Registered Nurse - MS/Tele

Registered Nurse/MS/Tele

Location: Wilmington, NC

Onsite Flexibility: Onsite

Contract Details

• Position Type: Contract
• Contract Duration: 5 months
• Pay Rate: $61.00 / Hour (USD)
• Shift / Schedule: Nights, 18:4507:15 (4x12 Hours); will accept 36 or 48 hour contracts; every other weekend required
• Travel Requirements: Float required traveler may be required to float to main campus, NHRMC, 32 minutes away
• Work Authorization: Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Job Summary

This is a travel/contract Registered Nurse position in a Med/SurgTelemetry unit within an acute care facility. The unit operates at a 1:6 nurse-to-patient ratio and maintains a self-scheduling model. 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 contract staff may be preassigned to units as needed.

Key Responsibilities

• Provide direct patient care in a Med/Surg and Telemetry environment at a 1:6 nurse-to-patient ratio
• Interpret and manage dysrhythmias and perform remote telemetry monitoring
• Utilize Rapid Response and Code Teams as clinically indicated
• Manage patients with bowel obstruction and provide colostomy/ileostomy care
• Provide feeding tube care and management
• Perform Pre/Post Hemodialysis management and manage patients with renal failure
• Administer blood products and perform central line blood draws
• Manage peripheral lines and PICC lines
• Perform phlebotomy and start and maintain IV access
• Administer Heparin, Insulin, and PCA therapy
• Manage chest tubes (Emerson/PleurEvac)
• Manage and maintain BiPAP/CPAP and High Flow Nasal Cannula (HFNC)
• Provide non-invasive airway management including nasal cannula, oral suctioning, and oxygen administration via oxygen tanks
• Maintain isolation precautions and proper PPE use
• Perform wound care including Wound Vac management
• Care for patients with diagnoses including but not limited to: Diabetes, dementia, COVID, pneumonia, COPD, sepsis, encephalopathy, GI bleed, anemia, hip fracture, CHF, UTI, various surgical recovery cases, renal failure, hypertension, cellulitis, and failure to thrive
• Document using Pyxis (medication system) per unit standards
• Adhere to unit scheduling requirements including self-scheduling, every-other-weekend rotation, and no block schedules unless a weekend block
• Report to work during Storm Team and/or Hurricane Team activations as assigned

Required Skills

• Med/Surg (MS/Tele)
• Interpretation of dysrhythmias
• Management of dysrhythmias
• Telemetry remote monitoring
• Use of Rapid Response/Code teams
• Bowel obstruction management
• Colostomy/ileostomy management/care
• Feeding tube care and management
• Pre/Post Hemodialysis Management
• Renal failure management
• Blood Product Administration
• Central line blood draw
• Peripheral Line Care/Management
• Phlebotomy
• PICC line management
• Starting and maintaining IVs
• Heparin administration
• Insulin administration
• PCA management
• Chest tubes Emerson/PleurEvac
• BiPAP/CPAP management/maintenance
• High Flow Nasal Cannula (HFNC)
• Nasal Cannula
• Non-invasive airway management
• Oral suctioning
• Oxygen administration
• Oxygen tanks
• Isolation Precautions/PPE
• Wound Care/Wound Vac
• Pyxis (medication system)

Preferred Skills

• Charge experience
• ACLS
• Telemetry on the unit monitoring
• Post Angiogram care
• Post cardiac surgery care
• Post MI care
• IV insulin protocols
• Bariatric surgery care
• Continuous Bladder Irrigation (CBI)
• Accessing/Managing Ports
• CVA (Cerebrovascular Accident) management
• Substance Withdrawal management
• Surgical drains
• Interpretation of Arterial Blood Gases (ABGs)
• Pre/Post Thoracic Surgery care
• Tracheostomy care/management
• Previous Charge Experience
• Electronic Documentation
• Community Hospital Experience

Education Requirements

• BLS certification required
• NIHSS certification required
• Must pass EKG Testing prior to start (required for this specialty)
• Flu vaccination required (medical/religious exemptions only)
• Active RN License required

Required Experience

• Minimum 2 years of experience required (hard stop non-negotiable)
• Unit accepts first-time travelers
• Local candidates accepted

Work Environment / Physical Requirements

• Night shift position: 18:4507:15 (4x12 Hours)
• Nurse-to-patient ratio: 1:6
• Every other weekend required
• No call requirement
• Float requirement: traveler may be required to float to main campus (NHRMC), approximately 32 minutes away
• RTO (Return to Time Off): 7 days maximum per contract; no block schedules unless a weekend block
• Must be able to work holidays
• Self-scheduling unit
• Unit orientation: 24 hours
• Scrubs: Navy Blue or White
• Contract staff will be assigned and expected to work a Storm Team and/or Hurricane Team; may be required to report to work during a catastrophic event, mass casualty, or disaster
• Consolidation to the Centralized Office mid-contract may occur; contract staff may be preassigned to units as needed

Important Notes

• HARDSTOP: Minimum 2 years of experience required; 7 days maximum RTO per contract; must be able to work holidays; no block schedules unless a weekend block
• Must pass EKG Testing prior to start for this specialty
• Manager interview is required before any offer is extended; candidates must be available for interview within 72 hours of submission
• COVID-19 vaccination: Not required
• Flu vaccination: Required medical/religious exemptions only

About the Client

This client is an acute care healthcare facility operating in