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RN Clinical Nurse II (Per Diem)- Emergency Department

UNC Health Care

This is a Contract position in Chapel Hill, NC posted August 5, 2022.


Per Diem RN needed for Emergency Department 

The UNC Health Care Emergency Department is a designated Level I Trauma Center serving as North Carolina’s primary referral hospital as well as also serving as the community hospital for Chapel Hill/ Orange County. UNC Hospitals is also recognized as a verified Burn Center, Joint Commission accredited Comprehensive Stroke Center, and AHA Gold Level facility for the care of STEMI patients. The Emergency Department at UNC Hospitals cares for patients ranging from minor illnesses and injuries to critical medical and trauma patients ranging in age neonates to elderly. This large number of high acuity patients received in our department contributes to a very challenging and rewarding clinical environment for nurses and other members of our multi-disciplinary healthcare team. The 80 bed Emergency Department utilizes a pod design with a team staffing format. All rooms have central monitoring capability. 

The ED is organized in the following functional areas: 

Acute Care (Team A & B) Three Trauma bays (adult/pediatric trauma and resuscitation) Acute beds equipped for cardiac and invasive monitoring Psychiatric/crisis rooms 

Team C is the home of our progressive evaluation area which enables patients to be triaged and diagnostic studies initiated based on defined protocols. 

Team D for less acute illness and injury SANE exam room (for sexual assault exams) Behavioral Health 

Team E Pediatric Emergency Department 

Orientation and Education: To become a member of our emergency nursing staff, you one must have at least one year of nursing experience, this could include ED experience (preferred), one year of critical care / intermediate care or two years of acute care. We will provide training to meet individual needs. The staff orientation to the Emergency Department includes both a 1:1 preceptor program and critical care classes. Certification such as ACLS, PALS, and TNCC are standard expectations for emergency nurses at UNC Hospitals. Emergency care at UNC Hospitals offers emergency nurses opportunities not available at every hospital. This includes Community outreach programs such as injury prevention programs and Sexual Assault Nurse Examiner (SANE) team. This is a per diem position which requires a commitment to provide availability to work at least 24 hours / month and at least one summer and one winter holiday. As a per diem employee you do not receive benefits and you are considered an at-will employee. The shifts are typically 12 hours and include rotating days, nights and weekends with flexible self-scheduling to meet the needs of the RN and unit.

Qualifications – Requires graduation from a state-accredited school of professional nursing. Licensed to practice as a Registered Nurse in the state of North Carolina. Basic Life Support (BLS) for Healthcare Provider certification. One (1) year of relevant and current experience required.

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Provides competent clinical nursing care consistent with professional standards. Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting.


1. Education – Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn.
2. Evaluation of Care – Identifies expected patient outcomes. Seeks guidance as needed in revision of plan of care. Participates in discussion with members of the interdisciplinary team in evaluation of patient care. Communicates relevant information to promote continuity of care.
3. Implementation – Demonstrates competence in care of patients with complex problems, including population-appropriate physical, psychosocial, educational and safety aspects of care. Performs bedside point of care testing as required for patient care plan. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning.
4. Leadership – With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment for all.
5. Patient Assessment – Recognizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial, education and safety needs. Synthesizes assessment data into meaningful whole prior to communication to others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs.
6. Planning – Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems.
7. Research – Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability.

Other Information

Other information:
Education Requirements:
● Graduation from a school of professional nursing.
Licensure/Certification Requirements:
● Licensed to practice as a Registered Nurse in the state of North Carolina. Basic Life Support (BLS) for Healthcare Provider certification
Professional Experience Requirements:
● One (1) year of relevant and current experience required
Knowledge/Skills/and Abilities Requirements:

Job Details

Legal Employer: STATE

Entity: UNC Medical Center

Organization Unit: Emergency Department

Work Type: Per Diem

Standard Hours Per Week: 6.00

Work Schedule: Variable

Location of Job: US: NC: Chapel Hill

Exempt From Overtime: Exempt: No