Med-Surg/Telemetry RN - ED Holding Float Pool
Wilmington, NC
Revolution Healthcare Services
3x12 hrs, Nights
Referral Bonus

Start Date: March 16, 2026
Location: Wilmington, North Carolina
Compensation: Details provided to qualified applicants
Schedule: Night shift, 36 hours per week, 13-week contract. Every other weekend required. No changes to requested time off after booking.

Highlights:

• ED Holding unit caring for adult medical/surgical patients awaiting inpatient placement; may include PCU-level acuity
• Patient ratios: 1:7 for Med/Surg/Tele patients or 1:4 for PCU-level patients
• Float to Emergency Department and Med/Surg units as needed based on census and skill set
• Epic charting system with Pyxis medication dispensing
• 12-hour orientation with manager-created scheduling
• Fast-paced environment with high acuity and diverse patient diagnoses

Requirements:

• Minimum 2 years of recent RN experience in Med/Surg, Telemetry, or Progressive Care
• Current North Carolina or Compact State RN license (must be active by start date)
• BLS and ACLS certifications required; NIHSS preferred
• Must pass EKG competency testing prior to start
• Strong skills in telemetry monitoring, dysrhythmia interpretation and management, blood product administration, and complex wound care
• Proficiency with feeding tubes, colostomy care, PICC lines, chest tubes, and non-invasive airway management including CPAP/BiPAP and high-flow nasal cannula
• Experience with isolation precautions, rapid response teams, heparin and insulin protocols
• Preferred experience with stroke care, neuro surgery, spinal cord injury, traumatic brain injury, orthopedic trauma, and accessing ports
• Candidates residing within 50 miles may be offered a local rate
• Up to 7 days of requested time off permitted (no RTO during first week or after booking)
• Must work 2 out of 3 major holidays and be available for storm/hurricane team assignments

Why It's a Great Opportunity:
This is an excellent role for experienced nurses who thrive in dynamic, fast-paced environments and enjoy caring for a diverse patient population. You'll work within the Emergency Department supporting critically ill patients transitioning to inpatient care, utilizing your full scope of medical/surgical and telemetry skills while collaborating with an interdisciplinary team including respiratory services, pharmacy, radiology, and rapid response teams. This position offers the opportunity to expand your clinical expertise across multiple care settings with robust float pool experience.