Registered Nurse-Step down

Description

Job Opportunity: Registered Nurse - Step down

Facility: Novant Health New Hanover Regional Medical Center Crisis Response
Location: Wilmington, NC
Employment Type: Travel/Contract
Shift: Night (3x12 Hours) 18:45 7:15
Start Date: 3/24/2025
Job Duration: 13 weeks

Compensation:
Rate Type: Hourly
Over Time: 40 total hours in 1 week: 1.25%
Double Time: None
On-Call: 10$
Call Back: 1.5%
Holiday Pay: 1.5%

Additional Information:
RTO after booking is not allowed and is not allowed to be worked out onsite. Any call offs or additional RTO on unit, could possibly turn into a cancel and DNR.


REQUIRED SKILLS / CERTS / EXP:


Minimum Years of Experience: Must have 2 years of surgical unit experience
Traveler Experience: Travel experience is preferred by not required
Locals Accepted / Rate Difference: Yes
Skills: PCU/DOU/IMC/Stepdown. Interpretation of dysrhythmias, Management of dysrhythmias, use of Rapid Response Teams, Blood Product Administration, Central line care/management, Peripheral Line Care/Management, Manage Cardiac drips- no titration, Manage Vasoactive drips-no titration, Nasal Cannula, Non-invasive airway management, Isolation Precautions, Wound Care/Wound Vac
Certs: BLS, ACLS, NIH


PREFERRED SKILLS / CERTS / EXP: Charge nurse experience and Level 1 Trauma, Titration of cardiac and vasoactive drips


JOB DETAILS:
Ratios: Ratios are 1:3/4 for floor for surgical/medicine stepdown patients. If stepdown beds are not full would require ability to care for medical surgical floor patients in a 1:6 ratio. Travelers are expected to be handling stepdown patients 40% of the time, and MS patients 60% of the time with a 1:6 ratio.
Shift: 12 HR NIGHTS; 36 or 48 hours accepted. If 48, then no OT billed until after 48 hours.
RTO: 7 days MAX
Float Requirement: Like Units or Med/Surg Floor Patients
Weekend Requirement: every other weekend


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


PATIENT DIAGNOSES: Wide range of patient diagnoses that have had or plan to have surgery or involved in a trauma: Cellulitis, Appendicitis, Cholecystitis, Diverticulitis, Motor Vehicle Accidents, Gun Shots, Stabbings, Falls, Various Cancers, Kidney Stones, Bowel Obstruction, Peripheral Vascular Disease, Limb Ischemia, Hernia, Gangrene


SPECIAL PROCEDURES / UNIT DETAILS: Wide range of any inpatient surgical procedure, as well as trauma: Cholecystectomy, Appendectomy, Hernia Repair, TURP, Ostomy Creation or Closure, Wound Debridement, Tumor Removal, Kidney Stone Removal, Amputations, Fem Pop Bypass


SPECIAL EQUIPMENT: Wound Vacs, Chest Tubes, NG tube/Corpak, JP Drains, Hemovac Drains, Penrose Drains


UNIT SYSTEMS (Medication, Documentation, Communication): Pyxis, EPIC, SBAR


SCHEDULING TYPE: Schedule as needed as needed


UNIT ORIENTATION: 2 Days of hospital orientation, 24 hours of floor training


SCRUBS: All Navy or Navy on bottom/White Top


*** INTERNAL NOTES ***
*MUST Pass EKG Testing prior to start for this specialty.*
Combination acuity unit: Adult medical surgical and surgical stepdown.