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 (3x12 Hours, 6:45 PM – 7:15 AM) | Expected 36–48 hours/week | Onsite

Key Responsibilities

• Provide nursing care for adult medical/surgical patients in an ED inpatient holding area, supporting patients awaiting inpatient bed placement with varying acuity levels including PCU-level patients
• Perform telemetry monitoring (on-unit and remote), interpret and manage dysrhythmias, and utilize Rapid Response Teams as appropriate
• Manage a range of clinical skills including blood product administration, PICC/peripheral line care, heparin and insulin drips, chest tubes, CPAP/BiPAP, HFNC, tracheostomy management, and isolation precautions
• Float to Emergency Department and MedSurg areas as needed; target ratios are 1:6 for MS/Tele patients and 1:4 for PCU-level patients
• Document using Epic, communicate via SBAR, and dispense medications via Pyxis
• Work every other weekend as required; may be assigned to a Storm Team or Hurricane Team and expected to report during catastrophic events, mass casualty incidents, or disasters

Required Qualifications

• Active RN license in North Carolina or a valid Compact RN license
• BLS and ACLS certifications required
• Must pass EKG testing prior to start
• Minimum 2 years of RN experience required
• Prior travel nursing experience required
• Proficiency in MS/Tele skills including dysrhythmia interpretation and management, colostomy care, feeding tube management, renal failure care, phlebotomy, ABG interpretation, and non-invasive airway management
• Local candidates are welcome to apply

Preferred Experience / Skills

• NIHSS certification; experience with IV insulin protocols and pre/post hemodialysis management
• Experience accessing ports, performing central line blood draws, and starting IVs
• Background in CVA, pre/post neuro surgery, spinal cord injuries, traumatic brain injury, ortho trauma, or total joint replacements
• Wound care and wound VAC experience

Why Join Us

• Opportunity to work in a dynamic, high-acuity ED holding and float pool environment with diverse patient populations and clinical exposure across multiple care areas
• Contracts available from 13 weeks and beyond, offering flexibility and continuity through an extended engagement