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Per Diem Rn Observation Unit Jobs in Alabama (NOW HIRING)

Per Diem (PD/PRN) Hours: 7:00PM - 7:00AM Location: Riverview Regional Medical Center - Gadsden, AL We are seeking an ICU Registered Nurse , also referred to as an ICU RN, Intensive Care Nurse or ...

Per Diem (PD/PRN) Hours: 7:00PM - 7:00AM Location: Riverview Regional Medical Center - Gadsden, AL We are seeking an ICU Registered Nurse , also referred to as an ICU RN, Intensive Care Nurse or ...

RN - PCU

Florence, AL · On-site

$1.8K - $2.4K/wk

RN - PCU Registered Nurse - Health Advocates Network is urgently hiring PCU RNs with at least 2 ... Travel reimbursement and per diem allowances, Employee discounts, educational opportunities, and ...

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Per Diem Rn Observation Unit information

What is a per diem RN in an observation unit?

A Per Diem RN in an Observation Unit is a registered nurse who works on an as-needed basis, rather than a fixed full-time or part-time schedule, in a hospital unit where patients are monitored and assessed to determine if they require inpatient admission or can be safely discharged. These nurses provide direct patient care, perform assessments, administer medications, and collaborate with other healthcare professionals to ensure optimal patient outcomes. Per diem roles offer flexibility for the nurse and help hospitals manage staffing needs during busy periods or staff shortages.

What are some common challenges faced by per diem RNs in an observation unit, and how can they be managed?

Per Diem RNs in Observation Units often encounter challenges such as quickly adapting to varying patient acuity levels and frequently adjusting to different shifts or teams. Since their schedules are flexible, they may need to rapidly orient themselves to unit protocols and workflow with each assignment. Effective communication, strong organizational skills, and staying updated on hospital policies can help Per Diem RNs succeed in this fast-paced environment. Building relationships with regular staff and proactively asking questions also fosters smoother collaboration and patient care.

Does per diem registered nurse observation unit pay more?

Per diem registered nurses in observation units often earn higher hourly rates compared to full-time staff due to the flexible schedule and lack of benefits. However, pay can vary based on location, experience, and facility policies, and per diem roles typically do not include benefits like health insurance or paid time off. Overall, per diem positions may offer higher immediate pay but less comprehensive compensation packages.

What are the key skills and qualifications needed to thrive as a per diem RN in an observation unit?

To thrive as a Per Diem RN in an Observation Unit, you need a valid RN license, strong clinical assessment skills, and experience in acute or emergency care settings. Familiarity with electronic health record (EHR) systems, telemetry monitoring, and basic life support (BLS/ACLS) certifications are typically required. Flexibility, excellent communication, and the ability to quickly adapt to changing patient conditions are valuable soft skills in this role. These competencies ensure safe, efficient patient care and seamless integration into the unit’s fast-paced, dynamic environment.
What cities in Alabama are hiring for Per Diem Rn Observation Unit jobs? Cities in Alabama with the most Per Diem Rn Observation Unit job openings:
Infographic showing various Per Diem Rn Observation Unit job openings in Alabama as of August 2026, with employment types broken down into 6% As Needed, 71% Full Time, 6% Part Time, 6% Temporary, and 11% Contract. Highlights an 100% In-person job distribution.

Per diem

Re-posted 8 days ago


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Job description

Department:  Intensive Care Unit 

Shift’s Available: Nights

Employment Type: Per Diem (PD/PRN) 

Hours: 7:00PM - 7:00AM 

Location: Riverview Regional Medical Center – Gadsden, AL 

We are seeking an ICU Registered Nurse, also referred to as an ICU RN, Intensive Care Nurse or Intensive Care Unit RN. The Intensive Care RN (ICU RN) will be responsible for providing intensive care to patients with life-threatening conditions. The ICU RN will have advanced skills in critical care settings, make quick decisions, and will be compassionate to all patients. An ICU RN monitors vital signs, blood oxygen levels, administer IV Fluids, and communicates effectively to the medical team to modify care plans accordingly. This position is on a per diem basis, meaning PD/PRN as needed. 

** If you have experience in the ICU, Emergency Room (ER), Emergency Department (ED) or other critical care area of the hospital you are encouraged to apply!  ** 


Essential Duties and Responsibilities (includes, but not limited to): 

  • Deliver high-quality care to critically ill patients by performing detailed assessments, developing care plans, and implementing complex nursing interventions 
  • Use advanced equipment like cardiac monitors, pulse oximeters, blood pressure monitors, ventilators, infusion pumps, and capnography devices to continuously track vital signs and physiological parameters 
  • Safely administer medications, intravenous fluids, and blood products with precise dosing and timing, closely monitoring patient responses to ensure effectiveness and prevent adverse reactions 
  • Manage life-support devices such as ventilators, dialysis machines, and cardiac monitors 
  • Provide emotional support and education to patients' families, acting as a liaison to ensure they understand the care being provided  
  • Document all aspects of patient care to ensure continuity and compliance while rigorously maintaining infection control and safety protocols to protect vulnerable patients 

Before we go any further, we do have some deal-breakers. You must have: 

  • Current and valid state RN License.
  • Current BLS certificate upon hire and maintain current.
  • Basic Arrythmia Interpretation within 30 days of hire.
  • Current ACLS certificate 30 days upon hire and maintain current.
  • Minimum of one year as a Registered Nurse is required. 

 Additional Qualifications That Are a Plus: 

  • Completion of Critical Care Course preferred.
  • Minimum of one year as a staff RN in acute care hospital, critical care preferred.
  • Critical Care RN (CCRN) Certification preferred.
  • Bachelor of Science in Nursing (BSN) preferred.

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Per Diem
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