Med Surg/Telemetry RN
Wilmington, NC
Access Healthcare
3x12 hrs, Nights

Registered Nurse: MS/Tele (Night)

Location: Wilmington, North Carolina Employment type: Travel/Contract Contract length: 13 weeks Locals accepted: Yes Travel experience: Not required

Schedule

• Night shifts, 3x12 hours (18:45 to 07:15)
• 36 hours per week
• Every other weekend
• Float requirement: yes, depending on hospital needs
• Scheduling is based on unit needs
• Storm Team and/or Hurricane Team assignment expected. Staff may be required to report during a catastrophic event, mass casualty, or disaster.
• Consolidation to a centralized office mid-contract may occur, and staff may be preassigned to units as needed.
• Time off requests after booking are not allowed, and time off cannot be worked out onsite. Call-offs or additional time off on the unit may result in cancellation and do-not-rehire status.

Unit and Assignment

• ED observation unit and inpatient holding unit. Patients are waiting for an inpatient bed or are in observation status.
• Fast-paced environment. Candidates must be open to patients being moved upstairs quickly and new patients being brought from the ED side.
• The ED sees upwards of 300 patients a day.
• Patient population: adult medical/surgical patients and ED observation patients.
• Ratio: 1:6, which may be 1:5 depending on patient volume.
• Support staff: cardiac telemetry monitor tech on unit, charge RN on unit, CNA 2-3 per shift, case managers on unit, and HUC.
• Standard medical equipment, including cardiac monitors and IV pumps.
• Communication standard: SBAR.
• Unit orientation: 12 hours.
• Scrubs: navy blue.

Required Qualifications

• Valid RN license in North Carolina
• Med Surg / Telemetry experience: 2 years minimum, including experience within the last year
• Experience working with cardiac patients
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Certifications: ACLS, BLS issued by American Heart Association or American Red Cross, NIHSS, MOAB
• IV insulin protocols
• Bariatric surgery
• Colostomy/ileostomy care
• Experience with feeding tubes
• Continuous bladder irrigation (CBI)
• Pre/post hemodialysis management
• Port access and management
• Blood product administration
• Central line blood draws
• Experience with Epic

Onboarding and Compliance

• Competency: Dysrhythmia/EKG competency exam, required for MS/Tele RNs. First attempt must be completed within 72 hours. Candidates must score 82% or higher, with up to three attempts.
• Background: Background check required within 6 months of start, including SSN trace, 7-year county residence, nationwide search, and sex offender search. EPLS/GSA/SAM and HHS/OIG screenings are required for all candidates.
• Education: Education verification for the highest profession-specific degree. Education roster (2 hours 45 minutes, two modules). Annual compliance training (40 minutes). Medication safety module (35 minutes, long version), with a certificate of completion. Non-Novant worker education orientation (8-10 hours for acute candidates). If assigned to the ED observation or holding unit, ER-related modules may be required.
• Health: Negative TB test within 1 year (PPD, Qgold, or Tspot). Drug screen (9-panel or instant) within 6 months. Color blind test within 1 year; a score below 80% requires approval. 2026-27 influenza vaccine required, with exemptions reviewed case by case. Exempt staff must wear a mask at all times on campus. Standard immunization documentation (measles/rubeola, mumps, rubella, varicella, hepatitis B) applies.
• Forms: W-4, state W-4, photo ID, Social Security card (if used for I-9), direct deposit document, emergency contact form, E-Verify, arbitration agreement, confidentiality agreement, tobacco-free campus acknowledgement, hospital policies acknowledgement, company phone agreement, orientation safety manual acknowledgement, and medical release form.
• Badge photo: Required immediately after signing, passport style on a solid white background, with no head coverings except glasses, and business-appropriate attire.
• Account setup: Corp ID is issued within 72 hours of contract signing. Password setup and I-Learn login must be completed within 24 hours of receiving the email. A screenshot of the I-Learn home page is required.
• Interview: Provide interview availability for the next 72 hours when submitting.