Registered Nurse - LTC

Registered Nurse/LTC

Location: Danbury, NC

Onsite Flexibility: Onsite

Contract Details

• Position Type: Contract
• Contract Duration: 3 months
• Pay Rate: $46.00 $50.60 / Hour (USD)
• Shift / Schedule: Evening (5x8 Hours), 15:00 23:00
• 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 Long-Term Care (LTC) travel nursing position at a community hospital facility in Danbury, NC. The unit serves a geriatric patient population with a very low acuity census (average daily census: 36, beds: 40). The unit staffing ratio is 1:40 on nights and weekends, with a 1:20 ratio from 7p 11p during the heavier med pass, at which time two nurses are on the unit; from 11p onward, one nurse covers the unit. Acuity is described as very low the unit has 1 Foley, 1 G-tube, and no IVs, with many residents who qualify for assisted living. An on-call MD is available after hours, supported by 2 CNAs. Local candidates are accepted at the travel rate.

Key Responsibilities

• Provide nursing care to a geriatric long-term care patient population
• Manage and monitor patients with diagnoses including diabetes mellitus type II, COPD/emphysema, asthma, pneumonia, and other chronic conditions
• Perform medication administration via oral, IM, SQ, rectal, inhaled/nebulizer, IV, and eye drop routes; conduct narcotic counts
• Administer and monitor insulin; recognize and respond to hypoglycemia and hyperglycemia
• Perform blood glucose monitoring and blood pressure and peripheral pulse assessments
• Perform Foley catheter insertion (male and female) and manage incontinence
• Provide feeding tube care and management, including gastrostomy tube care and feedings
• Perform wound care and treatments, dressing changes, pressure ulcer prevention, and use of pressure relief devices
• Conduct skin assessments, pulse/CMS checks, and neurological status assessments
• Implement seizure precautions as required
• Perform venipuncture; start and maintain IVs
• Monitor intake and output; assess and auscultate lung sounds
• Manage BiPAP/CPAP and administer oxygen; monitor pulse oximetry
• Administer medications including analgesics, antiarrhythmics, antibiotics, anticoagulation therapy, antihyperglycemics, antihypertensives, antivirals, and non-narcotic analgesics
• Conduct fall risk assessment and prevention; implement infection control measures and isolation precautions/PPE
• Ensure accurate patient identification and adhere to national patient safety goals
• Interpret and communicate lab values; label medications and specimens
• Manage restrictive devices (restraints) and lift/transfer devices
• Apply universal precautions; manage advanced directives and emergency procedures/protocols
• Perform pain assessment and management
• Provide colostomy/ileostomy management/care
• Provide bowel impaction management and urinary tract infection management
• Perform denture care and hearing aid management
• Document using PointClickCare and communicate using SBAR methodology
• Complete 24-hour unit orientation; attend hospital orientation during week one (available for classes each day)
• Adhere to the facility's strict RTO policy: 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 result in a contract cancellation and DNR

Required Skills

• Nursing home / long-term care clinical skills
• Assessment of blood pressure
• Assessment of peripheral pulses
• Blood glucose monitoring
• Diabetes mellitus type II management
• Insulin administration
• Recognizing hypoglycemia/hyperglycemia
• Assessment of bowel sounds
• Bowel impaction management
• Colostomy/ileostomy management and care
• Feeding tube care and management
• Gastrostomy tube care and feedings
• Ileostomy care and management
• Foley catheter insertion female
• Foley catheter insertion male
• Incontinence management
• Urinary tract infection management
• Eye drop administration
• IM administration
• Inhaled medications/nebulizer treatment
• IV medication administration
• Narcotic count
• Oral administration
• Rectal medication administration
• SQ administration
• Starting and maintaining IVs
• Assessment of neurological status
• Seizure precautions
• Analgesics
• Antiarrhythmics
• Antibiotics
• Anticoagulation therapy
• Antihyperglycemics
• Antihypertensives
• Antivirals
• Non-narcotic analgesics
• Dressing changes
• Pressure relief devices
• Prevention of pressure ulcers
• Pulse/CMS checks
• Skin assessment
• Wound care and treatments
• Accurate patient identification
• Advanced directives
• Emergency procedures/protocols
• Fall risk assessment/prevention
• Infection control
• Interpretation and communication of lab values
• Isolation precautions/PPE
• Labeling (medications & specimens)
• Lift/transfer devices
• Monitoring intake/output
• National patient safety goals
• Pain assessment and management
• Restrictive devices (restraints)
• Universal precautions
• Venipuncture
• Assessment/auscultation of lung sounds
• Asthma
• COPD/emphysema
• BiPAP/CPAP management
• Oxygen administration
• Pneumonia
• Pulse oximetry
• Denture care
• Hearing aids
• PointClickCare experience required
• LTAC experience required
• Minimum 2 years of nursing experience
• Unit will accept first-time travelers as long as they have skilled experience

Preferred Skills

• Skilled/rehabilitation center experience
• Nephrostomy tube management
• Suprapubic catheter management
• Central line care (PICC)
• Peripheral line care
• Alzheimer's disease
• Dementia
• CVA (Cerebrovascular Accident)
• Memory care
• Neuromuscular disease
• Parkinson's disease
• Spinal cord injury
• Stroke assessment
• Traumatic brain injury
• Amputation care
• Assistive devices/crutches/walker
• Pressure ulcer staging assessment
• Suture/staple removal
• Total hip replacement
• Total knee replacement
• Wound assessment
• Wound V.A.C.
• Admission procedures
• Discharge procedure
• End of life care/palliative care
• Patient care plans
• Patient/family teaching
• Specialty beds
• COVID
• Suctioning (EET, NT)
• Tracheostomy
• Blind patient care
• Cataracts
• Contact lenses
• Macular degeneration
• Prosthetic eye care
• Community hospital experience preferred
• Previous charge experience preferred
• Teaching hospital experience preferred
• Trauma level I experience preferred
• Trauma level II experience preferred

Education Requirements

• RN License required
• BLS certification required

Required Experience

• Minimum 2 years of nursing experience
• LTAC experience required
• Unit will accept first-time travelers as long as they have skilled nursing experience

Work Environment / Physical Requirements

• Unit serves a geriatric (LTC) patient population
• Average daily census: 36; unit beds: 40
• Night staffing ratio: 1:40; weekends staffing ratio: 1:40; 1:20 ratio from 7p 11p with heavier med pass
• Two nurses on the unit from 7p 11p; drops to one nurse from 11p onward
• 2 CNAs on unit; on-call MD available after hours
• Patient diagnoses: geriatrics
• Scheduling type: other
• Call requirement: none
• Float requirement: none
• Weekend requirement: every other weekend required
• 36 hours can be offered
• Unit orientation: 24 hours; hospital orientation in week one traveler must be available for classes each day
• Scrubs: Navy Blue
• Flu vaccination required (medical/religious exemptions only)
• COVID-19: not required

Important Notes

• Locals approved at travel rate
• RTO policy: 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 result in a contract cancellation and DNR (Do Not Rehire).
• Manager will not offer without speaking to the candidate first. Please provide interview availability for the next 72 hours when submitting.
• Unit systems: PointClickCare (required), SBAR
• Staffing note from manager: Acuity is very low 1 Foley, 1 G-tube, no IVs. Many residents qualify for assisted living but choose to stay. Ratio will be 1:20 from 7p 11p with the heavier med pass; residents only have 3 4 pills on the morning med pass and 3 4 blood sugars.

About the Client

This healthcare client is a community hospital system operating in North Carolina, providing long-term care and skilled nursing services to geriatric patients across its inpatient units. The facility employs registered nurses, certified nursing assistants, and clinical support professionals who deliver hands-on, resident-centered care across a 40-bed LTC unit with an average daily census of 36 patients.

About GTT

GTT is a minority-owned staffing firm and a subsidiary of Chenega Corporation, a Native American-owned company in Alaska. We highly value diverse and inclusive workplaces and support Fortune 500 organizations across banking, financial services, technology, life sciences, biotech, utilities, and retail sectors throughout the U.S. and Canada.

Job Number: 26-16433

Industry: Healthcare