Registered Nurse Medical Surgical/Tele

Job Title

Registered Nurse – Medical Surgical / Telemetry

Location

Wilmington, NC | Acute Care

Schedule / Job Type

Contract | Night Shift (3x12 Hours, 6:45 PM – 7:15 AM) | 13–20 Week Contracts | Expected 36 or 48 hours/week

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
• Monitor and interpret cardiac rhythms via telemetry; manage dysrhythmias and utilize remote monitoring systems
• Perform and maintain IV access including peripheral lines, PICC lines, central line blood draws, and phlebotomy; administer blood products and manage medications including heparin, insulin, and PCA
• Provide respiratory support including BiPAP/CPAP management, high flow nasal cannula (HFNC), oxygen administration, and oral suctioning
• Perform wound care, wound vac management, colostomy/ileostomy care, feeding tube management, and chest tube care
• Adhere to isolation precautions/PPE protocols; float to main campus as required; may be assigned to a Storm Team or Hurricane Team and expected to report during catastrophic events or mass casualty incidents

Required Qualifications

• Active RN license in North Carolina or a Compact state (pending licensure acceptable at time of submission)
• Minimum 2 years of Med/Surg or MS/Telemetry nursing 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 (within 50 miles of the facility) are welcome; a modified rate applies

Preferred Experience / Skills

• ACLS certification and prior telemetry or on-unit monitoring experience
• Charge nurse experience
• Experience with post-angiogram care, post-cardiac surgery, post-MI, IV insulin protocols, bariatric surgery, continuous bladder irrigation (CBI), CVA management, tracheostomy care, or pre/post thoracic surgery
• Community hospital experience and proficiency with electronic documentation

Why Join Us

• First-time travelers are welcome, offering an accessible entry point into travel nursing within a supportive acute care environment
• Self-scheduling model provides flexibility, and the unit offers a structured 24-hour orientation to set travelers up for success