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

Registered Nurse - ER Holding

Overview

• Location: Wilmington, North Carolina
• Employment type: Travel/Contract
• Contract length: 26 weeks
• Shift: Night, 3x12-hour shifts (18:45-07:15); 36 or 48 hours per week accepted
• Schedule: Based on unit needs; every other weekend
• Float: Yes, depending on hospital needs
• Locals accepted: Yes
• Traveler experience: Not required
• Unit orientation: 12 hours
• Scrubs: Navy blue

Unit and Assignment

• Unit: ER Holding, an ED observation unit and inpatient holding unit. The unit is fast-paced.
• Patients: Patients from the Emergency Department waiting for an inpatient bed or on observation status. Diagnoses are medical/surgical adult and ED observation patients.
• Flow: The candidate must be open to patients being moved upstairs quickly and to new patients arriving from the ED. The ED sees upwards of 300 patients a day.
• Ratio: 1:6, may be 1:5 depending on patient volume.
• Team on unit: Cardiac tele monitor tech, HUC, charge RN, 2-3 CNAs per shift, and case managers.
• Work settings: Med/Surg, MS/Tele, Telemetry
• Equipment: Standard medical equipment, including cardiac monitors and IV pumps.
• Unit systems (software familiarity, not credentials): Pyxis (medication), Epic (documentation), SBAR (communication)

Required Qualifications

• Licensure: Valid RN license in North Carolina
• Education: Associate of Science in Nursing / Associate Degree in Nursing
• Experience: 2 years of Emergency Department (ED) experience
• Recent experience: ED - Emergency Department experience within the last year
• Certifications: ACLS issued by American Heart Association or American Red Cross; BLS issued by American Heart Association or American Red Cross (AHA or American Red Cross only; AHA-RQI and AHA instructor cards accepted); NIHSS
• Cardiac: Experience working with cardiac patients
• Endocrine/metabolic: Experience with IV insulin protocols
• Gastrointestinal: Experience caring for bariatric surgery patients, experience with colostomy/ileostomy care, experience with feeding tube care and management
• Genitourinary/renal: Experience with continuous bladder irrigation (CBI), experience with pre/post hemodialysis management
• IV therapy/blood products: Experience with blood product administration, experience with accessing/managing ports, experience with PICC line management
• Documentation: Experience with Epic

Scheduling and Assignment Conditions

• Return to work (RTO) after booking is not allowed, and RTO may not be worked onsite. Any call-offs or additional RTO on the unit could turn into a cancellation and DNR.
• Contract staff will be assigned to a Storm Team and/or Hurricane Team and may be required to report during a catastrophic event, mass casualty, or disaster.
• Consolidation to a centralized office mid-contract may occur, and contract staff may be preassigned to units as needed.
• Candidates must provide interview availability for the next 72 hours when submitting. The manager will not offer without speaking to the candidate first.

Onboarding Requirements

• Clearances: Background check (within 6 months of start for clinical candidates), EPLS/GSA/SAM, HHS/OIG, and education verification for the highest profession-specific degree. An official transcript or diploma is required for ER RNs.
• Drug screen: 9-panel or instant, within 6 months of start
• TB: Negative TB test within 1 year of start (PPD, QuantiFERON, or T-spot), or chest X-ray within 5 years if the candidate has a past positive. A TB questionnaire signed by a physician within 30 days of start is required if the candidate has a past positive.
• Immunizations: Rubeola titer or 2 vaccines. Hepatitis B declination uses a facility-specific form. Flu vaccination for the 2026-27 season is required; intranasal vaccines are accepted. Exemptions require a request and review.
• Badge: A passport-style photo must be sent immediately after signing, or the start date may be delayed.
• Online account: Corp ID and online learning account setup; the candidate must log in within 72 hours of contract signing and provide proof of login.
• Color blindness test: Online test completed within 1 year of start
• Training: Annual compliance training (40 minutes); education roster (2 hours 45 minutes); medication safety module (35 minutes, long version); clinical education checklist for North Carolina travel candidates, including all ER-related modules for ER Holding assignments (approximately 8-10 hours)
• Agreements and forms: Confidentiality agreement, tobacco-free campus acknowledgement, hospital policies acknowledgement, and medical and employee information release form
• Performance records: Skills checklist, reference, or competency exam (any one acceptable for clearance)