Registered Nurse Medical Surgical/Tele

Job Title

Registered Nurse – Medical Surgical / Telemetry

Location

Wilmington, NC | Acute Care

Schedule / Job Type

Contract | Nights | 3x12-Hour Shifts (6:45 PM – 7:15 AM) | Every Other Weekend Required | 13–26 Week Contracts

Key Responsibilities

• Provide direct patient care on a combination acuity unit serving adult medical surgical and surgical stepdown patients with a wide range of diagnoses including cellulitis, appendicitis, cholecystitis, bowel obstruction, peripheral vascular disease, trauma (MVA, GSW, falls), and various cancers
• Support and assist with a broad range of inpatient surgical procedures including cholecystectomy, appendectomy, hernia repair, TURP, ostomy creation or closure, wound debridement, tumor removal, amputations, and fem-pop bypass
• Perform interpretation and management of dysrhythmias, blood product administration, central and peripheral line care, surgical drain management, wound care, and wound vac management
• Operate and manage specialty equipment including wound vacs, chest tubes, NG tubes, Corpak, JP drains, Hemovac drains, and Penrose drains
• Utilize non-invasive airway management, nasal cannula, rapid response teams, and isolation precautions as clinically indicated
• Float to like units as needed; contract staff are expected to participate in Storm Team and/or Hurricane Team assignments and may be required to report during catastrophic events, mass casualty incidents, or disasters

Required Qualifications

• Active RN license in North Carolina or a valid Compact state license (pending licensure acceptable for submission)
• Minimum 2 years of surgical unit experience required
• BLS certification required
• ACLS certification required
• NIH Stroke Scale certification required
• Must pass EKG testing prior to start
• Proficiency in dysrhythmia interpretation and management, blood product administration, central/peripheral line care, wound care/wound vac, surgical drains, non-invasive airway management, and isolation precautions
• Familiarity with Pyxis, EPIC, and SBAR communication framework
• Local candidates are welcome to apply

Preferred Experience / Skills

• Prior travel nursing experience preferred but not required
• Experience titrating cardiac and vasoactive drips
• Chest tube management experience (Emerson/Pleur-evac)

Why Join Us

• Work in a dynamic, high-acuity surgical environment with exposure to a wide variety of diagnoses, procedures, and specialty equipment that supports continued clinical growth
• Benefit from a structured onboarding experience including hospital orientation and dedicated floor training hours to set you up for success from day one