Registered Nurse Medical Surgical/Tele

Job Title

• Registered Nurse - Medical Surgical/Tele

Location

• Wilmington, NC

Schedule / Job Type

• Full-time, Night shifts, 36 hours per week, 3 shifts/week

Key Responsibilities

• Provide inpatient holding support within the Emergency Department for patients awaiting inpatient beds.
• Monitor and manage adult medical/surgical patients, including PCU-level cases, utilizing telemetry and other monitoring systems.
• Take on Medical Surgical and Telemetry cases, float to ED and MedSurg units as needed, adhering to patient safety protocols.
• Handle various procedures such as dysrhythmia interpretation, blood product administration, IV and PICC line management, wound care, and airway management.
• Comply with isolation precautions and utilize standard equipment including cardiac monitors, IV pumps, and other critical systems.
• Participate in storm or disaster response as required, working with hospital teams during emergencies.

Required Qualifications

• Active and current NC or Compact RN license, in hand at start date.
• Minimum of 2 years of RN experience, with specific expertise in Medical Surgical and Telemetry units.
• BLS and ACLS certifications required.
• Proficiency in dysrhythmia interpretation, telemetry monitoring (on-site and remote), and use of rapid response teams.
• Ability to perform colostomy care, feeding tube management, blood draws, IV starts, and handle various invasive lines.

Preferred Experience / Skills

• NIHSS certification.
• Experience with IV insulin protocols, pre- and post-hemodialysis management, neuro or orthopedic trauma, wound vacs, and total joint replacements.
• Knowledge of neuro, spinal cord, traumatic brain injury, and complex patient care procedures.

Why Join Us

• Join a dedicated team providing critical inpatient holding support in a high-acuity environment.
• Enjoy a supportive, fast-paced hospital setting with opportunities for professional growth and impactful patient care.

Additional Notes

• Shift: Night (3x12 hours), 18:45 – 07:15.
• RTO: Up to 7 days approved; must work 2 out of 3 major holidays.
• Must pass EKG testing within 48 hours of start.
• Floating within the hospital and to nearby facilities may be required.
• Compliance with travel and rehire policies is necessary.
• Successful candidates should be comfortable working in high turnover, high acuity settings, with prior charting experience on systems like Epic.