ER Holding RN
Wilmington, NC
Concentric Healthcare Staffing
3x12 hrs, Nights

Candidates residing within 50–100 miles of the facility may be subject to a reduced rate or may not be accepted.

Applicants must have worked in this unit or setting within the past year to be considered for this position.

Job Title

Registered Nurse – Emergency Room / ED Observation

Location

Wilmington, NC | Acute Care

Schedule / Job Type

Contract | Night Shift | 12-Hour Shifts (6:45 PM – 7:15 AM) | 3x12 per week | 26-Week Assignment

Key Responsibilities

• Provide direct nursing care to adult medical/surgical patients, ED observation patients, and inpatient holds within a fast-paced ED Observation and Inpatient Holding unit that supports upwards of 300 patient visits per day
• Monitor and manage cardiac telemetry, including interpretation of dysrhythmias and coordination with Rapid Response and Code teams
• Administer and manage IV therapies including heparin, insulin protocols, cardiac drips (no titration), vasoactive drips (no titration), and PCA; perform phlebotomy and manage central lines, PICC lines, and ports
• Provide care for patients with complex diagnoses including renal failure, CVA, bariatric surgery, bowel obstruction, and substance withdrawal; manage respiratory support modalities including BiPAP/CPAP, HFNC, and chest tubes
• Document all patient care accurately using Epic EHR; communicate using SBAR methodology and utilize Pyxis for medication management
• Float to other units based on hospital needs; participate in Storm Team and/or Hurricane Team assignments as required during catastrophic events, mass casualty incidents, or disasters

Required Qualifications

• Active RN license in North Carolina or a Compact state (pending licensure acceptable at time of submission)
• Minimum of 2 years of RN experience in a Med/Surg, MS/Telemetry, or Telemetry setting
• Required certifications: ACLS, BLS, NIHSS, and MOAB
• Proficiency with Epic EHR documentation
• Experience with cardiac monitoring, telemetry, and a broad range of clinical skills including wound care, isolation precautions, and respiratory management
• Local candidates residing within 50 miles of the facility are welcome to apply; a lower rate applies for local candidates

Preferred Experience / Skills

• Experience in a teaching hospital, community hospital, or Trauma Level II facility
• Neurological/psychiatric experience including mood disorders and traumatic brain injury
• Endocrine experience including thyroidectomy care
• Respiratory experience including tracheostomy care and management

Why Join Us

• Join a high-volume, dynamic ED Observation and Inpatient Holding unit supported by a collaborative team including a Charge RN, Monitor Tech, HUC, CNAs, and Case Managers
• Expected schedule of 36–48 hours per week with every-other-weekend rotation, offering flexibility within a structured 26-week contract engagement