Job Title Registered Nurse – Medical Surgical / Telemetry Location Wilmington, NC | Acute Care Schedule / Job Type Contract | Full-Time | Onsite | Days | 3x12-hour shifts (6:45 AM – 7:15 PM) | Every other weekend required Key Responsibilities • Provide direct nursing care to adult medical/surgical and ED observation patients in a fast-paced inpatient holding and ED observation unit that sees high daily patient volumes • Perform cardiac monitoring including interpretation and management of dysrhythmias, remote telemetry monitoring, and coordination with Rapid Response and Code teams • Administer and manage IV therapy including blood products, heparin, insulin protocols, cardiac drips (no titration), vasoactive drips (no titration), and PCA; manage central lines, PICC lines, and ports • Provide care for patients with gastrointestinal, genitourinary, neurological, and respiratory conditions including chest tube management, BiPAP/CPAP, HFNC, colostomy/ileostomy care, CBI, and wound VAC • Document all patient care accurately using Epic; communicate using SBAR methodology and administer medications via Pyxis • Float to other units based on hospital needs; expected to participate on Storm Team and/or Hurricane Team and may be required to report during catastrophic events, mass casualty incidents, or disasters Required Qualifications • Active RN license in North Carolina or a Compact state (pending licensure acceptable at time of submission) • Minimum 2 years of experience in Med/Surg, MS/Tele, or Telemetry settings • Required certifications: ACLS, BLS, NIHSS, and MOAB • Proficiency with Epic documentation is required • Must be open to floating within and near the facility based on unit needs • Local candidates are welcome; please note that a local rate applies for candidates residing within 50 miles of the facility Preferred Experience / Skills • Experience with thyroidectomy care, mood disorders, or traumatic brain injury patients • Tracheostomy care and management experience • Background in a teaching hospital, community hospital, or Trauma Level II facility Why Join Us • Work in a dynamic, high-volume unit supported by a dedicated care team including a Charge RN, monitor technician, HUC, CNAs, and case managers • Gain diverse clinical experience managing a broad range of adult medical/surgical and observation patients in an active acute care environment