Dialysis Registered Nurse
Wilmington, North Carolina
New Hanover Regional Medical Center

Job Opportunity: Dialysis Registered Nurse

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

Job Description

• Acute hemodialysis experience required for day shift (no cycler experience needed).
• Night shift requires competency with cycler, CAPD, obtaining PD fluid samples, and hemodialysis.
• Patient diagnoses include end-stage renal disease on dialysis, chronic kidney disease progressing to hemodialysis, acute kidney injury, peritoneal dialysis failure/infection, and transplant rejection requiring hemodialysis.
• Unit includes acute hemodialysis with 9 stations plus one isolation station.
• ICU/PCU and bedside treatments require 1:1 patient ratios (patients may be on ventilators, titratable IV drips, airborne isolation).
• Equipment used: Fresenius hemodialysis machines (T, CliC, Bibag), Marcor Millenium HX portable reverse osmosis machines, Baxter peritoneal dialysis equipment.
• Documentation and communication systems: Pyxis, EPIC Dimensions, Voalte phone for verbal report.
• Self-scheduling with 12-hour night shifts (36 hours per week).
• Weekend requirement: every other weekend.
• No call or float requirements.
• Ratio: 1:1 to 1:2 patient care.
• Contract staff may be assigned to Storm/Hurricane Teams and may be required to report during catastrophic events or disasters.

Required Qualifications

• Valid Registered Nurse (RN) license in North Carolina
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Minimum 2 years of experience in acute hemodialysis, including dialysis experience within the last year
• Competency in hemodialysis, cycler operation, continuous ambulatory peritoneal dialysis (CAPD), and obtaining peritoneal dialysis (PD) fluid samples
• Basic Life Support (BLS) certification issued by the American Heart Association or American Red Cross

Preferred Qualifications

• ACLS certification.
• Certified Dialysis Nurse (CDN) or Certified Nephrology Nurse (CNN) preferred.

Orientation & Training

• 24 hours total orientation: 12 hours ICU/offsite and 12 hours dialysis room/peritoneal dialysis.
• Scrubs provided.

Patient Population & Care Environment

• Patients with complex renal conditions requiring dialysis modalities.
• Care includes ICU-level acuity with ventilators and isolation precautions.

Additional Notes

• No return-to-office (RTO) after booking allowed. Call-offs or additional RTO may result in cancellation or denial of rehire.
• Days off may be arranged as schedule allows based on department needs.

Compliance & Documentation Requirements (Summary)

• Background check within 6 months required.
• Drug screening within 6 months required.
• Immunizations and health screenings including TB test, Hepatitis B, MMR (Measles, Mumps, Rubella), Varicella, and flu vaccination or approved exemption required.
• Various facility-specific mandatory trainings and acknowledgments required prior to start.
• Competency exams and medication/pharmacology testing may be required.

This position offers an opportunity to work in a specialized acute dialysis setting with a focus on high-acuity patients and advanced dialysis modalities. Ideal candidates will have solid hemodialysis experience, strong clinical skills, and the ability to work night shifts with specialized equipment.