MS/Telemetry RN - ED Holding Support
Wilmington, NC
American Traveler
4x12 hrs, Days

Assignment Overview

• Shift: Days, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Jul 27, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a float pool ED Holding/MS Tele position requiring at least 2 years of experience and the ability to manage high-acuity adult medical/surgical patients across multiple units.

Details

• This is an ED Holding support position located within a hospital float pool, where patients in the Emergency Department await inpatient bed placement
• Patient population includes adult medical/surgical diagnoses, with potential for PCU-level acuity
• Travelers are expected to float to ED and MedSurg areas as needed in addition to primary ED Holding duties
• Target patient ratios are 1:6 for MS/Tele patients and 1:4 for PCU-level patients
• Day shift, 6:45 AM – 7:15 PM, with the option to work 36 or 48 hours per week
• Every other weekend is required
• EMR system is Epic; medication dispensing via Pyxis; communication using SBAR
• Cardiac monitors, IV pumps, and other standard monitoring equipment are used on the unit
• Unit orientation is 12 hours, with 8–10 hours of pre-start online modules also required
• Schedule is manager-assigned

Requirements

• Active NC RN license or compact RN license (may be pending at time of consideration)
• Current BLS and ACLS certifications (may be pending at time of consideration)
• Minimum 2 years of relevant RN experience required
• Proficiency in MS/Tele skills including interpretation and management of dysrhythmias, telemetry monitoring (unit and remote), and use of Rapid Response Teams
• Required clinical skills include: colostomy care, feeding tube care and management, renal failure management, blood product administration, peripheral line care, phlebotomy, PICC line management, heparin and insulin administration, isolation precautions, chest tube management (Emerson/Pleur-evac), CPAP/BiPAP, HFNC, ABG interpretation, nasal cannula and oxygen mask use, oral suctioning, portable oxygen, and tracheostomy management
• Must pass an EKG test prior to assignment start
• Two professional manager/supervisor references from within the past 2 years required (pending at time of consideration is acceptable)

Additional Information

• Preferred skills include: NIHSS, IV insulin protocols, pre/post hemodialysis management, port access, central line blood draws, IV starts, CVA care, pre/post neuro surgery, spinal cord injury, TBI, ortho trauma, total joint replacements, and wound care/wound vac
• Contract staff are assigned to a Storm Team and/or Hurricane Team and may be required to report during catastrophic events, mass casualty incidents, or disasters
• Candidates must be prepared to work 2 out of 3 major holidays
• RTO of up to 7 days may be approved as long as it does not fall on a holiday; no RTO is permitted during the first week of the assignment (orientation)
• Former permanent, PRN, or employee pool staff of this health system must wait 12 months before being considered for a travel assignment; facility rehire approval is required
• Navy scrubs are required
• Local candidates within 50 miles of the facility are accepted
• Travel pairs are allowed, provided each traveler has their own transportation and is comfortable with potentially different schedules
• Contract extensions beyond 13 weeks are available for interested candidates
• First-time travelers are not required for this position
• All candidates will be interviewed prior to placement due to the high-acuity, mixed nature of the unit