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

Registered Nurse – Medical Surgical (Night Shift)

Location: Wilmington, North Carolina
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Overview

• Primarily caring for medical-surgical patients with oncology history.
• Patient diagnoses include AKI, Sepsis, Cancer, Septic shock, Malignant Neoplasms, ARF, Encephalopathy, Diabetic foot ulcers, and more.
• Administration of chemotherapy/biotherapy (IV, PO, or injection) may be required.
• Target nurse-to-patient ratio: 1:6.
• Shift: Nights (3 shifts per week, 12 hours each, 18:45 to 7:15).
• Weekend requirement: Every other weekend.
• Call requirement: Must be available for call if called off on a prescheduled shift.
• Floating required to similar units and alternate inpatient care locations (e.g., inpatient holding in the ED).
• Contract staff expected to participate in Storm Team/Hurricane Team and may be required to report during catastrophic events or disasters.
• Attendance at monthly staff meetings is required.

Required Skills & Experience

• Valid RN license in North Carolina
• Associate of Science in Nursing / Associate Degree in Nursing
• Minimum 2 years of Med Surg experience in an inpatient setting, with at least some experience within the last year
• Experience in charge nurse roles
• Skills in:

  • Accessing ports
  • Central line blood draws
  • PICC line management
  • Surgical drains
  • Chest tubes (Emerson/Pleur-evac)
• Ability to administer chemotherapy if needed
• BLS certification issued by American Heart Association or American Red Cross

Preferred Qualifications

• CPI (Crisis Prevention Institute) certification.
• Charge nurse experience.
• Oncology certification preferred.
• OCN (Oncology Certified Nurse) certification.

Orientation & Unit Details

• Unit census: Approximately 42 patients daily; ratios may increase during high census.
• Unit orientation: 24 hours (2 shifts).
• Unit systems: PYXIS (medication), EPIC (documentation), SBAR (communication).
• Dress code: Navy blue and white scrubs.
• Must pass EKG competency testing prior to start.

Required Certifications & Compliance

• BLS (Basic Life Support) – AHA or American Red Cross accepted.
• Oncology certification preferred; chemotherapy certification required if administering chemo.
• Additional certifications may be required based on unit needs (e.g., CPI).
• Must complete medication/pharmacology competency exam as applicable.
• Must complete color blindness testing within 1 year prior to start.
• Must complete Dysrhythmia/EKG competency exam with a minimum score of 82% within 72 hours of start.
• Background checks required within 90 days of start, including local, federal, national criminal, sex offender, and education verification.
• Drug screening required within 30 days of start (10-panel, negative result).
• Physical exam within 1 year of start; if past positive TB, physical within 30 days required.
• Fit mask testing (N95 or equivalent) within 1 year of start; PAPR training available if fit test failed.
• Immunizations and titers required or boosters as applicable:

  • Rubeola (Measles)
  • Mumps
  • Rubella
  • Varicella
  • Hepatitis B (titer or declination form if negative/equivocal)
• Negative TB test or chest x-ray per protocol.
• Seasonal flu vaccination or approved exemption required.

Documentation & Compliance Requirements

• Must complete and sign confidentiality agreement, education roster, tobacco-free campus acknowledgement, and hospital policies forms.
• Must complete Non-Novant Health Worker Clinical Education Checklist (for North Carolina travel candidates).
• Must complete medication safety training and provide certificate of completion.
• Must complete annual compliance training.
• Must provide proof of logging into the required learning management system (Corp ID and I-Learn).
• Must submit a passport-style photo on a white background for badge creation immediately after signing contract.
• Employment application and skills checklist must be uploaded.
• References: 2 professional references within 3 years required for travel and acute care positions.

Additional Notes

• Shifts called out must be made up with rescheduled shifts.
• Contract staff may be preassigned to different units as needed.
• Candidates must be prepared to work in disaster or mass casualty situations.
• Navy blue and white scrubs required on unit.

This position offers an opportunity to work in a specialized medical-surgical oncology unit with a supportive team environment and requires strong clinical skills in Med/Surg nursing and oncology care.