Medical Surgical Telemetry Registered Nurse
Wilmington, North Carolina
New Hanover Regional Medical Center

Travel Registered Nurse – Medical Surgical

Location: Wilmington, North Carolina
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Summary

• Provide nursing care on a Medical Surgical unit with Telemetry remote monitoring.
• Patient diagnoses include dementia, diabetes, COVID, pneumonia, COPD, sepsis, encephalopathy, GI bleed, anemia, hip fracture, and typical medical/surgical cases.
• Unit includes isolation area for COVID patients and multi-level care including stepdown (staffed by stepdown nurses).
• Target nurse-to-patient ratio: 1:5-6.
• Shift: 12-hour night shifts (18:45–7:15), 36 or 48 hours per week accepted.
• Floating between units required.
• Weekend shifts: 12-16 per contract.
• Must participate in Storm/Hurricane Team and may be required to work during catastrophic events or disasters.
• Orientation: 24 hours unit orientation plus hospital orientation week one with mandatory daily classes.
• Scrubs: Navy or white.
• Must pass EKG competency testing prior to start.

Required Skills & Experience

• Valid Registered Nurse (RN) license in North Carolina
• Minimum 2 years of Medical Surgical and Telemetry nursing experience, with at least some experience within the last year
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• BLS (Basic Life Support) certification issued by the American Heart Association or American Red Cross

Preferred Skills

• Medical/Surgical Telemetry experience on the unit
• Management of dysrhythmias
• Accessing ports
• Insulin administration
• Stroke (CVA) care
• Surgical drains
• Interpretation of ABGs
• Tracheostomy management
• Experience with EPIC electronic health record system

Required Certifications

• BCLS (Basic Cardiac Life Support)

Licensing

• Must hold an active Registered Nurse (RN) license valid in North Carolina.

Compliance & Testing Requirements

• Must pass Dysrhythmia/EKG competency exam with a minimum score of 82% within 72 hours of assignment start.
• Background check required within 6 months of start.
• Drug screening (9-panel) within 6 months of start.
• Negative TB test or chest x-ray within 1 year of start; if past positive TB, additional documentation required.
• Required immunizations or titers: Measles (Rubeola), Mumps, Rubella, Hepatitis B, Varicella. Declinations for measles not accepted.
• Seasonal flu vaccination or approved medical/religious exemption required during flu season (9/1–10/31).
• Color blindness testing within 1 year.
• Medication safety training certificate required.
• Must complete hospital and unit-specific orientation and competency exams.
• Must complete required facility-specific education modules and compliance training.

Additional Job Details

• No Return to Office (RTO) after booking allowed onsite; excessive call-offs or RTO may lead to cancellation.
• Floating between units is mandatory.
• May be reassigned to different units or centralized office during contract as needed.
• Must submit a passport-style photo for badge creation immediately after signing contract.
• Must complete password setup and login to facility’s learning system (I-Learn) within 24 hours of receiving credentials to avoid start delays.
• Must comply with all hospital policies, confidentiality agreements, and annual mandatory education requirements.

Patient Care Systems

• Medication dispensing: Pyxis
• Documentation and communication: EPIC, SBAR

Orientation & Training

• 24-hour unit orientation plus hospital orientation week one with daily classes.
• Must complete all required education and competency exams prior to or during orientation.

Work Environment

• Night shift, 12-hour shifts, primarily on medical surgical telemetry unit with COVID isolation areas.
• Exposure to multi-level acuity patients including stepdown care.
• Participation in emergency response teams during disasters or catastrophic events.

This position is ideal for Registered Nurses with at least 2 years of experience in medical surgical and telemetry nursing who are comfortable working night shifts, floating between units, and responding to emergency situations. First-time travel nurses are welcome to apply.