Registered Nurse Medical Surgical/Tele

Job Title

Registered Nurse – Medical Surgical / Telemetry (ED Holding / Float Pool)

Location

Wilmington, NC | Acute Care

Schedule / Job Type

Contract | Night Shift | 4x12-hour shifts (18:45–07:15) | Expected 36–48 hours/week | Onsite

Key Responsibilities

• Provide nursing care for adult medical/surgical patients held within the Emergency Department who are awaiting inpatient bed placement, including patients at PCU acuity levels
• Perform telemetry monitoring, interpretation of dysrhythmias, and management of cardiac rhythms both on-unit and via remote monitoring
• Manage a variety of clinical needs including blood product administration, PICC/peripheral line care, chest tube management, CPAP/BiPAP, high-flow nasal cannula, tracheostomy care, and colostomy and feeding tube management
• Float to Emergency Department and Medical/Surgical areas as needed based on patient census and unit demands
• Maintain patient ratios of 1:6 for MS/Tele patients or 1:4 for PCU-level patients
• Participate in Storm Team and/or Hurricane Team assignments; contract staff may be required to report during catastrophic events, mass casualty incidents, or disasters

Required Qualifications

• Active RN license in North Carolina or a Compact state (pending licensure acceptable at time of submission)
• Minimum 2 years of RN experience required
• Prior travel nursing experience required
• BLS certification required
• ACLS certification required
• Proficiency in MS/Tele skills including dysrhythmia interpretation and management, telemetry monitoring, rapid response utilization, phlebotomy, heparin and insulin administration, isolation precautions, ABG interpretation, and non-invasive airway management
• Local candidates are welcome to apply

Preferred Experience / Skills

• NIHSS certification and experience with CVA, pre/post neurosurgery, spinal cord injuries, or traumatic brain injury
• Experience with IV insulin protocols, pre/post hemodialysis management, and central line blood draws
• Wound care and wound VAC experience; ortho trauma and total joint replacement experience
• Ability to access ports and proficiency starting IVs

Why Join Us

• Work in a dynamic, high-acuity environment with exposure to a broad range of adult medical/surgical diagnoses across ED holding and float pool settings
• Contracts of 13 weeks or longer available, offering extended placement opportunity through a defined end date