Medical Surgical RN
Wilmington, NC
Revolution Healthcare Services
4x12 hrs, Nights
Referral Bonus

Start Date: September 8, 2026

Location: North Carolina

Compensation: Details provided to qualified applicants

Schedule: 12-hour night shifts, 36 or 48 hours per week; every other weekend required; patient ratios 1:6-7

Highlights:

• Specialized trauma unit caring for patients with severe orthopedic injuries, traumatic brain injuries, spine injuries, and neurological trauma
• Advanced skill development including heparin drips, blood product administration, central line management, chest tubes, and wound care
• Epic charting system with comprehensive 28-hour orientation (12 hours unit-specific, 16 hours organizational education)
• Collaborative interdisciplinary support including IV teams, physical therapy, respiratory services, rapid response teams, and pharmacy
• First-time travelers accepted; local candidates welcome
• Opportunities to work with external fixators, chest tubes, and advanced monitoring equipment

Requirements:

• Active RN license (North Carolina or Compact state license)
• Minimum 2 years of recent experience (within last 5 years) in acute care nursing
• BLS certification required; ACLS strongly preferred
• Epic documentation experience required
• Must be comfortable with patient ratios of 1:6-7
• Proficiency in heparin drips, PCA management, colostomy care, feeding tube care and management, blood product administration
• Competency in central line care/management, peripheral line care/management, phlebotomy, PICC line management, IV starts
• Experience with dysrhythmia management, oxygen protocol management, non-invasive airway management, isolation precautions
• Knowledge of traumatic brain injury care, ortho trauma, surgical drains, chest tubes, tracheostomy management, and wound care
• Must pass EKG testing prior to start date
• Willingness to float to similar units and alternate care locations as needed
• Availability to work as part of Storm Team/Hurricane Team during catastrophic events if required
• Flu vaccine required (medical/religious exemptions only)

Preferred Qualifications:

• ACLS certification
• Experience with interpretation of dysrhythmias, pre/post hemodialysis management, management of drips
• CVA, pre/post neurosurgery, and spinal cord injury experience

Why It's a Great Opportunity:

This position offers registered nurses the chance to expand their clinical expertise in a fast-paced trauma environment while caring for patients recovering from severe orthopedic and neurological injuries. With comprehensive interdisciplinary support and access to advanced equipment and treatment modalities, you'll be part of a dedicated team making a meaningful difference in patient recovery and rehabilitation. The facility provides thorough orientation and ongoing educational support to ensure your success in this challenging and rewarding specialty.