Med Surg/Telemetry RN
Wilmington, NC
Access Healthcare
3x12 hrs, Days

Registered Nurse: MS/Tele

Location: Wilmington, North Carolina Employment type: Travel/Contract Contract length: 13 weeks Hours: 36 per week (3 x 12-hour days) Locals accepted: Yes

Required Qualifications

• Valid RN license in North Carolina
• Med Surg / Telemetry experience: 2 years
• Med Surg / Telemetry experience within the last year
• Associate of Science in Nursing / Associate Degree in Nursing
• ACLS (Advanced Cardiac Life Support) issued by American Heart Association or American Red Cross
• BLS issued by American Heart Association or American Red Cross
• NIHSS
• Experience working with cardiac patients
• Interpretation and management of dysrhythmias
• IV insulin protocols
• Bariatric surgery
• Colostomy/ileostomy care
• Experience with feeding tubes
• Continuous bladder irrigation (CBI)
• Pre/post hemodialysis management
• Accessing and managing ports
• Blood product administration
• Experience with Epic

Unit and Patient Details

• Unit: ED Observation unit and Inpatient holding unit. Fast-paced.
• Patients: Adult medical/surgical patients, including ED observation patients and patients waiting for an inpatient bed.
• Workflow: Candidates must be open to patients being moved upstairs quickly and new patients being brought from the ED. The ED sees upwards of 300 patients per day.
• Ratio: 1:6, may be 1:5 depending on patient volume
• Unit support: Charge RN on unit, cardiac telemetry monitor tech within unit, 2-3 CNAs per shift, case managers on unit, HUC
• Equipment: Standard medical equipment, including cardiac monitors and IV pumps
• Systems: Medication: Pyxis. Documentation: Epic. Communication: SBAR.
• Float: Yes, depending on hospital needs

Schedule and Expectations

• Shift: Day shift, 12-hour shifts, 6:45 to 19:15
• Weekends: Every other weekend
• Scheduling: Based on unit needs
• Orientation: 12 hours
• Attendance: RTO after booking is not allowed and cannot be worked out onsite. Call-offs or additional RTO on the unit could result in cancellation and DNR.
• Emergency duty: Contract staff are assigned to the Storm Team and/or Hurricane Team and may be required to report during a catastrophic event, mass casualty, or disaster. Mid-contract consolidation to a centralized office may occur, and staff may be preassigned to units.
• Scrubs: Navy blue
• Interview: Candidates must provide interview availability for the next 72 hours at submission.

Onboarding and Compliance Requirements

• Health:

  • TB: Negative TB test or chest X-ray within 1 year of start. If there is a past positive, provide proof of the past positive test and a chest X-ray within 5 years of start. A TB questionnaire signed by a physician within 30 days of start is required.
  • Rubeola (measles): Titer or 2 vaccines. Declinations are not accepted. Negative or equivocal titers require a facility-specific Hep B declination form.
  • Drug screen: 9-panel or instant, within 6 months of start
  • Flu vaccination for the 2026-27 season is required. Intranasal vaccines are accepted. Exemptions require an approved request.
• Background and identity:

  • Background check within 6 months of start
  • EPLS/GSA/SAM and HHS/OIG checks, required within 30 days of start for non-clinical candidates
  • Photo ID (passport or driver's license)
  • Badge photo, to be sent immediately after signing
• Competencies:

  • Dys