Registered Nurse Medical Surgical/Tele

Job Title

Registered Nurse – Medical Surgical / Telemetry

Location

Wilmington, NC | Acute Care

Schedule / Job Type

Contract | Nights | 3x12-Hour Shifts (18:45–07:15) | 36- or 48-hour contracts accepted | Onsite

Key Responsibilities

• Provide direct patient care on a Medical Surgical/Telemetry unit with a 1:6 patient ratio, managing diagnoses including diabetes, CHF, sepsis, COPD, GI bleed, renal failure, pneumonia, and various surgical recovery cases
• Perform telemetry monitoring including interpretation and management of dysrhythmias and remote telemetry surveillance
• Manage and maintain central lines, PICC lines, peripheral IVs, chest tubes, BiPAP/CPAP, high-flow nasal cannula, and wound care/wound vac
• Administer blood products, heparin, insulin, and PCA; perform phlebotomy and central line blood draws
• Float to other Medical Surgical units and to the main campus facility as required
• Participate in Storm Team and/or Hurricane Team assignments; may be required to report during catastrophic events, mass casualty incidents, or disasters

Required Qualifications

• Active NC RN license or valid Compact RN license (pending licensure acceptable at time of submission)
• BLS certification required
• NIHSS certification required
• Must pass EKG testing prior to start
• Minimum 2 years of Medical Surgical/Telemetry RN experience required
• Must be available to work every other weekend, holidays (must work 2 of 3 major holidays), and cannot request blocked scheduling (except for weekend blocks Friday–Monday)
• Local candidates within 50 miles of the facility are welcome to apply; a local rate will apply

Preferred Experience / Skills

• Charge nurse experience preferred
• Experience with pre/post hemodialysis management and renal failure care
• Familiarity with Pyxis, EPIC, and SBAR communication framework
• Experience with isolation precautions, colostomy/ileostomy care, and feeding tube management

Why Join Us

• First-time travelers are welcome, offering an accessible entry point into travel nursing within a well-established acute care environment
• Longer contract extensions through early 2027 may be available, providing potential for extended placement stability