RN - ED Holding / MedSurg Telemetry
Wilmington, NC
Access Healthcare
3x12 hrs, Nights

Job Opportunity: Registered Nurse – ED Holding Support

Location: Wilmington, North Carolina
Employment Type: Travel/Contract
Contract Length: 13 weeks
Shift: Night shift, 36 hours per week
Weekend Requirement: Every other weekend required
Unit: ED Holding (Float Pool)
Patient Population: Adult medical/surgical patients, including PCU level patients
Patient Diagnoses: Any adult medical/surgical diagnoses

Job Description

• This is an ED Holding support position within the Emergency Department where patients await inpatient beds.
• Nurses will care for medical/surgical and telemetry patients and may float to Emergency Department and MedSurg areas as needed.
• Target nurse-to-patient ratios: 1:6 for MedSurg/Telemetry or 1:4 for PCU level patients.
• No Return to Office (RTO) after booking is allowed; call-offs or additional RTO may result in cancellation.
• Contract staff may be assigned to Storm or Hurricane Teams and may be required to work during catastrophic events or disasters.
• Unit orientation is 12 hours.
• Scrubs color: Navy.

Required Qualifications

• Valid RN license in North Carolina
• Associate of Science in Nursing / Associate Degree in Nursing
• Minimum 2 years of Med Surg / Telemetry experience, with experience within the last year
• BLS issued by American Heart Association or American Red Cross
• ACLS issued by American Heart Association or American Red Cross
• Interpretation and management of dysrhythmias
• Telemetry monitoring including remote monitoring
• Use of Rapid Response Teams
• Feeding tube care and management
• Renal failure management
• Blood product administration
• Peripheral line care and management
• PICC line management
• Phlebotomy

Preferred Qualifications

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

Patient Care Environment & Equipment

• Standard cardiac monitors, IV pumps, and other monitoring systems
• Unit systems include Pyxis (medication), Epic (documentation), and SBAR (communication)

Scheduling & Orientation

• Manager schedules shifts
• 12-hour unit orientation required
• Night shift only, 36 hours per week
• 13-week contract length

Compliance & Screening Requirements

• Background checks including criminal, education verification, and state-specific registry checks within 90 days of start
• Physical exam within 1 year of start (or within 30 days if past positive TB)
• Fit testing for N95 mask or PAPR training required within 1 year of start
• Negative TB test or chest x-ray as applicable
• Drug screening within 30 days of start
• Immunizations and titers required for:

  • Rubeola (Measles)
  • Mumps
  • Rubella
  • Varicella
  • Hepatitis B (or facility-specific declination form)
• Seasonal flu vaccination or approved exemption required during flu season
• Medication safety training and other facility-specific mandatory education modules
• Dysrhythmia/EKG competency exam with a minimum passing score of 82% (three attempts allowed)

Additional Notes

• Candidates must complete all required facility-specific documents and training prior to start.
• Candidates will be interviewed due to the high acuity and turnover rate of the unit.
• This is a mixed unit with high acuity patients.
• Candidates must be prepared to float between MedSurg, Telemetry, and Emergency Department areas.

This position offers an opportunity to work in a dynamic ED holding environment supporting a variety of adult medical and surgical patients with a focus on telemetry and PCU level care.