Med-Surg/Telemetry Registered Nurse
Wilmington, North Carolina
New Hanover Regional Medical Center

Registered Nurse - MS/Tele (Travel/Contract)

Location: Wilmington, North Carolina
Employment Type: Travel/Contract
Contract Length: 13 weeks
Shift: Night (3 shifts of 12 hours; 18:45 - 7:15)
Hours per Week: 36

Job Summary

• Position in the ED Holding unit within the Emergency Department float pool.
• Patients are adults with medical/surgical diagnoses, including PCU level patients.
• Responsibilities include caring for MS/Telemetry patients and floating to ED and MedSurg areas as needed.
• Target nurse-to-patient ratios: 1:6 for MS/Tele patients, 1:4 for PCU level patients.
• Every other weekend required.
• Maximum of 7 days RTO (Return to Office) allowed after booking; no RTO can be worked out onsite.
• Contract staff may be assigned to Storm/Hurricane Teams and required to work during catastrophic events or disasters.

Required Qualifications

• Valid Registered Nurse (RN) license in North Carolina
• Minimum 1 year of recent experience in Medical-Surgical and Telemetry nursing
• 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 issued by American Heart Association or American Red Cross
• Experience with use of Rapid Response Teams
• Phlebotomy skills
• PICC line management
• Chest tube management (Emerson/Pleur-evac)
• High Flow Nasal Cannula (HFNC) management
• Tracheostomy management

Preferred Qualifications

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

Orientation & Unit Details

• Unit orientation: 12 hours
• Unit uses Pyxis, Epic, and SBAR communication tools
• Scrubs color: Navy
• ED Holding unit is an inpatient holding area within the Emergency Department
• Standard equipment includes cardiac monitors and IV pumps

Background & Compliance Requirements

• Background checks required within 90 days of start, including local county, federal court, national criminal database, DOJ sex offender search, and education verification for highest degree earned.
• North Carolina Healthcare Personnel Registry and Division of Medical Assistance searches required within 90 days prior to start.
• Drug screening: Negative 10-panel drug screen within 30 days of start.
• Physical exam within 1 year of start; if past positive TB, physical within 30 days required.
• Fit testing for N95 mask or completion of PAPR training required within 1 year of start.
• Immunizations and titers required:

  • Rubeola (Measles), Mumps, Rubella, Varicella (titer or 2 vaccines with boosters if negative)
  • Hepatitis B titer or series or facility-specific declination form
• Flu vaccine or approved medical/religious exemption required during flu season (9/1 - 10/31). Approved exemptions require mask wearing on campus.
• TB testing: PPD, Qgold, or Tspot within 1 year; if positive, chest x-ray within 5 years and physician-signed TB questionnaire within 30 days of start.

Additional Training & Documentation

• Must complete Non-Novant Health Worker Clinical Education Checklist (for NC travel candidates).
• Annual compliance training and medication safety training required.
• Medication test/pharmacology competency exam as applicable.
• Color blindness testing within 1 year required.
• Employment application and references required per Aya Healthcare standards.
• Confidentiality agreement, hospital policies acknowledgment, and tobacco-free campus acknowledgment required.
• Candidates must upload a passport-style photo on a white background for badge creation.
• Candidates must complete Corp ID and I-Learn account setup prior to start.

Scheduling & Work Conditions

• Manager schedules shifts.
• Night shift only, 36 hours per week.
• Floating between ED Holding, ED, MedSurg, and PCU level patients expected.
• High acuity, mixed patient population with high turnover.
• Storm/Hurricane team participation required during catastrophic events.

Notes

• Candidates will be interviewed due to high turnover rate.
• Must pass EKG testing prior to start.
• RTO after booking is not allowed and may result in cancellation.

This summary includes all relevant information for healthcare recruiters and workers considering this Registered Nurse travel contract position in North Carolina.