Medical-Surgical Telemetry Registered Nurse
Wilmington, NC
American Traveler
4x12 hrs, Nights

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Jul 13, 2026
• Length: 16 weeks
• Openings: 5

Description

American Traveler is seeking an experienced RN for a Med/Surg Telemetry position requiring at least 2 years of experience, EKG competency, and the ability to work nights with rotating weekend coverage.

Details

• Hospital-based Med/Surg Telemetry unit
• Patient population includes diabetes, dementia, COVID, pneumonia, COPD, sepsis, encephalopathy, GI bleed, anemia, hip fracture, CHF, UTI, surgical recovery, renal failure, hypertension, cellulitis, and failure to thrive
• Patient ratio of 1:6
• Night shift: 18:45–07:15 (4x12-hour shifts)
• Every other weekend required
• Floating may be required to main campus approximately 32 minutes away
• No on-call requirement
• Self-scheduling
• Contract staff may be assigned to a Storm Team and/or Hurricane Team and required to report during catastrophic events, mass casualty incidents, or disasters
• Contracts of 13–20 weeks accepted; 36 or 48 hours per week available
• Uses Pyxis for medication management

Requirements

• Active NC or Compact RN license required (may be pending at time of consideration)
• Current BLS and NIHSS certifications required
• Minimum 2 years of relevant RN experience required
• Proficiency in telemetry including remote monitoring, dysrhythmia interpretation and management
• Experience with bowel obstruction, colostomy/ileostomy management, feeding tube care, hemodialysis management, and renal failure
• IV and vascular access skills required: peripheral line care, central line blood draw, PICC line management, phlebotomy, and starting/maintaining IVs
• Medication administration experience required: heparin, insulin, and PCA
• Respiratory management skills required: BiPAP/CPAP, high-flow nasal cannula (HFNC), nasal cannula, non-invasive airway management, oral suctioning, and oxygen administration
• Experience with chest tubes (Emerson/PleurEvac), wound care, and wound vac required
• Isolation precautions/PPE experience required
• Must be able to work holidays
• Two professional references from a manager or supervisor within the past 2 years required (pending at time of consideration is acceptable)

Additional Information

• First-time travelers are welcome to apply
• Local candidates are accepted; candidates residing within 50 miles of the facility are eligible at a reduced rate
• Must pass an EKG test prior to start
• Orientation is approximately 24 hours; weekly orientation format
• Pre-start modules are required (approximately 8–10 hours for acute care roles); modules must also be completed annually
• RTO is limited to 7 days maximum per contract and may not be taken during the first week of assignment due to orientation; RTO may not fall on a holiday without facility approval
• Candidates must work 2 out of 3 major holidays
• Previous permanent, PRN, or EP employees of Novant Health or New Hanover Regional Medical Center must have a 12-month gap before applying as a traveler; facility rehire approval is required
• Travel pairs are allowed, but each traveler must have their own transportation and be comfortable with potentially different schedules
• Preferred skills include ACLS, on-unit telemetry monitoring, post-angiogram care, post-cardiac surgery, post-MI, IV insulin protocols, bariatric surgery, CBI, port access/management, CVA, substance withdrawal, surgical drains, ABG interpretation, pre/post thoracic surgery, tracheostomy care, charge nurse experience, and community hospital experience
• Navy blue or white scrubs required