Registered Nurse Medical Surgical/Tele

Job Title

Registered Nurse – Medical Surgical / Telemetry

Location

Wilmington, NC

Schedule / Job Type

Contract | Night Shift (4x12 Hours, 6:45 PM – 7:15 AM) | 36 or 48 hours per week | 13–20 week assignment | Onsite

Key Responsibilities

• Provide direct patient care on a Medical Surgical / Telemetry unit with a 1:6 nurse-to-patient ratio
• Monitor and interpret cardiac telemetry remotely and on the unit; recognize and manage dysrhythmias
• Manage a diverse patient population including diagnoses such as diabetes, COPD, sepsis, CHF, GI bleed, renal failure, pneumonia, and various surgical recovery cases
• Perform and maintain vascular access including peripheral IVs, central line blood draws, PICC line management, and phlebotomy; administer blood products and medications including heparin, insulin, and PCA
• Provide wound care, ostomy management, feeding tube care, chest tube management, and non-invasive airway support including BiPAP/CPAP and high-flow nasal cannula
• Adhere to isolation precautions and PPE protocols; participate in Rapid Response and Code team activations; float to other units as required

Required Qualifications

• Active RN license in North Carolina or a Compact state
• Minimum 2 years of Med/Surg or MS/Telemetry nursing experience
• Current BLS certification
• NIHSS certification
• Must pass EKG competency testing prior to start
• Ability to work every other weekend, required holidays (minimum 2 of 3 major holidays), and respond during disaster or catastrophic events as part of a Storm/Hurricane Team

Preferred Experience / Skills

• ACLS certification; experience with on-unit telemetry monitoring, post-angiogram, post-cardiac surgery, or post-MI care
• Experience with tracheostomy care, continuous bladder irrigation, port access/management, ABG interpretation, and pre/post thoracic surgery care
• Familiarity with IV insulin protocols, bariatric surgery patients, CVA management, and substance withdrawal
• Previous charge nurse experience, community hospital background, and proficiency with electronic documentation systems including Pyxis

Why Join Us

• First-time travelers are welcome, offering an accessible entry point into travel nursing with self-scheduling flexibility
• Opportunity to work in a dynamic Med/Surg Telemetry environment with a structured orientation and a supportive unit team