Med/Surg Tele | Registered Nurse

Med/Surg Tele Registered Nurse (RN) – Night Shift Contract in Wilmington, NC

Join an experienced acute-care team as a Medical-Surgical Telemetry Registered Nurse in Wilmington, North Carolina. This on-site contract nursing job offers the opportunity to care for adult and geriatric patients in a 36-bed medical-surgical telemetry unit while practicing in a supportive coastal community known for its riverfront setting, historic charm, and easy access to beautiful beaches.

Med/Surg Tele RN Contract Job Details

• Location: Wilmington, North Carolina
• Weekly Estimated Pay: $1,750–$1,840
• Contract Length: 13 weeks, with longer contracts of up to 26 weeks available
• Start Date: November 9, 2026
• Schedule: 3 shifts per week, 12-hour night shifts from 6:45 p.m. to 7:15 a.m.; 36- or 48-hour contracts may be considered
• Patient Ratio: Approximately 1:6
• Patient Population: Adults and geriatric patients
• Weekend Coverage: Every other weekend required
• Call: No call required
• Electronic Medical Record: Epic
• Orientation: 24 hours
• Floating: Willingness to float to other medical-surgical units and nearby acute-care locations is required
• Scheduling Expectations: Holiday availability is required. Up to 7 days of pre-approved time off may be accepted; no time off is permitted during the first week of the contract.

Medical-Surgical Telemetry RN Requirements

• Active Registered Nurse license in North Carolina or a Compact state; pending licensure may be considered for submission
• At least 2 years of recent Medical-Surgical Telemetry nursing experience
• Current BLS, NIHSS, and ACLS certifications
• Successful completion of specialty EKG testing before the start date
• Demonstrated ability to care for up to six patients in an acute-care setting
• Epic documentation experience preferred
• Previous charge nurse experience preferred
• Strong telemetry assessment, dysrhythmia interpretation, and clinical prioritization skills
• Ability to complete required pre-start education, compliance testing, and health screenings within designated timelines
• First-time travel nurses are welcome to apply

Med/Surg Tele Registered Nurse Responsibilities

• Provide comprehensive nursing care to adult and geriatric patients with medical, surgical, cardiac, respiratory, renal, and neurological conditions
• Monitor telemetry remotely and on the unit, interpret dysrhythmias, and respond promptly to changes in patient condition
• Administer medications, including heparin, insulin, and patient-controlled analgesia, according to orders and safety standards
• Manage IVs, central lines, PICC lines, blood products, feeding tubes, chest tubes, surgical drains, and wound care or wound vac therapy
• Provide respiratory support including oxygen therapy, nasal cannula, high-flow nasal cannula, BiPAP, CPAP, and non-invasive airway management
• Perform assessments and interventions for conditions such as sepsis, pneumonia, COPD, heart failure, renal failure, GI bleeding, diabetes, dementia, encephalopathy, fractures, and postoperative recovery
• Collaborate with providers, respiratory therapy, pharmacy, rehabilitation, radiology, social services, and rapid response teams
• Use SBAR and effective clinical communication to promote safe transitions of care
• Float to designated units or nearby locations as operational needs require
• Participate in emergency or disaster staffing plans, including storm or mass-casualty response when activated

Apply now for this Medical-Surgical Telemetry RN contract opportunity and join an acute-care nursing team in Wilmington, North Carolina.

Benefits

401K with Matching, Healthcare, Dental and Vision

Equal Opportunity

We are an equal opportunity employer and value diversity across our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.