ED Holding RN
Wilmington, North Carolina
New Hanover Regional Medical Center

Registered Nurse – ER Holding

• Location: Wilmington, North Carolina
• Employment type: Travel/Contract
• Contract length: 13 weeks (the description also states 26 weeks offered)

Shift and Schedule

• Shift: 12-hour day shifts, 6:45 AM to 7:15 PM; 3x12 schedule, 36 hours per week
• Days accepted: 36 or 48 hours
• Ratio: 1:6, which may be 1:5 depending on patient volume
• Weekends: Every other weekend
• Float: Yes, depending on hospital needs
• Scheduling: Based on unit's needs
• Unit orientation: 12 hours
• Scrubs: Navy blue

Unit and Patient Profile

• Unit: ED Observation unit and Inpatient holding unit. Patients are in the Emergency Department waiting for an inpatient bed or are in observation status.
• Pace: Fast-paced. The ED sees upwards of 300 patients a day. Candidates must be open to patients being moved upstairs quickly and new patients being brought from the ED side.
• Patient population: Medical/surgical adult diagnoses and ED observation patients
• Unit support: Cardiac tele monitor tech on unit, charge RN on unit, 2-3 CNAs per shift, and case managers on unit
• Equipment: Standard medical equipment, including cardiac monitors and IV pumps
• Communication: SBAR

Required Qualifications

• Valid RN license in North Carolina
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Emergency Department (ED) experience: minimum of 2 years, with ED experience within the last year
• Advanced Cardiac Life Support (ACLS) certification issued by American Heart Association or American Red Cross
• Basic Life Support (BLS) certification issued by American Heart Association or American Red Cross
• NIH Stroke Scale (NIHSS) certification
• Experience working with cardiac patients
• Experience with wound care
• PICC line management
• Continuous bladder irrigation (CBI)
• Pre/post hemodialysis management
• Chest tube management (Emerson/PleurEvac)
• BiPAP/CPAP management
• Patient-controlled analgesia (PCA)
• IV insulin protocols
• Feeding tube care and management
• Experience with Epic

Additional Expectations

• Call-offs and RTO: RTO after booking is not allowed, and RTO may not be worked onsite. Call-offs or additional RTO on the unit could result in cancellation and DNR (do not return).
• Storm/hurricane team: Contract staff will be assigned to and expected to work a Storm Team and/or Hurricane Team. Staff may be required to report during a catastrophic event, mass casualty, or disaster. Staff may be consolidated to the Centralized Office mid-contract and may be preassigned to units.
• Interviews: Provide interview availability for the next 72 hours when submitting. The manager will not offer without speaking to the candidate first.