Med Surg Tele

ED Holding Float RN — Medical/Surgical Telemetry | Wilmington, NC

This float pool position supports an inpatient holding unit located within the Emergency Department, caring for adult patients awaiting inpatient bed placement. The patient population spans a wide range of medical/surgical and telemetry diagnoses, with the possibility of step-down/PCU-level acuity. This is a high-volume, fast-paced environment with high patient turnover — candidates must be comfortable managing complexity and shifting priorities quickly.

Assignment Details

• Schedule: 36- or 48-hour weeks; contracts available through February 2027
• Contract Duration: 13 weeks
• Start Date: November 30, 2026
• Weekends: Every other weekend required
• Holidays: Must work 2 of 3 major holidays
• Call: Not required
• Float: Required to ED and Med/Surg areas as needed
• Scrubs: Navy
• Orientation: 12 hours
• RTO: Up to 7 days per contract (pre-approved; none during first week, no holidays)

Clinical Scope

• Adult and geriatric patients with diverse medical/surgical diagnoses
• Telemetry monitoring, dysrhythmia interpretation and management
• PCU-level patients, high-flow oxygen, BiPAP/CPAP, tracheostomy care
• Blood product administration, heparin and insulin protocols, PICC and central line management
• Collaboration with rapid response teams, respiratory therapy, pharmacy, and social services

Requirements

• Minimum 2 years of MS/Tele and ED Holding experience
• Travel experience required
• BLS and NIHSS required; CPI preferred
• EKG competency testing required prior to start
• NC or Compact RN license (pending acceptable)
• Flu vaccine required (medical/religious exemptions considered)