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

Start Date: April 27, 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. 12-hour orientation provided.

Highlights:

• ED Holding unit supporting inpatient bed placement for adult medical/surgical patients
• Float pool position with flexibility to support Emergency Department and Medical/Surgical areas as needed
• Patient ratios: 1:6 for MS/Tele level or 1:4 for PCU level acuity
• High-acuity, fast-paced environment managing diverse diagnoses including cardiac, renal, neuro, and ortho trauma
• Epic charting system with Pyxis medication management and standard cardiac monitoring equipment
• Interdisciplinary support including Respiratory Services, Rapid Response Teams, Pharmacy, and Social Services

Requirements:

• Active RN license (North Carolina or Compact state license)
• Minimum 2 years of acute care nursing experience required
• BLS and ACLS certifications required; NIHSS preferred
• Must pass EKG testing prior to start date
• Strong skills in MS/Tele, telemetry monitoring, dysrhythmia interpretation and management
• Competency in blood product administration, feeding tube management, chest tubes, BiPAP/CPAP, high flow nasal cannula, and isolation precautions
• Experience with colostomy care, PICC lines, peripheral line management, phlebotomy, heparin and insulin protocols
• Preferred experience with IV insulin protocols, hemodialysis management, port access, CVA, neuro and ortho trauma, and wound care
• Comfortable with floating to Emergency Department and Medical/Surgical units based on census and patient needs
• Epic charting experience preferred
• Flu vaccination required (medical/religious exemptions only)

Why It's a Great Opportunity:

This role offers dynamic clinical experience in a high-acuity environment where you'll care for diverse patient populations transitioning from the Emergency Department to inpatient care. You'll work alongside a collaborative interdisciplinary team and build critical skills across multiple specialty areas including cardiac, pulmonary, renal, and trauma care. The fast-paced nature of this position provides exceptional professional growth for nurses ready to expand their clinical expertise while making a meaningful impact on patient outcomes during critical transitions of care.