: 13 weeks
• Shift: 12-hour nights
• Hours: 36 or 48 hours per week (no OT billed until after 48 hours if working 48)
• Patient Ratio: 1:6 (floor for surgical/medicine inpatient patients)
• Weekend Requirement: Every other weekend
• Float Requirement: May float to like units as needed
• Unit Type: Combination acuity unit (Adult medical surgical and surgical stepdown)
• Patient Diagnoses: Wide range including cellulitis, appendicitis, cholecystitis, diverticulitis, trauma (MVA, gunshots, stabbings, falls), cancers, kidney stones, bowel obstruction, peripheral vascular disease, limb ischemia, hernia, gangrene
• Special Procedures: Inpatient surgical procedures and trauma care such as cholecystectomy, appendectomy, hernia repair, TURP, ostomy creation/closure, wound debridement, tumor removal, kidney stone removal, amputations, fem-pop bypass
• Special Equipment: Wound Vacs, Chest Tubes, NG tube/Corpak, JP Drains, Hemovac Drains, Penrose Drains
• Unit Systems: Pyxis, EPIC, SBAR
• Orientation: 2 days hospital orientation + 24 hours floor training
• Dress Code: All Navy scrubs or Navy bottoms with White top

Required Skills and Experience

• Minimum 2 years surgical unit experience
• Preferred travel experience but not required
• Required clinical skills:

  • Interpretation and management of dysrhythmias
  • Use of Rapid Response Teams
  • Blood product administration
  • Central and peripheral line care/management
  • Surgical drains
  • Nasal cannula and non-invasive airway management
  • Isolation precautions
  • Wound care and wound vac management
• Certifications: BLS, ACLS, NIH Stroke Certification
• Must pass EKG competency testing prior to start
• Preferred skills: Titration of cardiac and vasoactive drips, chest tube management (Emerson/Pleur-evac)

Additional Job Details

• No Return to Origin (RTO) allowed after booking; call-offs or additional RTO may lead to cancellation
• Contract staff expected to participate in Storm Team and/or Hurricane Team during catastrophic events or disasters
• May be reassigned to different units as needed during contract
• RTO max 7 days for auto offer

Compliance and Documentation Requirements

• Background checks including criminal, EPLS/GSA/SAM, HHS/OIG within 90 days of start
• Education verification for highest degree earned specific to profession
• State-specific searches for North Carolina Healthcare Personnel Registry and Division of Medical Assistance within 90 days of start
• Drug testing within 30 days of start (10-panel, negative result required)
• 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; onsite fit testing available if needed
• Immunizations and titers required:

  • Rubeola (Measles), Mumps, Rubella, Varicella (titer or 2 vaccines with boosters if negative)
  • Hepatitis B (titer, series, or facility-specific declination if negative/equivocal)
  • Flu vaccine or approved medical/religious exemption required during flu season (9/1 - 10/31)
• TB testing: PPD, Qgold, or Tspot within 1 year; if positive, chest x-ray within 5 years and annual physical with TB questionnaire signed by physician
• Competency exams as applicable including medication/pharmacology and dysrhythmia/EKG competency (must score 82% or higher, 3 attempts allowed)
• Color blind testing within 1 year via Relias (score ≥80%)

Facility Specific Requirements

• Must complete Non-Novant Health Worker Orientation modules prior to start (up to 8 hours)
• Must complete Medication Safety training and submit certificate
• Must sign confidentiality agreement, hospital policies, tobacco-free campus acknowledgement, and other facility-specific documents prior to start
• Photo for badge required (passport style, white background, business attire)
• Must complete online NEO education modules if assigned to Orthopedic Hospital
• May be required to complete Crisis Prevention Institute (CPI) training if assigned to ER or Behavioral Health units (within first 30 days onsite)
• Radiation badge required for certain specialties (not applicable for this RN surgical unit role)

Notes

• Candidates must be prepared to work in a fast-paced surgical and trauma environment with a wide variety of patient diagnoses and procedures
• Strong clinical skills in dysrhythmia management and line care are essential
• Flexibility to float and participate in emergency response teams is required
• Compliance with all background checks, immunizations, and competency testing is mandatory for assignment start and continuation

This summary provides the key information relevant to healthcare recruiters and healthcare workers considering this Registered Nurse travel contract position in Wilmington, NC.