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Nurse Extern - Medical Stepdown

UNC Health Care

Multiple U.S. locationsTemporary / Full-time$18/hrSeen 2w agoSeen in employer's feed 6 days ago

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At a glance

Compensation
$18/hr
Location
Multiple U.S. locations
Role Type
Internship
Schedule
Temporary / Full-time
Work Authorization
Not specified

Olive focuses on jobs in the United States, including remote roles you can work from there.

Requirements

Credentials this posting asks for.

Nursing Assistant I Listing, requiredBasic Life Support Certification, required

Job overview

UNC Health’s 10-week paid summer Student Nurse Externship offers rising senior ADN and BSN nursing students hands-on clinical experience in hospital-based care. The Student Nurse Extern I works with an RN partner under direct supervision, applying concepts from an accredited prelicensure nursing program within the Nursing Assistant I scope of practice. The role is intended to strengthen foundational nursing education and prepare students for registered nursing.

Skills & qualifications

RequiredNice to have

Skills

Patient Care, requiredOrganization, requiredPrioritization, requiredBasic Computer Skills, requiredLifting and Carrying, requiredStanding and Walking, requiredKneeling and Bending, requiredSquatting, requiredCPR, required

Qualifications

High School Diploma or GED, requiredAccredited Prelicensure Nursing Program Enrollment, requiredNursing Assistant I Listing, requiredBasic Life Support Certification, requiredFluent Verbal and Written English, required

Full job description

Description

Student Nurse Externship Program

Launch Your Nursing Career with Hands-On Experience!

Ready to take your nursing education to the next level? Our 10-week, paid summer Student Nurse Externship Program offers rising senior ADN and BSN nursing students an exciting opportunity to gain valuable hands-on clinical experience, strengthen nursing skills, and explore the dynamic world of hospital-based care. This immersive experience allows you to build confidence, sharpen your clinical judgment, and develop the skills needed to transition from nursing student to professional nurse.

Invest in your future, expand your experience, and take the next step toward becoming the nurse you aspire to be!

4 East Medical Stepdown

UNC Rex 4 East is a 31 bed pulmonary and nephrology intermediate care unit. Nurses on this unit care for patients with lung, kidney and heart related illness or diagnoses. Nurses monitor and manage patients with ventilators, peritoneal dialysis, arrhythmias and cardiac drips. We provide an exceptional level of care, continuously utilizing critical thinking and a wide range of clinical skills for patients with multiple comorbidities. We are a strong team that places high importance on providing the best in care and top patient satisfaction results.

Advance Your Skills. Strengthen Your Expertise. Make a Difference!

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.

Summary: The goal of the Student Nurse Externship experience is to provide prelicensure nursing students with an immersive experience to enhance their foundational nursing education and role socialization within a clinical setting. The Student Nurse Extern I (SNE I) position is intended for nursing students enrolled in an accredited School of Nursing to function as a member of the patient care team.. The SNE I will work with their RN partner as a partner in practice within their Nursing Assistant I scope of practice.

The Student Nurse Extern I demonstrates the ability to learn and apply the concepts they have been taught in their nursing program to provide technically skilled care in their assigned department. This position provides the chance to work with RNs in a variety of healthcare settings, earning valuable experience that will enhance nursing knowledge and prepare the incumbent for a profession as a registered nurse.

The SNE I reports to the assigned department’s Patient Services Manager or designated Education Leader and works under the direct supervision of an assigned RN partner. The RN partner facilitates and supports learning experiences to enable the SNE to proficiently perform nursing care activities in both complex and non-complex situations. Provides routine direct and indirect patient care in a hospital, clinic, or home health care setting. All work performed is under the direct supervision of a registered nurse or provider.

Responsibilities:

  • Observes, collects, and documents patient information obtained while providing care and promptly report significant changes in the patient's condition to a registered nurse or provider. Participates in the collaborative identification and reporting of patient safety issues.

  • Provides assistance to patients and their families during admission to the clinical area, orientation to the hospital/clinic/home health experience, and discharge

  • Provides care/ treatments to patients as outlined in plan of care including, but not limited to, the measurement of vital signs, height and weight, specimen collection, skin preps/scrubs, catheter care, capillary blood glucose checks, simple wound care, range of motion exercises, postural drainage, and supportive 1:1 patient and family interactions.

  • Provides direct personal care to patients as outlined in plan of care for routine activities of daily living such as bathing, dressing, feeding and assisting with ambulation.Provides direct personal care to patients as outlined in plan of care for routine activities of daily living such as bathing, dressing, feeding and assisting with ambulation.

  • Provides indirect care to patients and assigned area to include, but not limited to, cleaning the work area, changing linens, re-stocking supplies, cleaning/sterilizing instruments, transporting patients/ supplies/ specimens, assisting in the orientation of new employees and students, and some routine clerical functions.

  • Reinforces routine teaching given to patients by the registered nurse or provider and document patient understanding of instructions.

  • Assist providers and other health care providers with routine examinations and procedures, as well as procurement of equipment and supplies during emergency situations.

  • In the psychiatric setting, aids patients in reality orientation, participates in behavior modification plans/therapy, provides informal support therapy to patients/families, provides verbal de-escalation of potentially aggressive patients, aids in the physical management of aggressive/out-of-control patients, facilitates age appropriate play for children, and monitors the therapeutic milieu activities on assigned unit to ensure that emotional and safety needs of patients are met.

Other Information

Education Requirements:

  • High school diploma or GED required; higher-level degree may satisfy this requirement.

  • Current enrollment in an accredited prelicensure nursing program with anticipated graduation within 12 months time from the start of student nurse externship.

Licensure/Certification Requirements:

  • Listed as Nursing Assistant I with the North Carolina Department of Health and Human Services.

  • Basic Life Support (BLS) certification.

Professional Experience Requirements:

  • None required.

Knowledge/Skills/and Abilities Requirements:

  • Fluent in verbal and written English language.

  • Ability to organize and prioritize assignments in the delivery of patient care. Attainment and maintenance of unit-specific competencies.

  • Basic computer skills.

  • Lift and carry 40-50 lbs. Examples: Push/pull patients on a bed, stretcher (requires 29 lbs. push force), lateral transfers up to 50 lbs. of the patient's weight.

  • Frequent to continuous standing/walking.

  • Patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting, and performing CPR.

Job Details

Legal Employer: NCHEALTH

Entity: UNC REX Healthcare

Organization Unit: Intermediate and ICU Nursing Overhead

Work Type: Temporary Full Time

Standard Hours Per Week: 40.00

Salary Range: $18.00 per hour

Pay offers are determined by experience and internal equity

Work Assignment Type: Onsite

Work Schedule: Variable

Location of Job: US:NC:Raleigh

Exempt From Overtime: Exempt: No

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

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 [email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

How this job compares

Set against the 28,758 open Nurse jobs on Olive Jobs, counted November 13, 2026.

Pay
  • This posting$18/hr
  • North Carolina median$33–42/hr568 hourly ranges
  • US median$34–45/hr13,002 hourly ranges

This rate, $18/hr, is 53% below the North Carolina median midpoint ($38/hr) — in the lowest quarter of Nurse hourly ranges in North Carolina.

Openings
Olive Jobs lists 1,037 open Nurse jobs in North Carolina and 28,758 across the US. Under 1% of them nationwide are listed as remote or flexible.
Hiring the most in North Carolina
Experience
Nurse postings that state a minimum ask for 1 year of experience at the median; the middle half ask for 1 to 2 years (12,087 postings).
Education
This posting asks for a high school diploma; 8,706 of the 28,758 open Nurse jobs (30%) ask for a high school diploma or higher.

Pay, requirements and demand for Nurse jobs

Counted across the open, public US postings on Olive Jobs on November 13, 2026. Figures based on too few postings are left out.

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