```htmlJob Opportunity – Registered Nurse (Orthopedic/Med-Surg) – North Carolina
Start Date: October 19, 2026
Location: Winston Salem, North Carolina
Compensation: Details provided to qualified applicants
Schedule: 12-hour night shifts, 36 or 48 hours per week available. Every other weekend required. No call requirement. Block scheduling options available (Friday/Saturday/Sunday or Saturday/Sunday/Monday).
Highlights:
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Fast-paced 39-bed orthopedic and neurosurgical spine unit with med-surg overflow
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Patient ratios typically 5-6:1, may flex to 7:1 in extreme cases
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Contract available for 20+ weeks through February 27, 2027 to support team through the holiday season
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Epic EMR experience required; comprehensive orientation provided (36 hours)
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Float requirements to other med-surg units within facility based on census needs
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Up to 7 days requested time off may be approved (excluding holidays)
Requirements:
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Active North Carolina or Compact RN license
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Minimum 2 years of acute care nursing experience with orthopedic experience required
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Epic EMR experience required (first-time travelers accepted with Epic experience)
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Current certifications: BLS and NIH Stroke Scale required
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Proficiency in IV start and telemetry monitoring
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Must pass EKG testing prior to start date
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Flu vaccination required (medical/religious exemptions considered)
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Preferred: ACLS certification, Charge Nurse experience, Level I Trauma experience
Patient Population:
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Orthopedic patients including total joint replacements and orthopedic trauma
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Neurosurgical spine and spinal cord injury patients
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Med-surg and post-surgical patients requiring complex pain management
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Average daily census: 37 patients
Clinical Skills Utilized:
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Advanced pain management protocols for post-surgical and trauma patients
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Central and peripheral line care/management
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Blood product administration and heparin protocols
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Telemetry and cardiac rhythm interpretation
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PCA pumps and peripheral nerve block catheter management
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BiPAP/CPAP and high-flow nasal cannula management
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Surgical drain care and non-invasive airway management
Why It's a Great Opportunity:
This position offers an excellent opportunity to refine your orthopedic and neurosurgical nursing skills in a dynamic, fast-paced environment. You'll work alongside a collaborative interdisciplinary team including physical therapy, respiratory services, pharmacy, and rapid response teams to deliver exceptional patient-centered care. Your expertise in pain management and customer service will directly impact patient outcomes and satisfaction during critical post-operative and trauma recovery periods.
Additional Information:
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Orientation includes online modules (8-10 hours) to be completed prior to start date
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Comprehensive interdisciplinary support including IV teams, phlebotomy, radiology, social services, and pharmacy
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Local candidates within 50 miles accepted at adjusted rate
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Must be available to work 2 of 3 major holidays; holiday time off requests cannot be approved
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Flexibility and reliability essential—schedule changes after booking are not permitted
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