Job Opportunity – Registered Nurse (Med-Surg: Ortho Trauma/General Surgery) – North Carolina
Start Date: October 26, 2026
Location: Wilmington, North Carolina
Compensation: Details provided to qualified applicants
Schedule: 12-hour night shifts (6:45 PM - 7:15 AM), 36 or 48-hour contracts available, every other weekend required, no call
Highlights:
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Specialized ortho trauma and general surgery unit with diverse patient population including bone/joint injuries, traumatic brain injuries, spine injuries, and neurological trauma
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Nurse-to-patient ratio of 1:5-6
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Epic EMR with Pyxis medication management system
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Contract available through February 27, 2027 with 36 or 48-hour weekly options
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Comprehensive orientation including 12 hours of unit-specific and 16 hours of organizational education
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Floating required to similar units and alternate care locations as needed
Requirements:
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Active North Carolina or Compact state RN license
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BLS certification required; ACLS preferred
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Minimum 2 years of nursing experience required
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Ortho/Neuro/Trauma experience required
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Charge nurse experience preferred
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First-time travelers accepted
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Must be comfortable with 1:5-6 patient ratios
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Must pass EKG testing prior to start date
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Flu vaccine required (medical/religious exemptions only)
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Ability to work during catastrophic events or disasters as part of Storm/Hurricane Team
Clinical Skills:
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Blood product administration, central line management and blood draws
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Chest tube management (Emerson/PleurEvac)
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Heparin drip management and IV therapy
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Interpretation of arterial blood gases and dysrhythmias
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Pre/post neurosurgery and hemodialysis care
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Spinal cord injury and traumatic brain injury management
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External fixators, surgical drains, and wound vac management
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Tracheostomy care, colostomy/ileostomy management, and feeding tube care
Why It's a Great Opportunity:
This position offers the chance to work with a challenging and rewarding patient population in a fast-paced acute care environment. You'll gain valuable experience managing complex ortho trauma, general surgery, and neuro patients while working alongside a collaborative interdisciplinary team that includes IV therapy, respiratory services, physical therapy, pharmacy, and rapid response teams. With comprehensive orientation and ongoing support, this role is ideal for experienced med-surg nurses looking to advance their clinical skills in a dynamic specialty area.
Additional Information:
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Requested time off (RTO) after booking is not permitted; up to 7 days may be approved during contract negotiations
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Must work 2 of 3 major holidays
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Professional scrubs in navy or white required
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Daily census approximately 32 patients
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Pre-start modules (8-10 hours) required and completed online prior to orientation
