ER Holding RN
Wilmington, NC
Revolution Healthcare Services
3x12 hrs, Nights
Referral Bonus

Start Date: November 30, 2026

Location: Wilmington, North Carolina

Compensation: Details provided to qualified applicants (local candidates within 50 miles subject to rate difference)

Schedule: 12-hour shifts, 36 or 48 hours per week accepted, every other weekend required. Patient ratios of 1:5 or 1:6 based on volume. 26-week contract offered.

Highlights:

• Fast-paced ED observation and inpatient holding unit within a high-volume emergency department seeing 300+ patients daily
• Work with a collaborative team including charge RN, cardiac telemetry monitor technicians, 2-3 CNAs per shift, case managers, and unit secretary
• Epic documentation system with Pyxis medication management and comprehensive interdisciplinary support services
• Diverse patient population including medical/surgical adult diagnoses, ED observation patients, and those awaiting inpatient bed placement
• Opportunity to float to sister facilities as needed for professional growth
• 12-hour orientation with navy blue scrub requirement

Requirements:

• Active North Carolina or Compact state RN license
• Minimum 2 years of RN experience in Med/Surg, MS/Tele, or Telemetry settings
• Current certifications: ACLS, BLS, NIHSS, MOAB
• Epic charting system experience required
• Proficiency in cardiac monitoring, dysrhythmia interpretation and management, on-unit and remote telemetry monitoring
• Experience with IV insulin protocols, bariatric surgery care, bowel obstruction management, colostomy/ileostomy care, and feeding tube management
• Competency in continuous bladder irrigation, pre/post hemodialysis management, and renal failure care
• Advanced IV therapy skills including port access/management, blood product administration, central line blood draws, PICC line management, and peripheral line care
• Medication administration experience with heparin, insulin, cardiac drips (no titration), vasoactive drips (no titration), and PCA pumps
• Neurological care experience including CVA, pre/post neurosurgery, and substance withdrawal management
• Respiratory competencies: chest tube management (Emerson/PleurEvac), BiPAP/CPAP, high flow nasal cannula, oxygen administration, and oral suctioning
• Wound care/Wound VAC and isolation precautions/PPE protocols
• Ability to work during catastrophic events, mass casualty situations, or disasters as part of Storm Team/Hurricane Team
• Flu vaccine required (medical/religious exemptions only)
• Willingness to complete 8-10 hours of pre-start online modules (non-billable)

Preferred Qualifications:

• Experience with thyroidectomy, mood disorders, traumatic brain injury, and tracheostomy care/management
• Teaching hospital, community hospital, or Trauma Level II facility experience

Why It's a Great Opportunity:

This dynamic ED observation and holding unit offers the perfect blend of emergency and medical-surgical nursing in a high-acuity, fast-paced environment. You'll gain valuable experience managing diverse patient populations while working alongside a supportive interdisciplinary team that includes respiratory services, pharmacy, rapid response teams, and dedicated unit support staff. The role offers professional growth through exposure to complex medical conditions, advanced cardiac monitoring, and critical thinking opportunities in a setting where patient turnover is rapid and clinical skills are continuously sharpened.

Additional Information:

• Local candidates accepted (those residing within 50 miles)
• Up to 7 days of pre-approved time off available (no holidays); must work 2 of 3 major holidays
• No additional time off requests permitted after contract signing
• Former employees must wait 12 months before applying and disclose previous employment
• Interview required prior to offer; please provide availability within 72 hours of application
• All credentialing and testing must be completed within 48 hours of contract signing