Medical-Surgical RN
Wilmington, NC
PRIDE Health
3x12 hrs, Nights
Referral Bonus

Registered Nurse – Medical Surgical

Location: Wilmington, North Carolina
Employment Type: Travel/Contract
Contract Length: 13 weeks (approximately 3 months)
Shift: Night (3 shifts of 12 hours each, 18:45–7:15)
Hours per Week: 36 hours

Job Description

• Patient population includes severe injuries to bones, joints, soft tissue, traumatic brain injuries, spine injuries, neurological trauma/nerve damage, and subdural hematoma.
• Unit systems used: Pyxis, EPIC, SBAR.
• Target nurse-to-patient ratio: 1:6-7 (must be comfortable with this ratio).
• Floating required to similar units and alternate care locations including inpatient holding.
• Weekend assignment: every other weekend.
• Contract staff may be assigned to Storm Team and/or Hurricane Team and may be required to report during catastrophic events, mass casualty, or disaster.
• Orientation includes 12-hour unit orientation and 16 hours of organizational education.
• Scrubs color: Navy.
• Must pass EKG competency testing prior to start.

Required Skills and Experience

• Valid Registered Nurse (RN) license in North Carolina.
• Minimum 2 years of Med Surg / Telemetry nursing experience, with at least 1 year within the last year.
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN).
• Basic Life Support (BLS) certification issued by the American Heart Association or American Red Cross.
• Experience managing patient-controlled analgesia (PCA).
• Colostomy care.
• Phlebotomy skills.
• PICC line management.
• Management of dysrhythmias.
• Non-invasive airway management.
• Tracheostomy management.
• Experience with EPIC electronic health record system.

Preferred Skills and Certifications

• Advanced Cardiac Life Support (ACLS)
• Interpretation of dysrhythmias
• Pre/Post hemodialysis management
• Management of drips
• Care for cerebrovascular accident (CVA) patients
• Pre/Post neurosurgery care
• Spinal cord injury management

Work Details

• Shift length options: 36 or 48 hours per week (if 48 hours, overtime billed only after 48 hours).
• Return to Office (RTO) after booking is not allowed and cannot be worked out onsite; excessive call-offs or additional RTO may result in cancellation.
• Maximum 7 days allowed for auto-offer acceptance.
• Must be comfortable with night shift and patient acuity.
• May be consolidated to centralized office mid-contract and preassigned to units as needed.

Required Documentation and Compliance

• Background check within 6 months for clinical candidates.
• Drug screening (9-panel) within 6 months of start.
• Negative TB test or chest X-ray within 1 year of start; if past positive TB, additional documentation required.
• Immunizations and titers required: Measles (Rubeola), Mumps, Rubella, Hepatitis B, Varicella.
• Physical exam required per travel agency standards (not client-mandated).
• Flu vaccination or approved exemption required during flu season; exemptions require mask-wearing.
• Medication safety training certificate required.
• Competency exams including Dysrhythmia/EKG competency (must score 82% or higher; remediation process in place).
• Color blindness testing within 1 year.
• Skills checklist or equivalent competency verification.
• References required for new contracts.
• Performance evaluation required if worked with agency over 1 year.
• Various facility-specific education and compliance trainings required prior to or during assignment.
• Photo for badge required immediately after signing contract (passport style, white background, business attire).

Additional Notes

• Must complete all required certifications and competencies prior to start.
• Floating to similar units and inpatient holding areas expected.
• Must be able to work in a fast-paced, high-acuity environment with complex patient needs.
• Night shift requires adaptability to working overnight hours consistently.
• Contract staff may be required to respond to emergency situations such as storms or disasters.

This position is ideal for RNs with solid medical-surgical experience who are comfortable with telemetry-level patient care, complex line management, and working night shifts in a high-acuity trauma and surgical environment.