Registered Nurse Medical Surgical/Tele

Job Title

Registered Nurse – Medical Surgical / Telemetry

Location

Wilmington, NC

Schedule / Job Type

Contract | Night Shift (4x12 Hours, 6:45 PM – 7:15 AM) | 36 or 48 hours per week | 13–20 week contracts available | Onsite

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, pneumonia, and various surgical recovery cases
• Monitor, interpret, and manage cardiac dysrhythmias via telemetry and remote monitoring; utilize Rapid Response and Code team protocols as needed
• Perform and manage IV therapy including peripheral line care, PICC line management, central line blood draws, phlebotomy, and administration of blood products, heparin, insulin, and PCA
• Provide respiratory support including BiPAP/CPAP management, High Flow Nasal Cannula (HFNC), oxygen administration, oral suctioning, and non-invasive airway management
• Deliver wound care including wound vac management, colostomy/ileostomy care, feeding tube management, and chest tube care (Emerson/PleurEvac)
• Float to a nearby campus as required and participate in Storm Team and/or Hurricane Team assignments during catastrophic events, mass casualty incidents, or disasters

Required Qualifications

• Minimum 2 years of Med/Surg and/or MS/Telemetry nursing experience
• Active NC RN license or valid Compact RN license (pending licensure acceptable for submission)
• Current BLS certification
• NIHSS certification
• Must pass EKG testing prior to start
• Ability to work every other weekend, a minimum of 2 of 3 major holidays, and adhere to a maximum of 7 days of pre-approved RTO per contract with no RTO during the first week

Preferred Experience / Skills

• ACLS certification; experience with on-unit telemetry monitoring, post-angiogram care, post-cardiac surgery, post-MI care, and IV insulin protocols
• Experience with tracheostomy care, surgical drains, continuous bladder irrigation (CBI), accessing/managing ports, and interpretation of arterial blood gases (ABGs)
• Background in bariatric surgery, CVA care, substance withdrawal management, and pre/post thoracic surgery
• Previous charge nurse experience, community hospital experience, and proficiency with electronic documentation and Pyxis medication systems

Why Join Us

• First-time travelers are welcome, and self-scheduling is available, offering flexibility within a structured and supportive unit environment
• Work in a coastal North Carolina community with a 24-hour unit orientation designed to set contract nurses up for success from day one