Registered Nurse Medical Surgical/Tele

Job Title

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

Location

Wilmington, NC

Schedule / Job Type

Contract | Days | 4x12-hour shifts (6:45 AM – 7:15 PM) | 36–48 hours per week | Every other weekend required

Key Responsibilities

• Provide direct patient care in an ED inpatient holding area for adult patients awaiting inpatient bed placement, covering any medical/surgical adult diagnosis
• Manage MS/Tele-level patients as well as PCU-level patients as assigned, maintaining target ratios of 1:6 for MS/Tele or 1:4 for PCU-level patients
• Float to Emergency Department and Medical/Surgical areas as needed based on unit demands
• Perform telemetry monitoring, interpretation and management of dysrhythmias, and utilize Rapid Response Teams as appropriate
• Operate and document using standard unit systems including Pyxis, Epic, and SBAR communication
• Participate in Storm Team and/or Hurricane Team assignments; may be required to report during catastrophic events, mass casualty incidents, or disasters

Required Qualifications

• Minimum 2 years of RN experience in Medical/Surgical or Telemetry
• Active RN license in NC or a Compact state
• Current BLS and ACLS certifications
• Proficiency in telemetry monitoring (on-unit and remote), interpretation and management of dysrhythmias, and use of Rapid Response Teams
• Demonstrated skills in: colostomy care, feeding tube care and management, renal failure management, blood product administration, peripheral line care, phlebotomy, PICC line management, heparin and insulin administration, isolation precautions, chest tube management (Emerson/Pleur-evac), CPAP/BiPAP, High Flow Nasal Cannula (HFNC), ABG interpretation, and tracheostomy management
• Must pass EKG competency testing prior to start

Preferred Experience / Skills

• NIHSS certification; experience with CVA, pre/post neurosurgery, spinal cord injuries, or traumatic brain injury
• Experience with IV insulin protocols, pre/post hemodialysis management, accessing ports, and central line blood draws
• Orthopedic trauma, total joint replacement, and wound care/wound vac experience
• Prior travel nursing experience (not required but welcomed)

Why Join Us

• Gain diverse clinical experience in a high-acuity ED holding and float pool environment working with a broad range of adult medical/surgical diagnoses
• Local candidates are accepted, and travel pairs are permitted, offering flexibility in how you approach this assignment