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NICU

Wilmington, NC

NICU Registered Nurse | Level III | Wilmington, NC

This Level III NICU position serves a critically ill neonatal population ranging from 22 weeks gestation through term. Levels of care are not separated, so nurses care for the full spectrum of acuity within the same unit. Around-the-clock neonatologist coverage and overnight NNP support are in place, with pediatric surgery available in-house continuously.

Patient Population & Clinical Scope

  • Prematurity (22 weeks to term), including infants under 24–28 weeks and 29–34 weeks gestation
  • Persistent pulmonary hypertension of the newborn (PPHN), neonatal therapeutic hypothermia/whole-body cooling, and surgical neonatal patients

Required Skills

  • Cardiovascular: dysrhythmia interpretation, invasive hemodynamic monitoring
  • Respiratory: bubble CPAP, HFNC, ventilator management (AC/PC/SIMV/CPAP/BiPAP/PEEP), suctioning (ETT/NT)
  • IV therapy: arterial line and central line management, PICC lines, UAC/UVC, blood product administration
  • GI: gavage/bottle/breast feedings, NG/NJ tube placement, NEC management, breastfeeding support
  • Medications: neonatal dosage calculations, vasopressors, antibiotics/antivirals, surfactants, antiseizure medications
  • Sepsis workup, isolation precautions, neonatal abstinence syndrome, hyperbilirubinemia/phototherapy
  • Family-centered and developmental care; phlebotomy; thermoregulation

Preferred: High-risk delivery attendance, therapeutic hypothermia/cooling, high-frequency ventilation, chest tube management, nitric oxide, gastroschisis/omphalocele, APGAR scoring

Requirements

  • Minimum 2 years Level III NICU experience
  • Active BLS and NRP certifications
  • NC or Compact RN license (pending accepted at submission)

Scheduling Details

  • Every other weekend required
  • Float: Mother/Baby, Labor & Delivery, and Pediatrics (for appropriate patients)
  • Storm/Hurricane Team participation required
  • Orientation: 24 hours (two 12-hour clinical shifts)
  • Scrubs: Navy blue

Time Off: Up to 7 days pre-approved (excluding holidays); must work 2 of 3 major holidays; no RTO during first week of contract.