NICU RN
Wilmington, North Carolina
New Hanover Regional Medical Center

Registered Nurse – NICU (Night)

Overview

• Location: Wilmington, North Carolina
• Employment type: Travel/Contract
• Contract length: 13 weeks (13-26 weeks accepted)
• Shift: Nights, 3x12-hour shifts (18:45-07:15), 36 hours per week
• Ratio: 1:2-3
• Weekends: Every other weekend
• Local candidates: Accepted
• Prior travel experience: Not required. First-time travelers are considered depending on experience.
• Scheduling: Determined by the manager
• Scrubs: Navy blue
• Orientation: 24 hours (two 12-hour clinical shifts)

Required Qualifications

• Valid RN license in North Carolina
• NICU - Neonatal Intensive Care (2 years of experience)
• NICU - Neonatal Intensive Care experience within the last year
• BLS issued by American Heart Association or American Red Cross
• NRP - Neonatal Resuscitation Procedure
• Associate of Science in Nursing / Associate Degree in Nursing
• Experience working with NICU Level 3 patients
• Experience working with Neonate patients
• Invasive hemodynamic monitoring
• Experience with phototherapy for severe hyperbilirubinemia
• Colostomy/ileostomy management and care
• Breastfeeding support
• Experience with umbilical line (UAC/UVC) management
• Experience with arterial lines
• Experience with central line management
• IV insertion skills

Unit Details

• Unit: 45-bed NICU, all private rooms; levels of care are not separated
• Average daily census: 41
• Patients: Prematurity (22 weeks gestation to term), persistent pulmonary hypertension of the newborn (PPHN), neonatal therapeutic hypothermia/whole-body cooling, surgical neonates, and critically ill neonates requiring Level III NICU care
• Unit systems: Pyxis (medication), Epic (documentation), SBAR (communication)
• Support: Neonatologist on call 24 hours, two NNPs for overnight coverage, in-house pediatric surgery 24/7, and interpretation services, IV teams, pharmacy, physical therapy, respiratory services, social services, and unit secretary

Float and Deployment

• Float scope: Mother/Baby, Labor, and Pediatrics, for appropriate patients
• Storm/Hurricane Team: Contract staff will be assigned to a Storm Team and/or Hurricane Team. They may be required to report during a catastrophic event, mass casualty, or disaster. Mid-contract consolidation to a centralized office may occur, and staff may be preassigned to units.

Pre-Start Requirements

• Background check: Completed within 90 days of start, covering all locations lived in the last 7 years. Includes county and federal court checks, national criminal database, DOJ sex offender search, and education verification for the highest profession-specific degree.
• Exclusion checks: EPLS/GSA/SAM and HHS/OIG, within 90 days of start
• North Carolina searches: Division of Medical Assistance search and NC Health Care Personnel Registry search, within 90 days before start
• Drug screen: Negative 10-panel drug screen within 30 days of start
• TB screening: PPD, QuantiFERON-Gold, or T-SPOT within 1 year of start. A positive result requires further testing and documentation. Per diem candidates need a QuantiFERON-Gold or T-SPOT within 90 days before start.
• Physical exam: Within 1 year of start
• Immunity documentation: Rubeola (measles), mumps, rubella, varicella, and hepatitis B, by titer or vaccine series. Declinations are not accepted for measles, mumps, rubella, or varicella.
• Flu vaccine: Required. Exemption requests require medical or religious documentation and are reviewed case by case.
• Fit testing: Required, using an N95 mask within 1 year of start or completion of PAPR training
• References: 2 professional references within 3 years of start (required by the agency; the facility requests references with applications)
• Facility onboarding: Confidentiality agreement, education roster, tobacco-free campus acknowledgment, medication safety certificate, annual compliance training, hospital policies acknowledgment, employment application, and corporate ID/online learning account setup, completed before start
• Not required: Dysrhythmia/EKG competency exam (listed as not required for NICU)