Job Title Registered Nurse – ER Holding Location Wilmington, NC | Emergency Department / Inpatient Holding Schedule / Job Type Contract | Days | 12-hour shifts (3x12 or 4x12) | 26-week assignment | Every other weekend required Key Responsibilities • Provide direct nursing care to adult medical/surgical patients and ED observation patients awaiting inpatient bed placement or in observation status within a fast-paced ED holding and inpatient holding unit • Perform cardiac telemetry monitoring, interpret and manage dysrhythmias, and coordinate with Rapid Response and Code teams as needed • Manage IV therapy including central lines, PICC lines, port access, blood product administration, and administer medications including heparin, insulin, cardiac drips (no titration), vasoactive drips (no titration), and PCA • Provide respiratory support including BiPAP/CPAP, HFNC, chest tube management, and oxygen administration; perform wound care including Wound VAC management • Maintain accurate and timely documentation using Epic; communicate using SBAR methodology and utilize Pyxis for medication management • Float to other units based on hospital needs; may be assigned to a Storm Team or Hurricane Team and expected to report during catastrophic events, mass casualty incidents, or disasters Required Qualifications • Minimum 2 years of RN experience in Med/Surg, MS/Telemetry, or Telemetry settings • Active RN license in North Carolina or a Compact state (license pending acceptable for submission) • Required certifications: ACLS, BLS, NIHSS, MOAB • Proficiency with Epic documentation • Experience with continuous bladder irrigation, colostomy/ileostomy care, feeding tube management, pre/post hemodialysis, renal failure, CVA, and substance withdrawal management • Local candidates are welcome; candidates within 50 miles of the facility should be aware that a local rate applies Preferred Experience / Skills • Experience with thyroidectomy care, mood disorders, or traumatic brain injury patients • Tracheostomy care and management • Background in a teaching hospital, community hospital, or Trauma Level II facility Why Join Us • Work in 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 offering consistent scheduling with expected 36 or 48 hours per week based on unit needs