MS/Telemetry Registered Nurse
Wilmington, North Carolina
New Hanover Regional Medical Center

Registered Nurse - MS/Tele (Travel/Contract)

Location: Wilmington, North Carolina
Contract Length: 13 weeks

Job Overview

• Position supports the Emergency Department (ED) Holding unit within a float pool.
• Patients are adults with medical/surgical diagnoses awaiting inpatient beds; may include PCU level patients.
• Responsibilities include caring for MS/Telemetry patients and floating to ED and MedSurg areas as needed.
• Shift: Day shift, 4 shifts of 12 hours each (6:45 AM - 7:15 PM), totaling 48 hours per week.
• Patient Ratios: 1:6 for MS/Tele patients or 1:4 for PCU level patients.
• Weekend Requirement: Every other weekend.
• Maximum Return to Office (RTO) allowed: 7 days.
• Contract staff may be required to participate in Storm/Hurricane Teams or disaster response.

Required Qualifications

• Valid Registered Nurse (RN) license in North Carolina
• Minimum 2 years of Med Surg / Telemetry nursing experience, with at least some experience within the last year
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• BLS certification issued by American Heart Association or American Red Cross
• ACLS certification
• Experience with PICC line management
• Experience with chest tubes (Emerson/Pleur-evac)
• Proficiency in respiratory support including CPAP/BiPAP, High Flow Nasal Cannula (HFNC), non-invasive airway management, portable oxygen tank use, and tracheostomy management

Preferred Qualifications

• NIH Stroke Scale (NIHSS) certification
• Experience with IV insulin protocols
• Pre/Post hemodialysis management
• Accessing ports and central line blood draws
• Starting IVs
• Care for neurological and trauma patients (CVA, neuro surgery, spinal cord injuries, traumatic brain injury)
• Orthopedic trauma and total joint replacements
• Wound care including Wound Vac

Orientation & Training

• Unit orientation: 12 hours
• Must complete facility-specific education modules prior to start (approx. 8-10 hours for acute care).
• Required to wear navy scrubs.

Patient Population & Unit Details

• Adult medical/surgical patients in ED holding area awaiting inpatient beds.
• Mixed acuity with potential PCU level patients.
• Unit uses standard cardiac monitors, IV pumps, and other monitoring systems.
• Documentation and communication systems include Pyxis, Epic, and SBAR.

Compliance & Background Requirements

• Background checks required within 90 days of start, including local, federal, national criminal databases, sex offender search, and education verification for highest degree earned.
• Drug screening within 30 days of start (10-panel, negative result required).
• Physical exam within 1 year of start; if past positive TB, additional requirements apply.
• Fit testing for N95 mask or completion of PAPR training required within 1 year.
• Immunization and titer requirements:

  • Measles (Rubeola), Mumps, Rubella, Varicella: titer or 2 vaccines required; boosters required if titers negative/equivocal. Declinations not accepted.
  • Hepatitis B: titer, vaccination series, or facility-specific declination form required.
• Seasonal flu vaccination or approved exemption required; exemptions require mask wearing on campus.
• Required to complete annual compliance and facility-specific education modules.
• Must complete confidentiality agreement, tobacco-free campus acknowledgement, and other facility policies.

Additional Requirements

• Must complete medication safety training and provide certificate of completion.
• Must complete competency exams as applicable (medication, dysrhythmia/EKG).
• Must provide professional references as per agency requirements.
• Employment application must be submitted and processed through agency system.
• May be required to complete crisis prevention training (CPI/MOAB) if assigned to ER or behavioral health units.

Notes

• This is a high-acuity, fast-paced float pool position requiring flexibility to work across multiple units.
• Candidates will be interviewed due to high turnover rate.
• Prior travel experience is not required for this position.

This summary includes all relevant information for healthcare recruiters and workers considering this Registered Nurse travel contract in Wilmington, NC.