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How much do acute care rn jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for acute care rn in the United States is $48.19, according to ZipRecruiter salary data. Most workers in this role earn between $42.31 and $52.88 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an acute care RN, and why are they important?

To thrive as an Acute Care RN, you need in-depth clinical knowledge, critical thinking, and a valid RN license, often with a Bachelor of Science in Nursing (BSN) and experience in acute or critical care settings. Familiarity with electronic health records (EHRs), advanced cardiac life support (ACLS) certification, and use of specialized monitoring equipment are typically required. Strong communication, the ability to remain calm under pressure, and teamwork are crucial soft skills in this role. These competencies are vital for delivering safe, effective patient care and responding rapidly to life-threatening situations in acute care environments.

What is an acute care RN?

Acute Care Registered Nurses (RNs) are healthcare professionals who provide specialized nursing care to patients experiencing severe or sudden illnesses and injuries, typically in hospital settings such as emergency rooms, intensive care units, or surgical wards. They assess patient conditions, administer medications, monitor vital signs, and collaborate with physicians and other healthcare staff to develop and implement treatment plans. Acute Care RNs must respond quickly to changes in a patient’s condition and often work in fast-paced, high-stress environments.

What are some common challenges acute care RNs face when managing multiple high-acuity patients during a shift?

Acute Care RNs often manage several patients with rapidly changing conditions, which requires strong prioritization and time management skills. Balancing frequent assessments, medication administration, and urgent interventions can be demanding, especially in a fast-paced environment like an ICU or emergency department. Effective communication with physicians, respiratory therapists, and other interdisciplinary team members is essential to ensure timely care. Adapting to sudden changes in patient status and maintaining accurate documentation under pressure are also common challenges that Acute Care RNs navigate regularly.
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Acute Care Rn jobs near you
Infographic showing various Acute Care Rn job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 69% Full Time, 22% Part Time, and 7% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $100,240 per year, or $48.2 per hour.

Acute Care Registered Nurse

Blue Ridge Regional Hospital

Morganton, NC • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago

Job description

As a Acute Care Registered Nurse, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing.

Job Summary and Qualifications

This department is a combination of Med/Surg, Stepdown and ICU patients. 

The Acute Care Registered Nurse coordinates and delivers high quality, patient-centered care. In collaboration with medical providers, the RN provides pre-operative and post-operative nursing care. The RN serves as an advocate for patients to support an unparalleled patient experience.

What you will do in this role:

  • Assess patient condition during admission and during each shift, identifying and reporting any changes in patient status.
  • Perform procedures or other functions as ordered by the medical provider.
  • Document the administration of care in the patient medical record in a timely and thorough manner.
  • Perform the administration of prescribed medications and monitors response.
  • Maintain a knowledge of medications, procedures, and equipment used in the care of cardiac and medical-surgical patients.
What qualifications you will need:
  • Required Experience: One year of RN experience.
  • Preferred Experience: Strong hospital experience
  • Required Education: Associates Degree in Nursing.
  • Preferred Education: Masters in Nursing.
  • Required License: Just have and maintain current licensure as registered nurse with the North Carolina Board of Nursing. eNLC (Enhanced Nurse License Compact) license may apply, licensee should confirm with NCBON. 
  • Required Certifications: BLS, ACLS and CPI
  • Preferred License: National Certification in area of specialty
Benefits

Blue Ridge Regional Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

"Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future."

Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC

Senior Vice President and Chief Nurse Executive

HCA Healthcare

Blue Ridge Regional Hospital, a member of Mission Health, an operating division of HCA Healthcare, is a community hospital serving Mitchell, Yancey, lower Avery and upper McDowell counties. Located in Spruce Pine, North Carolina, Blue Ridge Regional Hospital is a Critical Access Hospital operating 25 beds. Blue Ridge Regional Hospital offers medical specialties including emergency services, prenatal and postnatal obstetrical care, wound clinic, cardiac stress testing, cardiac and pulmonary rehabilitation programs, nuclear medicine, 3D mammography, endoscopy services, critical care, rehabilitation services and fitness center, cancer services, orthopedics, general surgical services, pediatrics and family medicine, and walk-in, non-emergency care at Mission My Care Now Spruce Pine.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

If this opportunity is your next step in your career path, we encourage you to apply for our Acute Care Registered Nurse opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing, apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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