Emergency Department Registered Nurse

Registered Nurse (Emergency Department)

Location: Linville, North Carolina | Full-Time | Night Shift

Why You'll Love Working Here

As an Emergency Department Registered Nurse at UNC Health Appalachian, you'll provide high-acuity, fast-paced patient care that makes a life-saving difference every day. You'll use advanced assessment skills, rapid critical thinking, and the full nursing process to stabilize patients and guide urgent interventions. Join a mission-driven team committed to excellence, compassion, and teamwork in one of the most essential departments in the hospital.

• Compensation: Starting pay begins at $34.00 per hour, with competitive rates based on experience and education.
• Schedule: Full-time | Variable shifts | Weekends & holidays required.
• Benefits: Comprehensive medical/dental/vision, retirement with match, paid time off, tuition reimbursement, paid parental leave, wellness incentives, and employee discounts.

What You'll Do as an Emergency Department RN

• Deliver high-quality, patient-centered care using the nursing process (assessment, planning, intervention, evaluation).
• Triage patients according to acuity using established protocols.
• Perform rapid assessment, identify priorities, and implement timely interventions.
• Administer medications, treatments, and procedures safely and accurately.
• Collaborate with physicians, APPs, and multidisciplinary teams to provide coordinated emergency care.
• Monitor, reassess, and document patient status using the Electronic Medical Record (EMR).
• Respond quickly to changes in patient condition and emergency situations.
• Provide emotional support, patient education, and compassionate communication to patients and families.
• Adhere to UNC Health Appalachian standards, safety practices, and regulatory requirements.

Qualifications

Education:

• Graduate of an accredited school of nursing.

Experience:

• Previous RN experience preferred, but not required.
• Experience in an acute or clinic setting preferred.
• One year of Emergency Department or similar high-acuity experience preferred.

Licenses/Certifications:

• Current RN licensure in North Carolina (or compact state).
• Required at hire: Basic Life Support (BLS), American Heart Association.
• Required within 1 year of hire:
• Advanced Cardiac Life Support (ACLS) AHA
• Pediatric Advanced Life Support (PALS) AHA
• Emergency Nurse Pediatric Course (ENPC) ENA
• Trauma Nursing Core Course (TNCC) ENA
• National Institutes of Health Stroke Scale (NIHSS)

Skills & Abilities:

• Strong assessment, triage, and critical thinking skills.
• Ability to communicate effectively with patients, families, and interdisciplinary teams.
• Competent in providing safe, evidence-based care within legal scope of practice.
• Excellent customer service and professionalism under pressure.

Physical & Work Environment

• Frequent standing, walking, bending, and lifting throughout 8+ hour shifts.
• Lift, push, pull, or transfer 50+ lbs regularly.
• Exposure to bloodborne pathogens, infectious materials, chemicals, and radiation.
• Fast-paced, high-stress clinical environment with irregular hours including nights, weekends, and holidays.
• Requires strong visual acuity, manual dexterity, and the ability to respond rapidly to emergencies.

What Sets Us Apart

• Career Growth: Access to continuing education, leadership pathways, and specialty certifications in emergency care.
• Impactful Work: Provide life-saving interventions and serve on the front lines of patient care in the community.
• Community & Lifestyle: Boone, North Carolina offers breathtaking mountain views, outdoor adventures, and a vibrant community ranked among America's best small towns by Forbes and Southern Living.
• Inclusive Culture: We celebrate diversity, equity, and inclusion ensuring every team member feels valued, supported, and empowered.

Ready to save lives and grow your nursing career in a supportive, high-energy environment? Apply today to join UNC Health Appalachian and make a meaningful difference in emergency care.

Appalachian Regional Healthcare System