Registered Nurse - LTC

the Client•Danbury, NC

1d•Onsite

About The Position

This is a 3-month contract travel nursing position in long-term care at a community hospital in Danbury, North Carolina. The nurse will care for a geriatric population in an onsite, 40-bed unit with an average daily census of 36 and very low acuity. Staffing is two nurses from 7 p.m. to 11 p.m. during the heavier medication pass, then one nurse from 11 p.m. onward; two CNAs are on the unit, and an on-call physician is available after hours. The listed night and weekend staffing ratio is 1:40, with a 1:20 ratio from 7 p.m. to 11 p.m. Local candidates are accepted at the travel rate. The schedule is five 8-hour evening shifts, 3 p.m. to 11 p.m., with every other weekend required. No call or floating is required. The assignment includes 24 hours of unit orientation and hospital orientation during the first week; the traveler must be available for classes each day that week. Navy blue scrubs are required. Flu vaccination is required, with medical or religious exemptions allowed; COVID-19 vaccination is not required. The role requires long-term-care and skilled nursing experience, PointClickCare experience, LTAC experience, an RN license, BLS certification, and at least two years of nursing experience. First-time travelers are accepted if they have skilled nursing experience. Applicants must be authorized to work for any U.S. employer; visa sponsorship is unavailable. The facility has a strict RTO policy: requests after booking are not allowed, cannot be worked out onsite, and call-offs or additional RTO may result in contract cancellation and a do-not-rehire designation.

Requirements

Current RN license.
BLS certification.
At least 2 years of nursing experience.
LTAC experience required.
PointClickCare experience required.
Skilled nursing experience; first-time travelers are accepted if they have skilled experience.
Nursing-home or long-term-care clinical skills.
Authorization to work for any employer in the United States; visa sponsorship is not available.
Availability for hospital orientation classes each day during the first week.
Compliance with the strict RTO policy.

Nice To Haves

Skilled or rehabilitation center experience.
Nephrostomy tube management.
Suprapubic catheter management.
Central line (PICC) care and peripheral line care.
Experience with Alzheimer's disease, dementia, CVA, memory care, neuromuscular disease, Parkinson's disease, spinal cord injury, stroke assessment, traumatic brain injury, or amputation care.
Experience with assistive devices, crutches, or walkers.
Pressure-ulcer staging assessment and wound assessment, including Wound V.A.C.
Suture or staple removal; total hip or knee replacement care.
Admission and discharge procedures, end-of-life or palliative care, patient care plans, and patient/family teaching.
Specialty bed experience.
COVID care, suctioning (EET, NT), tracheostomy care, or care for blind patients and patients with cataracts, contact lenses, macular degeneration, or prosthetic eyes.
Community hospital experience.
Previous charge experience.
Teaching hospital experience.
Trauma level I or level II experience.

Responsibilities

Provide nursing care to geriatric long-term-care residents with chronic conditions, including diabetes, COPD/emphysema, asthma, and pneumonia.
Administer medications by oral, IM, SQ, rectal, inhaled/nebulizer, IV, and eye-drop routes; perform narcotic counts.
Administer and monitor insulin, recognize and respond to hypoglycemia and hyperglycemia, and perform blood glucose monitoring.
Assess blood pressure, peripheral pulses, bowel sounds, skin, neurological status, pulse/CMS, and lung sounds; monitor intake and output and pulse oximetry.
Insert and manage Foley catheters, manage incontinence, and provide gastrostomy tube care and feedings.
Perform venipuncture and start and maintain IVs.
Provide wound care and treatments, dressing changes, pressure-ulcer prevention, and use pressure-relief devices.
Manage BiPAP/CPAP and administer oxygen.
Provide colostomy and ileostomy care, bowel impaction management, urinary tract infection management, denture care, and hearing-aid management.
Implement seizure precautions, fall-risk prevention, infection-control measures, isolation precautions, and PPE use.
Ensure accurate patient identification and adherence to national patient safety goals; interpret and communicate lab values and label medications and specimens.
Manage restrictive devices, lift and transfer devices, advanced directives, emergency procedures, and protocols.
Assess and manage pain.
Document care in PointClickCare and communicate using SBAR.
Complete 24-hour unit orientation and attend hospital orientation during the first week.
Follow the facility's RTO policy and scheduling requirements.