Medical-Surgical RN
Wheeling, WV
Access Healthcare
3x12 hrs, Nights

Registered Nurse – Med Surg (4th Floor)

Location: Wheeling, West Virginia
Contract Length: 13 weeks
Shift: Nights
Shift Hours: 12-hour shifts (18:45–07:15)
Weekly Hours: 36 hours

Unit and Patient Care Details

• Med Surg unit with 52 private rooms
• Patient ratio: Mostly 1:7 (day and night shifts)
• Common patient types:

  • Ortho post-ops
  • Basic neuro post-ops (laminectomies, discectomies, spinal fusions)
  • General post-ops (gallbladders, mastectomies, sleeve gastrectomies)
  • Medical diagnoses including COPD, cerebral palsy, pneumonia, cellulitis
  • Hemodialysis patients (experience with peritoneal dialysis highly preferred)
• Floating assignments include other Med Surg units, Med Surg/Oncology, and possibly IMC (Med Surg overflow)
• COVID unit float required when needed

Required Certifications and Licenses

• Current RN license
• BLS (AHA) certification required
• NIH Stroke Scale (NIHSS) certification required
• ACLS certification is a plus but not required

Clinical Responsibilities and Skills

• No IV starts; IV team starts all IVs; RNs assess IV sites
• Manage drips such as heparin, PCA with morphine, occasional Ativan drip; no cardiac or insulin drips
• Ventilator support includes intermittent BiPAP, CPAP, and high flow oxygen
• Remote telemetry monitoring as needed (telemetry monitored on a different unit)
• Reading telemetry strips not required but allowed if experienced

Staffing and Support

• Charge Nurse carries a full patient assignment and is supported by a Clinical Assistant (CA)
• 4-6 CNAs per shift with ratios of 1:10-12
• In-house hospitalist and intensivist coverage 24/7
• Respiratory therapy and pharmacy services available 24/7

Scheduling and Work Environment

• Every-other-weekend schedule (3 weekends out of 6 weeks)
• Holiday rotation required
• Schedules made 6 weeks in advance; up to 6 requests off per schedule allowed
• Scrub color: Navy blue for RNs (top, bottom, jackets), no hoodies

Orientation

• General hospital orientation followed by 2 full shifts on the unit

Additional Requirements

• Must have a valid, unexpired driver’s license within a 50-mile radius
• Licensing issues must be disclosed at time of submission

Summary

This is a 13-week night shift RN position on a Med Surg unit with a focus on post-op and medical patients, including dialysis experience preferred. The role requires BLS and NIHSS certifications, with ACLS as a plus. The nurse will float to the COVID unit as needed and work 12-hour shifts with a supportive team and comprehensive hospital resources.