ED Holding RN
Wilmington, NC
Revolution Healthcare Services
3x12 hrs, Days
Referral Bonus

Start Date: December 7, 2026
Location: Wilmington, North Carolina
Compensation: Details provided to qualified applicants (local candidates within 50 miles receive adjusted compensation)
Schedule: 12-hour day shifts, 36 or 48 hours per week; every other weekend required

Highlights

• Fast-paced ED Observation and Inpatient Holding Unit supporting an Emergency Department with 300+ daily visits
• Patient ratios of 1:5 or 1:6 based on daily census; supported by Monitor Technician, Charge RN, Unit Secretary, and 2-3 CNAs per shift
• Epic electronic medical record system; Pyxis medication management; SBAR communication protocol
• 26-week assignment with comprehensive interdisciplinary support including IV Teams, Respiratory Services, Rapid Response Teams, Pharmacy, and Case Managers
• 12 hours of unit-specific orientation plus 8-10 hours of online pre-start modules
• Opportunity to float to sister facility Emergency Department as needed

Requirements

• Minimum 2 years of acute care nursing experience in Med/Surg, MS/Tele, or Telemetry settings
• Current North Carolina or Compact state RN license
• Required Certifications: ACLS, BLS, NIHSS, MOAB
• Epic charting system experience required
• Must successfully pass EKG competency testing prior to start date
• Flu vaccination required (medical/religious exemptions only)
• Demonstrated competency in cardiac monitoring, dysrhythmia interpretation and management, IV therapy including ports and central lines, blood product administration, wound care/Wound VAC, and respiratory support (BiPAP/CPAP, HFNC, chest tubes)
• Experience with bariatric surgery, feeding tube management, colostomy/ileostomy care, insulin protocols, substance withdrawal, and pre/post neurosurgery patients
• Ability to manage cardiac and vasoactive drips without titration, heparin protocols, and PCA pumps
• Preferred: Teaching hospital, community hospital, or Trauma Level II experience; tracheostomy care skills

Position Details

• Care for medical/surgical adult and geriatric patients, including ED observation status and those awaiting inpatient bed placement
• Dynamic environment requiring flexibility as patients transition quickly from ED to inpatient units
• Navy blue scrubs required
• Up to 7 days of pre-approved time off available (excluding holidays and first week); must work 2 of 3 major holidays
• Contract staff must be available for Storm Team/Hurricane Team assignments and may be required to report during catastrophic events or disasters
• Interview required prior to offer; please provide availability within 72 hours of application
• Former employees of this health system must wait 12 months before applying; current per diem staff are not eligible for travel contracts

Why It's a Great Opportunity

This position offers an exciting blend of emergency and acute care nursing in a high-volume, well-supported environment. You'll work alongside a collaborative team including dedicated Monitor Technicians, Case Managers, and robust ancillary services while caring for diverse patient populations. The fast-paced nature of this unit provides excellent professional growth opportunities for experienced nurses who thrive in dynamic settings and value the challenge of managing complex medical-surgical and observation patients.