TravelNurseSource is working with Revolution Healthcare Services to find a qualified Med/Surg / Tele RN in Wilmington, North Carolina, 28401!
# Job Opportunity – Emergency Department Holding RN – North Carolina
Start Date: October 12, 2026
Location: Wilmington, North Carolina
Compensation: Details provided to qualified applicants
Schedule: Night shift, 36 or 48 hours per week
Highlights:
- Unique ED Holding Support position within the Float Pool supporting patients awaiting inpatient placement
- Contract lengths from 13+ weeks through February 27, 2027 to support through the holiday season
- Target ratios: 1:6 for Medical/Surgical-Telemetry patients or 1:4 for Progressive Care Unit level patients
- 12-hour orientation with Epic charting system and Pyxis medication management
- Every other weekend requirement with flexibility to float to ED and Medical/Surgical areas as needed
- Dynamic, fast-paced environment caring for adult patients with diverse medical/surgical diagnoses
Requirements:
- Active North Carolina or Compact state RN license
- Minimum 2 years of nursing experience required
- Previous travel nursing experience required
- Current BLS and ACLS certifications required
- Must pass EKG testing prior to start date
- Proficiency in Medical/Surgical-Telemetry nursing including interpretation and management of dysrhythmias
- Experience with blood product administration, peripheral line care, PICC line management, chest tubes, BiPAP/CPAP, high flow nasal cannula, and tracheostomy management
- Competency in colostomy care, feeding tube management, renal failure patients, heparin and insulin protocols
- Strong skills in phlebotomy, IV starts, and isolation precautions
- Ability to interpret arterial blood gases and manage non-invasive airway interventions
- Willingness to float to Emergency Department and Medical/Surgical units as needed
- Flu vaccination required (medical/religious exemptions considered)
- Must complete 8-10 hours of pre-start online modules using Google Chrome or Microsoft Edge
Preferred Qualifications:
- NIHSS certification
- Experience with IV insulin protocols and pre/post hemodialysis management
- Skills in accessing ports, central line blood draws, and starting IVs
- Experience with cerebrovascular accident (CVA) patients, pre/post neurosurgery, spinal cord injuries, and traumatic brain injury
- Background in orthopedic trauma, total joint replacements, and wound care/wound vac management
Position Details:
- This is an Emergency Department Inpatient (EDIP) holding area position located within the Float Pool
- Patients are located within the Emergency Department awaiting inpatient bed placement with various adult medical/surgical diagnoses
- May care for Progressive Care Unit level acuity patients in a fast-paced, high-turnover environment
- Standard equipment includes cardiac monitors, IV pumps, and various monitoring systems
- Interdisciplinary support from respiratory services, radiology, social services, pharmacy, rapid response teams, and transportation
- 12-hour orientation period with manager-based scheduling
- Navy scrubs provided
- Up to 7 days of requested time off permitted (must be pre-approved, no holidays)
- Must work 2 of 3 major holidays
- Contract staff expected to serve on Storm/Hurricane Team and report during catastrophic events or mass casualty situations
Why It's a Great Opportunity:
This specialized ED Holding position offers experienced travel nurses the opportunity to utilize comprehensive medical/surgical and progressive care skills in a dynamic, fast-paced environment. You'll care for a diverse patient population with varied diagnoses while collaborating with a robust interdisciplinary team. This role provides excellent professional growth through exposure to high-acuity patients and the flexibility to work across multiple care settings, making every shift both challenging and rewarding.