Med/Surg Telemetry Registered Nurse
Wilmington, North Carolina
Novant Health Scotts Hill Medical Center

Registered Nurse (MS/Tele) - Travel/Contract

Location: Wilmington, North Carolina
Contract Length: 16 weeks
Shift: Night (18:45 - 07:15), 3 shifts per week, 36 hours/week
Patient Ratio: 1:6
Weekend Requirement: Every other weekend
Call Requirement: None
Float Requirement: Yes, may float to main campus (~32 minutes away)

Job Description

• Immediate start required: must start on 6/8 or 6/15
• Unit accepts first-time travelers
• Night shift on a Med/Surg Telemetry unit with a focus on cardiac monitoring and dysrhythmia management
• Expected to work holidays; no block schedules except weekend blocks
• Contract staff may be assigned to Storm/Hurricane Teams and may be required to work during catastrophic events or disasters
• 24-hour unit orientation provided
• Scrubs: Navy blue or white

Patient Diagnoses

Includes but not limited to:

• Diabetes, dementia, COVID, pneumonia, COPD, sepsis, encephalopathy
• GI bleed, anemia, hip fracture, CHF, UTI, renal failure, hypertension, cellulitis
• Various surgical recovery cases, failure to thrive

Required Skills & Experience

• Minimum 2 years of RN experience (highest requirement)
• No prior travel experience required
• Skills include:

  • Med/Surg and Med/Surg Telemetry care
  • Interpretation and management of dysrhythmias
  • Telemetry remote monitoring
  • Use of Rapid Response/Code teams
  • Bowel obstruction care
  • Colostomy/ileostomy management
  • Feeding tube care
  • Pre/Post hemodialysis management
  • Renal failure care
  • Blood product administration
  • Central line blood draws, peripheral line care, phlebotomy, PICC line management
  • IV therapy including starting/maintaining IVs, heparin, insulin, PCA
  • Chest tubes (Emerson/PleurEvac)
  • BiPAP/CPAP and High Flow Nasal Cannula management
  • Non-invasive airway management, oral suctioning, oxygen administration
  • Isolation precautions and PPE use
  • Wound care including Wound Vac

Preferred Skills & Certifications

• ACLS certification
• Telemetry unit monitoring experience
• Post angiogram, post cardiac surgery, post MI care
• IV insulin protocols
• Bariatric surgery care
• Continuous bladder irrigation (CBI)
• Port access/management
• Stroke (CVA) care
• Substance withdrawal management
• Surgical drains care
• Interpretation of arterial blood gases (ABGs)
• Pre/Post thoracic surgery care
• Tracheostomy care/management
• Previous charge nurse experience
• Electronic documentation proficiency
• Community hospital experience

Required Certifications

• BLS (Basic Life Support)
• NIH Stroke Scale (NIHSS)

Licensing

• Must hold an active RN license valid in North Carolina

Testing & Competency Requirements

• Must pass Dysrhythmia/EKG competency exam with a minimum score of 82% (3 attempts allowed) within 72 hours of start
• Must pass EKG testing prior to start
• Color blindness test required within 1 year
• Medication/pharmacology competency exam required for new contracts
• Other competency exams as applicable

Health & Immunization Requirements

• Negative TB test or chest X-ray within 1 year (or proof of past positive with appropriate documentation)
• Measles (Rubeola) immunity by titer or vaccination
• Mumps, Rubella, Hepatitis B, Varicella immunity per standard requirements
• Seasonal flu vaccination or approved exemption (mask required if exempt)
• Drug screening within 6 months of start (9-panel acceptable)
• Physical exam documentation as per travel agency standards

Scheduling & Work Conditions

• Self-scheduling
• No call required
• May be required to float to other units or campuses
• Expected to work holidays
• Must be able to work every other weekend
• Storm/Hurricane team participation may be required

Orientation & Onboarding

• 24-hour unit orientation
• Photo for badge required immediately after signing contract (passport style, solid white background, business attire)
• Must complete facility-specific education modules including medication safety and confidentiality agreements
• Must complete annual compliance and facility-specific mandatory education as required
• Must complete password setup and login to facility learning system (I-Learn) within 24 hours of receiving credentials

Additional Notes

• Maximum 7 days return to office (RTO) per contract
• No block schedules except weekend blocks
• Must be able to work holidays
• Facility uses Pyxis medication system
• Contract staff may be reassigned mid-contract based on facility needs

Requirements/Qualifications

• Valid RN license in North Carolina
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Minimum 2 years of Med Surg / Telemetry nursing experience
• Med Surg / Telemetry experience within the last year
• BLS certification issued by American Heart Association or American Red Cross
• NIH Stroke Scale (NIHSS) certification