Registered Nurse Medical Surgical/Tele

Job Title

Registered Nurse – Medical Surgical / Telemetry

Location

Wilmington, NC | Acute Care

Schedule / Job Type

Contract | Night Shift | 3x12-Hour Shifts (6:45 PM – 7:15 AM) | 13–26 Week Contracts | 36 or 48 Hours Per Week Accepted

Key Responsibilities

• Provide direct patient care on a Medical Surgical/Telemetry unit with a target nurse-to-patient ratio of 1:5–6, caring for patients with diagnoses including diabetes, COPD, sepsis, pneumonia, GI bleed, encephalopathy, anemia, hip fracture, and COVID-19
• Perform telemetry monitoring including remote monitoring, interpretation of dysrhythmias, and utilization of Rapid Response Team protocols
• Manage IV therapies including IV insulin protocols, heparin, PCA, central line blood draws, PICC line management, peripheral line care, and blood product administration
• Provide respiratory support including CPAP/BiPAP, High Flow Nasal Cannula (HFNC), nasal cannula, oxygen face masks, oral suctioning, and non-invasive airway management
• Perform wound care, wound vac management, colostomy care, feeding tube care, chest tube management (Emerson/Pleuravac), and pre/post hemodialysis management
• Float within or near the facility as required; 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 NC RN license or valid Compact RN license (pending licensure acceptable for submission)
• Minimum 2 years of RN experience required
• BCLS certification required
• Must pass EKG testing prior to start
• Proficiency in Med/Surg and telemetry nursing skills including phlebotomy, starting IVs, isolation precautions, and the full range of skills listed above
• Local candidates are welcome to apply (candidates within 50 miles of the facility should be aware that a lower rate applies)

Preferred Experience / Skills

• Experience with on-unit telemetry monitoring, management of dysrhythmias, and interpretation of ABGs
• Familiarity with accessing ports, insulin management, CVA care, surgical drains, and tracheostomy management
• Prior experience with EPIC electronic health records
• First-time travelers are accepted

Why Join Us

• Work in a dynamic acute care environment with a diverse patient population and opportunities to apply a broad range of clinical skills
• Flexible contract lengths of 13–26 weeks with expected weekly hours of 36 or 48, offering scheduling options that support work-life balance