Med-Surg/Telemetry Registered Nurse
Wilmington, NC
Revolution Healthcare Services
3x12 hrs, Nights
Referral Bonus

Start Date: June 15, 2026
Location: Wilmington, North Carolina
Compensation: Details provided to qualified applicants
Schedule: Night shift, 36 hours per week, 13-week contract available. Every other weekend required. 12-hour orientation provided.

Highlights:

• ED Holding support position within Float Pool serving patients awaiting inpatient bed placement
• Patient ratios: 1:6 for MS/Tele patients or 1:4 for PCU-level acuity
• Diverse case mix including adult medical/surgical diagnoses with potential PCU-level patients
• Epic EMR system with Pyxis medication management and standard monitoring equipment
• Float opportunities to Emergency Department and Medical/Surgical areas based on unit needs
• Maximum 7 days RTO allowed; must work 2 out of 3 major holidays

Requirements:

• Active RN license (North Carolina or Compact state)
• Minimum 2 years of nursing experience in MS/Tele or similar acute care setting
• BLS and ACLS certifications required; NIHSS preferred
• Must pass EKG testing prior to start date
• Core skills: telemetry monitoring and interpretation, dysrhythmia management, blood product administration, feeding tube and colostomy care, peripheral and PICC line management, heparin and insulin protocols, respiratory support (CPAP/BiPAP, high-flow nasal cannula), chest tube management, phlebotomy, and isolation precautions
• Preferred skills: IV starts, central line management, accessing ports, pre/post hemodialysis care, CVA care, neurosurgery patients, ortho trauma, total joint replacements, and wound care/wound vac experience
• Epic charting experience preferred
• Willingness to float to ED and Med/Surg units as needed based on census and skill set
• Flu vaccine required (medical/religious exemptions only)

Why It's a Great Opportunity:

This fast-paced ED Holding position offers exposure to a wide variety of adult medical and surgical diagnoses in a dynamic environment where you'll care for patients transitioning from emergency to inpatient care. You'll work alongside an interdisciplinary team including respiratory services, radiology, pharmacy, social services, and rapid response teams, utilizing your critical thinking skills across multiple care settings. This role is ideal for experienced nurses who thrive in diverse clinical environments and want to expand their skill set while making a meaningful impact on patient outcomes during a critical phase of their hospital journey.