```htmlJob Opportunity – Medical Surgical/Telemetry Nurse – North Carolina
Start Date: October 26, 2026
Location: Winston-Salem, North Carolina
Compensation: Details provided to qualified applicants
Schedule: 12-hour night shifts, 18:45–07:15; 36 hours per week; every other weekend required; floating to like units as needed
Highlights:
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Mixed acuity 48-bed unit combining progressive care and medical-surgical/telemetry patients with nurse-to-patient ratios of 1:4-5 (occasionally 1:6 in extreme situations)
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Comprehensive unit support including team lead (3:1 ratio), two respiratory therapists, admission/discharge nurse, assistant nurse manager, vascular access team, and rapid response team
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Patient population includes COPD exacerbations, pneumonia, acute respiratory failure, chest tubes, COVID-19, influenza, pulmonary embolism, and chronic trach/vent patients
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Advanced skills utilized: ventilator management (chronic vent patients only, no more than one vent per nurse), chest tube care, BiPAP/CPAP, cardiac and vasoactive drip management, telemetry monitoring, and dysrhythmia interpretation
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Epic charting system with 24-hour orientation period
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Contract length: 13-26 weeks available; first-time travelers accepted
Requirements:
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Minimum 2 years of nursing experience required
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Current North Carolina or Compact state RN license
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ACLS and BLS certifications required; NIHSS preferred
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Experience with IV starts, ventilators, telemetry, BiPAP/CPAP, and interpretation/management of dysrhythmias
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Experience managing cardiac drips (Dopamine, Cardizem, Heparin) and caring for patients with chest tubes and tracheostomies
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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 in a high-acuity environment and maintain a collaborative, team-oriented approach
Why It's a Great Opportunity:
This position offers the chance to work in a well-supported, higher-acuity medical-surgical environment where you'll expand your clinical skills while caring for complex respiratory and cardiac patients. With extensive interdisciplinary resources including dedicated respiratory therapists, vascular access teams, and behavioral health support, you'll have the backup you need to provide excellent patient care. The unit's structured team model ensures that despite challenging ratios, nurses have strong leadership presence and clinical support throughout every shift.
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