Registered Nurse Medical Surgical/Tele

Job Title

Registered Nurse – Medical Surgical / Telemetry

Location

Wilmington, NC | Acute Care

Schedule / Job Type

Contract | Nights (18:45–07:15) | 36 or 48 hours per week accepted | 13–26 week contracts accepted

Key Responsibilities

• Provide direct patient care on a Medical Surgical/Telemetry unit with a 1:6 nurse-to-patient ratio, managing diagnoses including diabetes, COPD, sepsis, CHF, GI bleed, renal failure, and various surgical recovery cases
• Perform telemetry monitoring including interpretation and management of dysrhythmias, and utilize Rapid Response/Code teams as needed
• Manage vascular access including peripheral line care, central line blood draws, PICC line management, phlebotomy, and IV initiation and maintenance
• Administer blood products and medications including heparin, insulin, and PCA; perform wound care and wound vac management
• Provide respiratory support including BiPAP/CPAP management, high flow nasal cannula (HFNC), oxygen administration, and oral suctioning; maintain isolation precautions and PPE
• Float to main campus facility as required; contract staff are expected to participate in Storm Team and/or Hurricane Team assignments and may be required to report during catastrophic events or mass casualty incidents

Required Qualifications

• Active NC RN license or valid Compact RN license (pending licensure acceptable for submission)
• Minimum 2 years of Medical Surgical/Telemetry RN experience
• BLS certification required
• NIHSS certification required
• Must pass EKG testing prior to start
• Must be available to work every other weekend and 2 of 3 major holidays; no block schedules unless a weekend block
• Local candidates are welcome; candidates within 50 miles of the facility are eligible at an adjusted rate

Preferred Experience / Skills

• ACLS certification; experience with telemetry unit monitoring, post-angiogram, post-cardiac surgery, post-MI, and IV insulin protocols
• Charge nurse experience; experience with tracheostomy care, surgical drains, ABG interpretation, continuous bladder irrigation (CBI), and accessing/managing ports
• Experience with bariatric surgery, CVA, substance withdrawal, 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 an expected 36–48 hours per week
• Flexible contract lengths of 13–26 weeks with up to 7 days of pre-approved RTO per contract