Registered Nurse - MS/Tele

Registered Nurse/MS/Tele

Location: Wilmington, NC

Onsite Flexibility: Onsite

Contract Details

• Position Type: Contract
• Contract Duration: 3 months
• Pay Rate: $49.55 $53.55 / Hour (USD)
• Shift / Schedule: Day shift, 3 12-hour shifts (6:45 AM 7:15 PM)
• 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 Medical/Surgical Telemetry (MS/Tele) contract nursing position at a fast-paced inpatient and ED observation unit. The unit serves medical/surgical adult diagnoses as well as Emergency Department observation patients including patients waiting for an inpatient bed or admitted in Observation status. The ED sees upwards of 300 patients a day, and candidates must be open to having patients moved upstairs quickly and new patients brought in from the ED side. The unit is supported by a Cardiac Tele Monitor Tech, a Charge RN, 2 3 CNAs per shift, and Case Managers.

Key Responsibilities

• Provide nursing care for medical/surgical adult patients and ED observation patients within an inpatient holding and ED observation unit.
• Perform cardiac monitoring, including interpretation and management of dysrhythmias, on-unit and remote telemetry monitoring, and coordination with Rapid Response/Code teams.
• Manage endocrine/metabolic conditions using IV insulin protocols.
• Provide gastrointestinal care including bariatric surgery patients, bowel obstruction, colostomy/ileostomy care, and feeding tube care and management.
• Manage genitourinary/renal patients including continuous bladder irrigation (CBI), pre/post hemodialysis management, and renal failure.
• Perform IV therapy and phlebotomy: accessing/managing ports, blood product administration, central line blood draws, peripheral line care, phlebotomy, PICC line management, and starting and maintaining IVs.
• Administer and monitor medications including heparin, insulin, cardiac drips (no titration), vasoactive drips (no titration), and PCA.
• Care for neurological/psychiatric patients including CVA, pre/post neurosurgery, and substance withdrawal.
• Manage respiratory needs including chest tubes (Emerson/PleurEvac), BiPAP/CPAP, HFNC, nasal cannula, noninvasive airway management, oral suctioning, oxygen administration, and oxygen tanks.
• Maintain isolation precautions/PPE and perform wound care/Wound VAC.
• Document patient care accurately using Epic.
• Float to other units depending on hospital needs.
• Work every other weekend per unit requirement.
• Report to work during catastrophic events, mass casualty incidents, or disasters as assigned to Storm Team and/or Hurricane Team.

Required Skills

• Proficiency in cardiac monitoring: interpretation and management of dysrhythmias, on-unit and remote telemetry monitoring.
• Experience with Rapid Response/Code team activation and response.
• IV insulin protocol administration.
• Gastrointestinal nursing: bariatric surgery, bowel obstruction, colostomy/ileostomy care, feeding tube care and management.
• Genitourinary/renal care: continuous bladder irrigation (CBI), pre/post hemodialysis management, renal failure management.
• IV therapy and phlebotomy: accessing/managing ports, blood product administration, central line blood draws, peripheral line care, phlebotomy, PICC line management, starting and maintaining IVs.
• Medication administration: heparin, insulin, cardiac drips (no titration), vasoactive drips (no titration), PCA.
• Neurological/psychiatric nursing: CVA, pre/post neurosurgery, substance withdrawal.
• Respiratory care: chest tubes (Emerson/PleurEvac), BiPAP/CPAP, HFNC, nasal cannula, noninvasive airway management, oral suctioning, oxygen administration, oxygen tanks.
• Isolation precautions/PPE compliance and wound care/Wound VAC.
• Epic electronic health record documentation required.
• Proficiency with Pyxis medication dispensing system.
• Use of SBAR communication framework.

Preferred Skills

• Endocrine/Metabolic: thyroidectomy patient care.
• Neurological/Psychiatric: mood disorders, traumatic brain injury.
• Respiratory: tracheostomy care/management.
• Experience in a teaching hospital, community hospital, or Trauma Level II setting.

Education Requirements

• Active RN licensure required.
• ACLS (Advanced Cardiovascular Life Support) required.
• BLS (Basic Life Support) required.
• NIHSS (National Institutes of Health Stroke Scale) required.
• MOAB (Management of Aggressive Behavior) required.
• Flu vaccination required (medical/religious exemptions only).

Required Experience

• Minimum 2 years of RN experience required.
• Work settings: Med/Surg, MS/Tele, Telemetry.
• First-time travel nurse experience not required; locals accepted.

Work Environment / Physical Requirements

• Fast-paced inpatient and ED observation unit environment.
• Patient ratios: 1:6 (may be 1:5 depending on patient volume).
• 12-hour day shifts (6:45 AM 7:15 PM), 3 shifts per week.
• Float requirement: yes, depending on hospital needs.
• Weekend requirement: every other weekend.
• Schedule based on unit needs.
• Scrubs: Navy blue.
• Unit orientation: 12 hours.
• Standard medical equipment in use, including cardiac monitors and IV pumps.
• 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; contract staff may be preassigned to units as needed.

Important Notes

• RTO (Return to Origin) 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 interview is required before an offer will be made. Please provide interview availability for the next 72 hours at time of submission.

About the Client

This client is a leading regional healthcare organization operating a major medical center in the Southeast, serving a broad patient population across inpatient, emergency, and specialty care settings. Employing thousands of clinical and support professionals including registered nurses, respiratory therapists, case managers, and allied health staff the facility operates a high-volume Emergency Department seeing upwards of 300 patients daily and supports specialized units across medical/surgical, telemetry, and observation care. Roles here span nursing, patient care technicians, charge nurses, and clinical coordinators who collaborate across a full continuum of inpatient and emergency services.

About GTT

GTT is an NMSDC-certified Minority Business Enterprise (MBE) headquartered in Portsmouth, New Hampshire. GTT is a subsidiary of Chenega Corporation, an Alaska-based company and one of the largest Alaska Native-owned corporations. An Inc. 5000 honoree and one of SIA's Best Staffing Firms to Work For, GTT connects professionals with Fortune 500 organizations across IT, engineering, construction, utilities, life sciences, financial services, and healthcare throughout the U.S. and Canada. We're committed to diverse, inclusive workplaces and to placing people in roles where they can do their best work.

Job Number: 26-18565 Industry: Healthcare

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