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

Registered Nurse Travel/Contract Opportunity

Location: Wilmington, North Carolina
Specialty: Registered Nurse (Med/Surg with Oncology focus)
Contract Length: 13 weeks

Job Overview

• Primarily caring for medical-surgical patients with oncology history.
• Night shift with target nurse-to-patient ratio of 1:6.
• Floating required to similar units and alternate inpatient care locations (e.g., inpatient holding in the ED).
• Call required if called off on a prescheduled shift.
• Every other weekend required.
• Contract staff expected to participate in Storm Team and/or Hurricane Team assignments during catastrophic events or disasters.
• Attendance at monthly staff meetings required.

Required Experience & Skills

• Minimum 2 years of experience in specialty (Med/Surg).
• Experience in inpatient setting required.
• Skills required:

  • Med/Surg nursing
  • Colostomy care
  • Accessing ports
  • Blood product administration
  • Central line blood draws
  • Peripheral line care/management
  • PICC line management
  • Heparin and insulin administration
  • Management of surgical drains, chest tubes (Emerson/Pleur-evac)
  • Nasal cannula and non-invasive airway management
  • Isolation precautions
  • Wound care including Wound Vac
• Must have Oncology Certification (ONC) and be able to administer chemotherapy if needed.
• BLS certification required.
• Prior travel experience not required; first-time travelers accepted.

Preferred Skills & Certifications

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

Patient Diagnoses & Unit Details

• Patient diagnoses include AKI, sepsis, cancer, septic shock, pain management, overdose, malignant neoplasms, acute renal failure, encephalopathy, failure to thrive, diabetic foot ulcers, heparin drips.
• Daily census approximately 42 patients; ratios may increase during high census periods.
• Chemotherapy/biotherapy administration via IV, PO, or injection.

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)

Compliance & Testing Requirements

• Must pass EKG/Dysrhythmia competency testing within 72 hours of start (minimum 82% score required).
• Color blind test within 1 year required.
• Medication/pharmacology competency exam required.
• Background check within 6 months required.
• Drug screening within 6 months required.
• Various health documents required including:

  • Negative TB or chest X-ray within 1 year (or proof of past positive with appropriate documentation)
  • Immunizations/titers for Rubeola (Measles), Mumps, Rubella, Hepatitis B, Varicella
  • Flu vaccination or approved exemption required during flu season.
• Physical exam required per travel agency standards (not client-specific).

Additional Notes

• Must pass EKG testing prior to start.
• Contract staff may be preassigned to different units as needed.
• Shifts called out must be made up.
• Photo ID and badge photo required prior to start.
• Must complete required facility-specific orientation and training modules prior to start.
• Expected to comply with hospital policies including confidentiality and medication safety.

This position is ideal for Med/Surg RNs with oncology experience looking for a travel contract in North Carolina with night shifts and a dynamic patient population. Prior travel experience is not mandatory, making it accessible for first-time travel nurses.