Medical-Surgical Telemetry Registered Nurse
Wilmington, North Carolina
New Hanover Regional Medical Center

Registered Nurse - Medical Surgical

Location: Wilmington, North Carolina
Employment Type: Travel/Contract
Contract Length: 26 weeks
Shift: Night (4 shifts of 12 hours; 18:45 - 7:15)
Hours per Week: 48 hours

Job Description

• No Return to Office (RTO) after booking; call-offs or additional RTO may lead to cancellation.
• Floating between units is required.
• Weekend shifts required: 12-16 per contract.
• Target nurse-to-patient ratio: 1:5-6.
• Patient diagnoses include dementia, diabetes, COVID-19, pneumonia, COPD, sepsis, encephalopathy, GI bleed, anemia, hip fracture, and typical medical/surgical cases.
• Unit includes isolation area for COVID patients and multi-level care including stepdown units.
• Unit systems: Pyxis (medication), Epic (documentation), SBAR (communication).
• Orientation: 24 hours unit orientation plus hospital orientation week one with mandatory daily classes.
• Scrubs: Navy or White.
• Must pass EKG competency testing prior to start.
• Contract staff may be assigned to Storm or Hurricane Teams and may be required to work during catastrophic events or disasters.

Required Skills & Experience

• Valid Registered Nurse (RN) license in North Carolina.
• Minimum 2 years of Medical-Surgical and Telemetry nursing experience, with at least some experience within the last year.
• Basic Life Support (BLS) certification issued by the American Heart Association or American Red Cross.
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN).

Preferred Skills

• Medical/Surgical Telemetry experience
• Management of dysrhythmias
• Accessing ports
• Insulin management
• Stroke (CVA) care
• Surgical drains
• Interpretation of ABGs
• Tracheostomy management
• Experience with Epic electronic health record system

Required Certifications

• Basic Cardiac Life Support (BCLS)

Licensing

• Must hold an active Registered Nurse (RN) license valid in North Carolina.

Orientation & Training Requirements

• Must complete hospital orientation week one with daily classes.
• Must complete 24 hours of unit-specific orientation.
• Must pass Dysrhythmia/EKG competency exam within 72 hours of start (minimum score 82%, up to 3 attempts allowed).
• Medication/pharmacology competency exams required.
• Color blindness testing required within 1 year prior to start.
• Must complete facility-specific education modules including medication safety and confidentiality agreements.
• Must complete annual compliance and mandatory education as required.
• Must complete Non-Novant Health Worker Clinical Education Checklist (for North Carolina travel candidates).
• Must complete flu vaccination or approved exemption with mask-wearing requirement.
• Must complete background checks and verifications as required.
• Must provide proof of negative TB test or chest x-ray within 1 year of start.
• Must provide proof of immunity or vaccination for Rubeola (Measles), Mumps, Rubella, Hepatitis B, and Varicella.
• Drug screening (9-panel) required within 6 months of start.
• Must provide photo for badge creation (passport style, white background, business attire).

Additional Information

• Contract staff may be reassigned mid-contract to different units or centralized office as needed.
• Must be available to work during catastrophic events or disasters.
• Must comply with all hospital policies and complete required acknowledgements.
• Must complete required documentation including tax forms, emergency contact, and confidentiality agreements.
• Must complete Corp ID setup and I-Learn login within 24 hours of receiving credentials to avoid start delays.

Patient Care Environment

• Medical/Surgical unit with telemetry monitoring.
• Multi-level care including stepdown units.
• Isolation precautions for infectious patients including COVID-19.
• Use of advanced respiratory support devices and wound care technologies.

This position is ideal for RNs with solid medical-surgical and telemetry skills who are comfortable working night shifts in a fast-paced hospital environment and are willing to float and respond to emergency situations.