# Job Opportunity – Medical-Surgical / Telemetry Registered Nurse – North Carolina
Start Date: December 7, 2026
Location: Winston-Salem, North Carolina
Compensation: Details provided to qualified applicants
Schedule: 12-hour day shifts (06:45-19:15), 36 hours per week, every other weekend required. Contract length minimum 13 weeks, extending through February 27, 2027. Block scheduling accommodated when unit needs are met.
Highlights:- High-acuity medical-surgical unit with PCU and telemetry patients, 48-bed capacity
- Target nurse-to-patient ratios of 1:4-5 mixed acuity (may extend to 1:6 in extreme situations)
- Patient population includes COPD exacerbations, pneumonia, acute respiratory failure, chest tubes, CPAP/BiPAP, and chronic trach/vent patients
- Advanced support resources available: Admission/Discharge nurse, Assistant Nurse Manager, Vascular Access Team, RRT, Code Team, and Behavioral Health Team
- Epic EMR system with 24-hour orientation program
- Float requirement to like units within facility as needed
Requirements:- Current North Carolina or Compact RN license
- Minimum 2 years of nursing experience required
- Previous travel experience mandatory
- Current BLS and ACLS certifications required; NIHSS preferred
- Must pass EKG testing prior to start date
- Proficiency in IV starts, ventilators, telemetry monitoring, CPAP/BiPAP management, and interpretation/management of cardiac dysrhythmias
- Experience with chest tubes, cardiac drips (Dopamine, Cardizem, Heparin), and managing patients on isolation precautions
- Flu vaccination required (medical/religious exemptions only)
- Ability to float within facility and maintain flexible scheduling approach
Why It's a Great Opportunity:This position offers the chance to work on a high-acuity medical-surgical unit with robust interdisciplinary support, including respiratory therapists, vascular access teams, and dedicated admission/discharge nurses. The unit maintains a team-based model with a 3:1 team lead who rounds continuously, ensuring no nurse manages more than one ventilator patient at a time. You'll gain valuable experience managing complex respiratory patients while supported by comprehensive resources, advanced equipment, and a collaborative care environment focused on quality patient outcomes.