RN New Graduate Nurse - Medical Observation to ED
You'll care for adult observation patients with cardiology work-ups, COPD flare-ups, IV therapy and abdominal pain work-ups.
Posted Sep 25 · New grads welcomed
- Shift and hours
- Rotating days and nights Rotating day/night shifts + weekends36 hours a week
- Unit and setting
- 25-bed Med Observation Unit · Hospital Provides care to adult observation patients with a variety of medical diagnoses that include cardiology work up, COPD exacerbation, Intravenous therapy, and abdominal pain work up
- License
- RN license RN license must be obtained prior to first day of employmentNC RN license before your first day
- Term
- Permanent Work Type: Full TimeFull time
Do you qualify?
- New grads
- Welcomed, residency program We are inviting New Grad Nurses to join our Pathway from Medical Observation to the ED Program!
- License
- NC RN license before your first day RN license must be obtained prior to first day of employment Check your license
- Certification
- BLS for Healthcare Provider Basic Life Support (BLS) for Healthcare Provider certification
- Education
- Graduate of a Board of Nursing-approved nursing program Graduate of a Board of Nursing approved nursing education program.
- Education
- If hired after January 6, 2014: enrolled in a nursing degree program within four years of employment and obtain a Bachelor's or Master's degree with a major in Nursing within seven years of employmentAfter hire · within four years of employment
- Education
- BSN or MSN in NursingAfter hire · within seven years of employment obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date
- Also asks
- Final-semester student or graduate from the past 12 months Final semester nursing students or graduates within the past 12 months
- Also asks
- Under 6 months of RN experience Less than 6 months of RN experience
Preferred
- Also asks
- Cover letter that includes your clinical interests Cover letter is strongly encouraged (include clinical interests)
Your six-month RN application plan
Start about six months before graduation. Some programs open earlier; use each employer’s application dates. See program calendars.
6 months before
Shortlist units
Check application windows. Gather clinical experience, references and your expected graduation date.
Find residencies →4–6 months before
Apply as windows open
Apply before graduation when the program allows it. Keep the cohort date and license deadline with each application.
Explore new grad jobs →2–3 months before
Meet the unit manager
Ask about overtime, a shadow shift, preceptor continuity and the schedule after orientation.
Prepare your questions →Around graduation
Confirm your start
Coordinate NCLEX, the required license and your start date. Get relocation and repayment terms in writing.
Plan your license →
What it pays
- Against similar roles
- Top of Chapel Hill staff RN payChapel Hill staff RN postings that state pay run $33/hr to $36/hr, the middle half $33/hr to $34/hr, across 64 postings.
- Bonus
- Up to $10,000 relocation assistance Up to $10,000 in relocation assistance may be offered (dependent on mileage)Dependent on mileage
- Pay reviews
- Pay offers depend on experience and internal equity Pay offers are determined by experience and internal equity
Benefits
- BenefitsHealth and retirement benefitsCompetitive health & retirement benefits
- BenefitsGenerous PTO accrualGenerous PTO accrual
- health & retirement benefits
- relocation assistance
The role and schedule
- Patients
- Provides care to adult observation patients with a variety of medical diagnoses that include cardiology work up, COPD exacerbation, Intravenous therapy, and abdominal pain work up Provides care to adult observation patients with a variety of medical diagnoses that include cardiology work up, COPD exacerbation, Intravenous therapy, and abdominal pain work up
- Union
- Non-union
- Day to day
- Bedside point-of-care testing Performs bedside point of care testing as required for patient care plan
- Day to day
- IV therapy Intravenous therapy
- Unit size
- 25-bed Medical Observation Unit 25 bed Med Observation Unit
- Weekends
- Weekends included in the rotation Rotating day/night shifts + weekends
- Scheduling
- Self-scheduling offered
- Details
- Unit open 24 hours a day, 7 days a week Unit is open 7 days a week, 24 hours a day
- Details
- You choose your own shifts, balanced against unit needs Self-scheduling to balance individual and unit needs
- Details
- Pathway to the Emergency Department after 12 months on the unit This pathway is designed for those who would like to transition to the Emergency Department after 12 months with the Medical Observation Unit
- Details
- Extra classes for emergency nursing Additional classes offered for Emergency Nursing
- Details
- Check-ins at set points through your first year Fosters supportive environment with distinct check-in points during first year of nursing
- Details
- Yearlong, structured transition-to-practice program Yearlong, structured transition-to-practice program
- Details
- Current UNC Medical Center employees must apply as internal candidates Current UNC Medical Center employees must apply as internal candidates
Support on this unit
The posting does not state the assignment size, and nothing published names it for this unit.
- Orientation
- Residency program
The workplaceFrom Medicare Care Compare, Sep 2026.
- Hospital
- UNC Hospitals
- Address
- 101 MANNING DRIVE, CHAPEL HILL, NC, 27514
- CMS rating
- 5 of 5 stars
- Beds
- 809
Your fit
Questions to ask
- Can you walk me through differentials?
- What should I expect for holiday, call, and rotation?
- What preceptor time and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
On your path
Emergency is open from year one. Fellowships take new grads. Watch their application dates.
Original listing
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Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
We are inviting New Grad Nurses to join our Pathway from Medical Observation to the ED Program!
About This Pathway
- This pathway is designed for those who would like to transition to the Emergency Department after 12 months with the Medical Observation Unit
- Fosters supportive environment with distinct check-in points during first year of nursing
- Additional classes offered for Emergency Nursing
About This Unit
- Also known as 1 Memorial
- 25 bed Med Observation Unit
- The environment is fast paced
- Unit is open 7 days a week, 24 hours a day
- Requires a great deal of interdisciplinary collaboration and team work
- The team facilitates admissions, treatments, transfers and discharges of patients
- Provides care to adult observation patients with a variety of medical diagnoses that include cardiology work up, COPD exacerbation, Intravenous therapy, and abdominal pain work up
Position Details
- 36 hours per week
- Rotating day/night shifts + weekends
- Self-scheduling to balance individual and unit needs
- Must be eligible for RN licensure in North Carolina prior to start
New Graduate Residency Program Eligibility
- Final semester nursing students or graduates within the past 12 months
- Less than 6 months of RN experience
- Program Highlights:
- Yearlong, structured transition-to-practice program
- Unit-based orientation plus residency curriculum
- Mentorship and clinical support
- Professional development and skill-building
What We Offer
- Competitive health & retirement benefits
- Generous PTO accrual
- Supportive, team-oriented environment focused on growth
Additional Requirements
- Cover letter is strongly encouraged (include clinical interests)
- Current UNC Medical Center employees must apply as internal candidates
- RN license must be obtained prior to first day of employment
Up to $10,000 in relocation assistance may be offered (dependent on mileage)
Summary
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.
Responsibilities
- 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.
- 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.
- 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.
- 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
- 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.
- 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.
- 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
- Graduate of a Board of Nursing approved nursing education program.
- If hired after January 6, 2014, must be enrolled within four years of employment, and obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date.
Licensure/Certification
Requirements
- Licensed to practice as a Registered Nurse in the state of North Carolina by the day of clinical care.
- Basic Life Support (BLS) for Healthcare Provider certification
Professional Experience
Requirements
- No prior experience required.
Knowledge/Skills/and Abilities
Requirements
Job Details
- Legal Employer: STATE
- Entity: UNC Medical Center
- Organization Unit: UNCH Observ Unit Main Campus
- Work Type: Full Time
- Standard Hours Per Week: 36.00
- Salary Range: $32.55 - $41.77 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule
Rotating
Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No
This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
What's around it?
Chapel Hill, NCFrom Census ACS 2024.
Living costs about 2% below the US average
- Median rent
- $1,613/mo
- Household income
- $85,989/yr, all local households, not nurse pay