Travel Nurse RN - ED - Emergency Department
Wilmington, NC
Wellspring Nurse Source
4x12 hrs, Days

Job Details

This position involves working in a fast-paced Medical/Surgical and Telemetry unit. The responsibilities include monitoring patient conditions and coordinating care for medical and surgical adult diagnoses, particularly for patients in the Emergency Department awaiting inpatient beds or those under Observation status.

Key Responsibilities

• Provide care in Med/Surg, MS/Tele, and Telemetry settings.
• Interpret and manage dysrhythmias, on-unit and remote telemetry monitoring, and facilitate Rapid Response/Code team interventions.
• Administer IV insulin protocols and manage endocrine/metabolic conditions.
• Perform procedures related to gastrointestinal care, including bariatric surgery, bowel obstruction, and colostomy/ileostomy management.
• Monitor and manage genitourinary and renal conditions, including continuous bladder irrigation and pre/post hemodialysis care.
• Conduct IV therapy and phlebotomy, including accessing and managing ports, blood product administration, and maintaining central and peripheral lines.
• Administer medications, including heparin, insulin, and various cardiac and vasoactive drips without titration.
• Address neurological and psychiatric conditions, including management of CVA and substance withdrawal.
• Utilize respiratory support equipment and manage oxygen therapy, chest tubes, and noninvasive airway management.
• Implement isolation precautions, PPE, and wound care, including Wound VAC usage.
• Document patient care using Epic and communicate effectively through SBAR.

Required Skills and Certifications

• Minimum of 2 years of nursing experience.
• ACLS, BLS, NIHSS, and MOAB certifications are mandatory.
• Experience with cardiac monitoring and emergency response protocols is essential.
• Familiarity with IV therapy, phlebotomy, and medication administration is required.
• Strong documentation skills, particularly using Epic.

Preferred Skills and Experience

• Experience in a teaching hospital or community setting is preferred.
• Exposure to trauma care in a Level II facility is a plus.
• Additional knowledge of thyroidectomy procedures and tracheostomy care is beneficial.

Work Environment and Expectations

• Patient-to-nurse ratio is generally 1:6, potentially 1:5 depending on volume.
• Shifts are 12 hours, with weekend work required every other weekend.
• Contract staff may be expected to engage with Storm and Hurricane Teams, reporting to work during catastrophic events or disasters.
• Orientation will last for 12 hours.

Special Equipment

Candidates will be working with standard medical equipment, including cardiac monitors and IV pumps.

Scrubs

Navy blue scrubs are required for this position.

Interview Availability

Interviews will be conducted, and candidates must provide availability within the next 72 hours.