NICU RN
Wilmington, North Carolina
New Hanover Regional Medical Center

NICU Registered Nurse

Overview

• Location: Wilmington, North Carolina
• Employment type: Travel/Contract
• Contract length: 13 weeks
• Shift: Day, 12-hour shifts (3x12 hours, 36 hours/week), 6:45 to 19:15
• Scheduling: Manager determines
• Weekends: Every other weekend
• Locals accepted: Yes
• Scrubs: Navy blue
• Orientation: 24 hours, two 12-hour clinical shifts

Unit Details

• Unit: 45-bed NICU, all private rooms, average daily census of 41
• Level of care: Levels of care are not separated. Patients include critically ill neonates requiring Level III NICU care.
• Ratio: 1:2–3
• Patient diagnoses: Prematurity (22 weeks gestation to term), persistent pulmonary hypertension of the newborn (PPHN), neonatal therapeutic hypothermia/whole-body cooling, and surgical neonatal patients
• Physician and provider coverage: Neonatologist on call 24 hours; two NNPs provide overnight coverage; pediatric surgery available in-house 24/7
• Support services: Interpretation services, IV teams, pharmacy, physical therapy, respiratory services, social services, and unit secretary
• Unit systems: Medication: Pyxis; Documentation: EHR; Communication: SBAR

Float Scope

• May float to Mother/Baby, Labor, and Pediatrics to care for appropriate patients.

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
• Experience with phototherapy for severe hyperbilirubinemia
• Experience with umbilical line (UAC/UVC) management
• Experience with arterial lines
• Experience with central line management
• Experience with PICC lines
• Experience with IV vasopressors
• Experience with surfactant administration
• Experience with antiseizure medications

Assignment Expectations

• Contract staff will be assigned to and expected to work a Storm Team and/or Hurricane Team.
• Contract staff may be required to report during a catastrophic event, mass casualty, or disaster.
• Consolidation to a centralized office mid-contract may occur, and staff may be preassigned to units as needed.

Compliance and Onboarding

• Background check: Required within 90 days of start, covering all locations lived in the last 7 years (county, federal court, national criminal database, DOJ sex offender search). Education verification for the highest degree specific to the profession. Also required: EPLS/GSA/SAM and HHS/OIG checks, and a transcript or diploma for RRT, ER, and Cath Lab roles.
• Certifications: BLS and NRP, as listed above. Certifications must be from AHA or American Red Cross for BLS.
• Competency exams: Dysrhythmia/EKG exam is not required for NICU. Medication test/pharmacology competency exam is required as applicable. Skills checklist is required as applicable.
• Education and orientation: Confidentiality agreement; education roster (2 hours 45 minutes); tobacco-free campus acknowledgement; hospital policies acknowledgement; annual compliance training (40 minutes); medication safety certificate (35-minute long version for clinicians who prepare, dispense, and administer medications); bloodborne pathogens review; company phone agreement; and the job description.
• Non-facility education checklist: Required for North Carolina travel candidates only. Modules take 8–10 hours for acute candidates.
• Health documents:

  • Physical exam within 1 year of start
  • TB test (PPD, QuantiFERON, or T-spot) within 1 year of start. If positive, a clear chest X-ray within 5 years, a physical within 30 days, and a signed TB questionnaire are required.
  • Drug screen: negative 10-panel, within 30 days of start
  • Immunity: measles, mumps, rubella, varicella (titer or 2 vaccines; declinations not accepted), and Hepatitis B (titer, vaccine series, or facility Hep B declination if titer is negative or equivocal)
  • Flu vaccination for 2026–27 is required. Intranasal vaccines are acceptable. Approved exemptions require masking at all times on campus.
  • Fit testing: an N95 fit test within 1 year of start, or completion of PAPR training. Fit testing can be done onsite if there is no record.
• References and history: Two professional references within 3 years of start, and an employment application. A performance evaluation is required if the candidate has worked with the agency for over a year.

Application Notes

• Please provide the candidate's interview availability for the next 72 hours when submitting.
• The manager will not offer without first speaking to the candidate.
• Include references with applications.
• Level III NICU experience is required for consideration.