Medical-Surgical Telemetry Nurse - ED Holding
Wilmington, NC
Concentric Healthcare Staffing
3x12 hrs, Days

Job Title

Registered Nurse – Medical Surgical / Telemetry (ED Holding / Float Pool)

Location

Wilmington, NC

Schedule / Job Type

Contract | Days (3x12-hour shifts, 6:45 AM – 7:15 PM) | 36 or 48 hours per week | Onsite | Every other weekend required

Key Responsibilities

• Provide direct patient care in an inpatient holding area located within the Emergency Department, managing adult patients awaiting inpatient bed placement with any medical/surgical diagnosis
• Monitor and interpret cardiac telemetry, manage dysrhythmias, and respond appropriately using Rapid Response Team protocols
• Float to Medical/Surgical and Emergency Department areas as needed, including caring for PCU-level patients at appropriate acuity ratios (1:6 MS/Tele or 1:4 PCU)
• Perform and manage clinical skills including blood product administration, PICC and peripheral line care, chest tube management, CPAP/BiPAP, high-flow nasal cannula, tracheostomy care, and colostomy and feeding tube management
• Document accurately using Epic, communicate via SBAR, and administer medications using Pyxis
• Be available and prepared to report to work during catastrophic events, mass casualty incidents, or disasters as part of a Storm or Hurricane Team assignment

Required Qualifications

• Active RN license in North Carolina or a valid Compact state license
• Minimum of 2 years of RN experience in a Medical/Surgical or Telemetry setting
• Current BLS and ACLS certifications
• Demonstrated proficiency in telemetry monitoring (on-unit and remote), dysrhythmia interpretation and management, and non-invasive airway management
• Experience with heparin and insulin drip management, isolation precautions, phlebotomy, and ABG interpretation
• Must pass EKG competency testing prior to start

Preferred Experience / Skills

• NIHSS certification; experience with CVA, pre/post neurosurgery, spinal cord injuries, or traumatic brain injury
• Experience with IV insulin protocols, pre/post hemodialysis management, port access, and central line blood draws
• Orthopedic trauma, total joint replacement, and wound care/wound vac experience
• Familiarity with starting IVs independently in high-acuity environments

Why Join Us

• Work in a dynamic, high-acuity float pool environment that offers broad clinical exposure across Medical/Surgical, Telemetry, PCU-level, and Emergency Department patient populations
• Local candidates are welcome to apply, providing an opportunity to gain contract experience close to home