To thrive as an ACH RN, you need a solid background in acute patient care, critical thinking, and clinical assessment skills, along with an active RN license and often a BSN degree. Familiarity with hospital systems such as electronic health records (EHRs), medication dispensing technologies, and specialized monitoring equipment is crucial. Strong communication, resilience, and teamwork are essential soft skills for managing high-stress situations and collaborating with diverse healthcare professionals. These abilities are vital to ensure patient safety, deliver effective care, and maintain smooth operations in fast-paced acute care environments.