Registered Nurse Medical Surgical/Tele
Location: Wilmington, NC
Profession: Registered Nurse
Posted: 10/23/2026
Salary: $1915/weekly
Weekly Hours: 36
Shift: Nights
Job Details
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) | 36 or 48 hours per week accepted | 13–26 week contracts 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 therapy including IV insulin protocols, heparin, PCA, central line blood draws, PICC line management, peripheral line care, and phlebotomy
- Provide respiratory support including CPAP/BiPAP, High Flow Nasal Cannula (HFNC), non-invasive airway management, oral suctioning, and oxygen delivery systems
- Perform and assist with wound care, wound vac management, colostomy care, feeding tube care, chest tube management, and pre/post hemodialysis management
- Float to other units within or near the facility as needed; 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 RN license in North Carolina or a valid Compact RN license (pending licensure considered for submittal)
- Basic Cardiac Life Support (BCLS) certification required
- Must pass EKG testing prior to start
- Minimum of 2 years of RN experience required
- First-time travelers accepted
- Local candidates are welcome; please note that a local rate applies for candidates residing within 50 miles of the facility
- Must be available for full hospital orientation during week one, including classes each day; unit orientation is approximately 24 hours
- Must be willing to float within and near the facility per unit needs
- Weekend commitment of 12–16 shifts per contract required
- Scrubs: Navy/White
Preferred Experience / Skills
- Experience with on-unit telemetry monitoring, management of dysrhythmias, accessing ports, insulin management, CVA, and surgical drains
- Ability to interpret arterial blood gases (ABGs) and manage tracheostomies
- Familiarity with Epic EMR documentation
- Background in MS/Tele or stepdown-level care
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
- Contracts of varying lengths (13–26 weeks) offer flexibility, and travel pairs are permitted when placed on different units
Apply Now
Career Consultation
Didn't find the job you were looking for? Schedule a free career consultation with one of our recruiters.
Earn When You Refer to iDEAL
Earn a bonus by referring the Education + Healthcare professionals you know. Help others find their dream job & get rewarded for the connection.
Share this job
Related Jobs
The iDEAL Experience
At iDEAL Hire, we’re educators, clinicians, and industry experts who understand the work because we’ve lived it. Some of us have taught in classrooms or cared for patients; others bring decades of experience shaping the healthcare and education staffing world.
That blend of real-world perspective and deep industry insight drives how we serve — connecting mission-driven professionals with schools and facilities nationwide to improve outcomes and strengthen communities.
Proudly 100% Women-Owned (WBENC) and Minority Business Enterprise (MBE) certified, iDEAL Personnel Services is built on diversity, integrity, and the belief that connecting people and creating a path to thrive together is at the heart of all we do.