Registered Nurse Medical Surgical/Tele

Job Title

Registered Nurse – Medical Surgical / Telemetry

Location

Wilmington, NC | Acute Care

Schedule / Job Type

Contract | Night Shift (18:45–07:15) | 3x12-hour shifts | 36 or 48 hours per week accepted | 13–26 week contracts accepted

Key Responsibilities

• Provide direct patient care on a Med/Surg Telemetry unit with a 1:6 nurse-to-patient ratio, managing diagnoses including diabetes, COPD, sepsis, CHF, GI bleed, renal failure, pneumonia, and various surgical recovery cases
• Perform telemetry monitoring including interpretation and management of dysrhythmias; must pass EKG testing prior to start
• Manage vascular access including peripheral line care, central line blood draws, PICC line management, phlebotomy, and IV insertion and maintenance
• Administer blood products and medications including heparin, insulin, and PCA; provide wound care and wound vac management
• Manage respiratory support including BiPAP/CPAP, high-flow nasal cannula, oxygen administration, and non-invasive airway management; perform oral suctioning
• Float as needed to the main campus facility (approximately 32 minutes away); expected to participate in Storm Team and/or Hurricane Team assignments and may be required to report during catastrophic events, mass casualty incidents, or disasters

Required Qualifications

• Active RN license in NC or a Compact state (pending license acceptable for submission)
• Minimum 2 years of Med/Surg or Med/Surg Telemetry RN experience
• BLS certification required
• NIHSS certification required
• Ability to work every other weekend and a minimum of 2 out of 3 major holidays; no block schedules unless a weekend block
• Local candidates are welcome to apply; candidates within 50 miles of the facility are subject to a local rate

Preferred Experience / Skills

• ACLS certification; experience with telemetry unit monitoring, post-angiogram, post-cardiac surgery, post-MI care, and IV insulin protocols
• Charge nurse experience; experience with CVA management, substance withdrawal, tracheostomy care, surgical drains, and ABG interpretation
• Experience with bariatric surgery, continuous bladder irrigation (CBI), port access and management, and pre/post thoracic surgery care
• Community hospital experience and proficiency with electronic documentation

Why Join Us

• First-time travelers are welcome, offering an accessible entry point into travel nursing with self-scheduling and a structured 24-hour unit orientation
• Contracts of 13–26 weeks with up to 7 days of pre-approved RTO available, providing flexibility within a stable assignment