Med Surg RN Job in Wilmington, NC

Novant Health New Hanover Regional Medical Center seeks a Registered Nurse for its 36-bed Neuro Medical Surgical unit in Wilmington, NC. You will work 12-hour night shifts from 6:45 PM to 7:15 AM on a 3x12 schedule, earning $2,054 weekly. This is a 91-day assignment beginning November 9, 2026.

Role Overview

You will care for adult patients with neurological surgical procedures and neurosurgical diagnoses. Your patient ratio will be 1:5–6. You are expected to float within and near the facility as needed. Weekend requirements include 12–16 weekend shifts per contract. Contract staff are assigned to Storm and/or Hurricane Teams and may be required to respond during catastrophic events, mass casualty incidents, or disasters.

Key Responsibilities

• Manage CVA, Heparin, and Insulin protocols
• Interpret and manage dysrhythmias
• Apply isolation precautions and PPE appropriately
• Administer IV insulin per protocol
• Provide pre- and post-neurosurgery care
• Manage surgical drains, wound care, and wound vacs
• Monitor telemetry and maintain peripheral line care
• Perform non-invasive airway management and nasal cannula care

Requirements

• Current NC or Compact nursing license
• 2 years of nursing experience; first-time travelers accepted
• BLS certification required
• ACLS, CPI, and NIHSS certifications preferred
• Neuro experience preferred
• Previous charge experience preferred
• Epic charting system experience preferred
• Must pass EKG testing prior to start

Onboarding and Systems

You will complete hospital-based orientation followed by 2 orientation shifts on the unit. The facility uses Pyxis for medication management, Epic for documentation, and SBAR for communication. Interdisciplinary support includes IV teams, physical therapy, respiratory services, interpretation services, phlebotomy, radiology, social services, rapid response teams, pharmacy, transportation, and unit secretaries. Scrubs are navy.

Contract lengths of 36 or 48 hours are accepted, with longer contracts of 13–26 weeks also available.