Medical-Surgical Oncology Registered Nurse
Wilmington, NC
Access Healthcare
3x12 hrs, Nights

Job Opportunity: Registered Nurse (Travel/Contract)

Location: Wilmington, North Carolina
Specialty: Medical-Surgical with Oncology focus
Contract Length: 13 weeks

Job Description

• Position on a Medical-Surgical/Oncology unit
• Night shift
• Patient ratio target: 1:6
• Call required if called off on a prescheduled shift
• Floating required to similar units and alternate inpatient care locations (e.g., inpatient holding in the ED)
• Every other weekend required
• Storm Team/Hurricane Team participation required; may be called to work during catastrophic events, mass casualty, or disaster
• Daily census approximately 42 patients; ratios may increase during high census periods
• Patients primarily have general medical-surgical diagnoses with oncology history, including chemotherapy/biotherapy administration (IV, PO, injection)
• Common patient diagnoses: AKI, Sepsis, Cancer, Septic shock, Pain, Overdose, Malignant Neoplasms, ARF, Encephalopathy, FTT, Diabetic foot ulcers, Heparin drips
• Must attend monthly staff meetings
• Shifts called out must be made up

Required Skills & Experience

• Minimum 2 years of experience in specialty (Medical-Surgical)
• Experience in inpatient setting required
• Skills required:

  • Med/Surg nursing
  • Colostomy care
  • Accessing ports
  • Blood product administration
  • Central line blood draw
  • Peripheral line care/management
  • PICC line management
  • Heparin and insulin administration
  • Surgical drains
  • Chest tubes (Emerson/Pleur-evac)
  • Nasal cannula and non-invasive airway management
  • Isolation precautions
  • Wound care and Wound Vac management
• Certifications required:

  • Oncology Certification (ONC) — must be able to administer chemotherapy if needed
  • Basic Life Support (BLS)
• Prior travel experience: Not required; first-time travelers accepted

Preferred Skills & Certifications

• Crisis Prevention Institute (CPI) certification
• Charge nurse experience
• Oncology Certified Nurse (OCN)

Orientation & Uniform

• Unit orientation: 24 hours (2 shifts)
• Scrubs: Navy blue and white

Systems Used

• PYXIS (medication system)
• EPIC (electronic health record)
• SBAR (communication tool)

Testing & Competency Requirements

• Must pass EKG/Dysrhythmia competency testing prior to start (1st attempt within 72 hours)
• Medication/Pharmacology competency exam required
• Color blind test within 1 year required
• Monthly attendance at staff meetings expected

Additional Requirements & Notes

• No Return to Office (RTO) after booking allowed; call-offs or additional RTO may lead to cancellation and Do Not Rehire status
• Must participate in Storm/Hurricane Team assignments and disaster response as needed
• Must submit a passport-style photo for badge creation prior to start
• Must complete various background checks and verifications (education, licensure, etc.)
• Required health documents include:

  • Negative TB test or chest X-ray within 1 year
  • Immunizations/titers for Rubeola (Measles), Mumps, Rubella, Hepatitis B, Varicella
  • Drug testing within 6 months of start
  • Flu vaccination or approved exemption during flu season
• Must complete facility-specific orientation modules including Medication Safety and Non-Novant Health Worker Orientation
• Must comply with hospital policies and confidentiality agreements
• Must complete required certifications and training as per facility standards

Summary

This is a night shift travel Registered Nurse position in Wilmington, NC, on a Medical-Surgical/Oncology unit requiring at least 2 years of Med/Surg inpatient experience and Oncology certification. The role involves care of complex oncology patients, chemotherapy administration, and participation in disaster response teams. First-time travelers are welcome. The contract length is approximately 13 weeks with every other weekend and call requirements. Orientation and competency testing are mandatory prior to starting.