Registered Nurse Medical Surgical/Tele

Job Title

Registered Nurse – Medical Surgical / Telemetry

Location

Wilmington, NC

Schedule / Job Type

Contract | Days (4x12 Hours, 6:45 AM – 7:15 PM) | 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 a broad range of diagnoses including diabetes, COPD, sepsis, CHF, GI bleed, renal failure, pneumonia, and various post-surgical recovery cases
• Interpret and manage cardiac dysrhythmias via telemetry and remote monitoring; utilize Rapid Response and Code team protocols as needed
• Perform and manage vascular access including peripheral IV insertion and maintenance, central line blood draws, PICC line management, and phlebotomy
• Administer blood products, high-risk medications (heparin, insulin, PCA), and provide airway management including BiPAP/CPAP, high-flow nasal cannula, and oral suctioning
• Provide wound care including wound vac management, colostomy/ileostomy care, feeding tube management, and chest tube monitoring
• Float to other units within or near the facility as needed; participate in Storm Team and/or Hurricane Team assignments during catastrophic events or mass casualty situations

Required Qualifications

• Active RN license in North Carolina or a Compact state (pending license acceptable for submittal)
• Minimum of 2 years of Med/Surg or Med/Surg Telemetry experience
• Current BLS and NIHSS certifications
• Demonstrated ability to interpret and manage dysrhythmias; must pass EKG testing prior to start
• Proficiency with isolation precautions/PPE, pre/post hemodialysis management, and oxygen administration
• Ability to work every other weekend, a minimum of 2 of 3 major holidays, and be open to floating within or near the facility

Preferred Experience / Skills

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

Why Join Us

• First-time travelers are welcome, and self-scheduling is offered to support work-life balance
• Opportunity to work in a dynamic coastal North Carolina community with a structured 24-hour unit orientation to set you up for success