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NICU

Wilmington, NC

Level III NICU Nurse – Night Shift

Position Overview

The facility is seeking an experienced Level III NICU nurse for a 13-week contract, working night shifts (18:45–07:15), three 12-hour shifts per week.

Required Experience & Credentials

  • Minimum 2 years of Level III NICU experience
  • Current BLS and NRP certifications
  • Proven experience caring for extremely premature neonates (less than 24–28 weeks and 29–34 weeks gestation)

Clinical Scope

You'll provide direct care to critically ill neonates ranging from 22 weeks gestation to term, including:

  • Prematurity and respiratory distress syndrome
  • Persistent pulmonary hypertension of the newborn (PPHN)
  • Neonatal therapeutic hypothermia and whole-body cooling
  • Surgical neonates
  • Neonatal abstinence syndrome and sepsis

Key Responsibilities

  • Dysrhythmia interpretation and invasive hemodynamic monitoring
  • Ventilator management (AC/PC/SIMV/CPAP/BiPAP/PEEP) and bubble CPAP/high-flow nasal cannula
  • Central line, arterial line, PICC line, UAC/UVC management
  • Administration of blood products, vasopressors, antibiotics, antivirals, antiseizure medications, steroids, and surfactants
  • Tube placements and feeding support (bottle, breast, gavage)
  • Phototherapy and blood glucose monitoring
  • Developmental care and family-centered care in a private room setting
  • Support with lumbar punctures and other procedures

Unit Details

  • All-private-room unit with average daily census of 41
  • Neonatologist on call 24/7; two NNPs for overnight coverage
  • Pediatric surgery and comprehensive support services on-site

Expectations

  • Float to Mother/Baby, Labor, and Pediatrics as needed
  • Every other weekend required
  • Orientation: 24 hours (two 12-hour clinical shifts)
  • Wear navy blue scrubs
  • May be assigned to emergency response teams during catastrophic events

Preferred Skills

High-risk delivery experience, NICU IV or PICU background, high-frequency ventilation, nitric oxide administration, and seizure management.