Job Title Registered Nurse – ER Holding Location Wilmington, NC | Acute Care / Emergency Department Holding Schedule / Job Type Contract | Night Shift (3x12-hour shifts, 18:45–07:15) | 26-week assignment | Onsite Key Responsibilities • Provide direct nursing care to adult medical/surgical patients and ED observation patients awaiting inpatient bed placement or under observation status within a fast-paced ED holding and inpatient holding unit • Perform cardiac telemetry monitoring, interpret and manage dysrhythmias, and utilize Rapid Response and Code team protocols • Manage IV therapy including accessing and maintaining ports, PICC lines, central lines, blood product administration, and vasoactive/cardiac drips (no titration) • Provide respiratory support including BiPAP/CPAP, HFNC, chest tube management, and non-invasive airway management • Deliver wound care, isolation precautions/PPE, and manage gastrointestinal and genitourinary needs including CBI and feeding tube care • Document all patient care accurately using Epic EHR; communicate using SBAR methodology and administer medications via Pyxis Required Qualifications • Active RN license in North Carolina or a Compact state (license pending acceptable at submission) • Minimum 2 years of RN experience in Med/Surg, MS/Telemetry, or Telemetry settings • Required certifications: ACLS, BLS, NIHSS, and MOAB • Proficiency with Epic electronic health records documentation • Ability and willingness to float within or near the facility based on hospital needs • Must be available to work every other weekend and 2 of 3 major holidays; no RTO during the first week of assignment • Local candidates are welcome; candidates residing within 50 miles of the facility are eligible at an adjusted local rate Preferred Experience / Skills • Experience in a teaching hospital, community hospital, or Trauma Level II facility • Neurological experience including traumatic brain injury and mood disorders • Tracheostomy care and management • Endocrine/metabolic experience including thyroidectomy patient care Why Join Us • Join a high-volume, dynamic ED holding environment supported by a collaborative team including a Charge RN, Monitor Tech, HUC, CNAs, and Case Managers • 26-week contract with expected 36–48 hours per week, offering meaningful clinical experience in a fast-paced acute care setting