Registered Nurse Medical Surgical/Tele

Job Title

Registered Nurse – Medical Surgical / Telemetry

Location

Wilmington, NC

Schedule / Job Type

Contract | Days (3x12 Hours, 6:45 AM – 7:15 PM) | 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, managing diagnoses including diabetes, COPD, sepsis, CHF, GI bleed, renal failure, pneumonia, and various surgical recovery cases
• Monitor and interpret cardiac telemetry rhythms, identify and manage dysrhythmias, and utilize remote telemetry monitoring systems
• Perform and manage IV therapy including peripheral line care, PICC line management, central line blood draws, phlebotomy, and administration of blood products, heparin, insulin, and PCA
• Provide respiratory support including BiPAP/CPAP management, high flow nasal cannula, oxygen administration, oral suctioning, and non-invasive airway management
• Deliver wound care including wound vac management, colostomy/ileostomy care, feeding tube management, and chest tube care
• Participate in float assignments as required, adhere to weekend rotation (every other weekend), and be available to serve on Storm Team and/or Hurricane Team during catastrophic events or disasters

Required Qualifications

• Active RN license in North Carolina or a valid Compact state license
• Minimum of 2 years of Med/Surg or Med/Surg Telemetry experience
• Current BLS certification
• NIHSS certification
• Ability to interpret and manage dysrhythmias; must pass EKG testing prior to start
• Must be available to work holidays (minimum 2 of 3 major holidays per contract) and every other weekend; no block schedules unless a weekend block

Preferred Experience / Skills

• ACLS certification; experience with on-unit telemetry monitoring, post angiogram, post cardiac surgery, post MI care, and IV insulin protocols
• Experience with tracheostomy care, continuous bladder irrigation, accessing and managing ports, arterial blood gas interpretation, and pre/post thoracic surgery care
• Background in bariatric surgery, CVA management, substance withdrawal, and surgical drain management
• Previous charge nurse experience, community hospital background, and proficiency with electronic documentation

Why Join Us

• First-time travelers are welcome, and local candidates are accepted, offering flexibility for a range of nursing professionals
• Self-scheduling model with a structured 24-hour unit orientation to support a smooth transition into the role