Registered Nurse Medical Surgical/Tele

Job Title

Registered Nurse – Medical Surgical / Telemetry (ED Holding / Float Pool)

Location

Wilmington, NC

Schedule / Job Type

Contract | Night Shift (3x12 Hours, 6:45 PM – 7:15 AM) | 36 or 48 hours per week | Onsite

Key Responsibilities

• Provide direct nursing care to adult medical/surgical patients in an ED inpatient holding area while awaiting inpatient bed placement
• Monitor and manage telemetry, including interpretation and management of dysrhythmias, with target ratios of 1:6 for MS/Tele or 1:4 for PCU-level patients
• Float to Emergency Department and Medical/Surgical areas as needed based on unit census and staffing requirements
• Perform and manage clinical skills including blood product administration, PICC line and peripheral line care, chest tube management, CPAP/BiPAP, high-flow nasal cannula, tracheostomy management, and phlebotomy
• Utilize facility systems including electronic health records, medication dispensing systems, and structured communication frameworks for documentation and handoff
• Work every other weekend as required and participate in storm or disaster response teams as assigned

Required Qualifications

• Active RN license in NC or a Compact state
• Minimum of 2 years of RN experience required
• Prior travel nursing experience required
• Current BLS and ACLS certifications
• Demonstrated proficiency in MS/Tele nursing skills including telemetry monitoring, dysrhythmia interpretation, heparin and insulin administration, isolation precautions, and non-invasive airway management
• Must pass EKG testing prior to start

Preferred Experience / Skills

• NIHSS certification and experience with CVA, pre/post neurosurgery, spinal cord injuries, or traumatic brain injury
• Experience with IV insulin protocols, pre/post hemodialysis management, accessing ports, and central line blood draws
• Background in orthopedic trauma, total joint replacements, or wound care/wound vac management

Why Join Us

• Opportunity to work in a dynamic, high-acuity environment with exposure to a broad range of adult medical/surgical diagnoses across multiple care settings
• Extended contract opportunities available through early 2027, providing stability and continuity for travel nurses seeking longer assignments