Job Title Registered Nurse – Medical Surgical / Telemetry Location Wilmington, NC | Acute Care Schedule / Job Type Contract | Full-Time | Nights | 3x12-Hour Shifts (18:45–07:15) | Onsite Key Responsibilities • Provide direct nursing care to adult medical/surgical patients, ED observation patients, and inpatient holding patients in a fast-paced environment where patient assignments may change rapidly as beds become available • Perform cardiac monitoring, interpret and manage dysrhythmias, and coordinate with Rapid Response and Code teams as needed • Manage a broad range of clinical skills including IV therapy, PICC and central line care, blood product administration, chest tube management, and respiratory support (BiPAP/CPAP, HFNC, oxygen administration) • Administer and monitor medications including heparin, insulin protocols, cardiac drips (no titration), vasoactive drips (no titration), and PCA • Provide specialized care including colostomy/ileostomy management, continuous bladder irrigation, wound care, and Wound VAC management • Document all patient care accurately using Epic EHR; communicate using SBAR methodology and adhere to isolation precautions and PPE protocols Required Qualifications • Active RN license in North Carolina or a valid Compact RN license (license pending is acceptable at time of submission) • Minimum 2 years of RN experience in a Med/Surg, MS/Tele, or Telemetry setting • Required certifications: ACLS, BLS, NIHSS, and MOAB • Proficiency with Epic EHR documentation • Must be open to floating within or near the facility based on hospital needs • Must be available to work every other weekend and two of three major holidays; no time-off requests during the first week of assignment • Local candidates are welcome to apply Preferred Experience / Skills • Experience in a teaching hospital, community hospital, or Trauma Level II facility • Neurological/psychiatric experience including mood disorders and traumatic brain injury • Endocrine experience including thyroidectomy patient care • Respiratory experience including tracheostomy care and management Why Join Us • Work in a dynamic, high-volume acute care environment supported by a multidisciplinary team including a Charge RN, cardiac telemetry monitor technicians, HUC, CNAs, and case managers • Gain exposure to a wide variety of complex adult diagnoses and procedures in a facility that sees a high daily patient volume