Registered Nurse (RN) - Med Surg Stepdown - Days

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of the four Duke Health hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care. Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance (based on eligibility)

Duke Raleigh Hospital, A Campus of Duke University Hospital - Inpatient Unit 4200 - Medical Surgical Stepdow, is seeking a Registered Nurse who embraces Advancing Health Together Accepting New Grads and experienced nurses! $10K Commitment Bonuse offered to Experienced Nurses! Department Summary: The Medical/Surgical Stepdown Unit at Duke Raleigh Campus is a 45-bed unit that serves patients with a wide range of diagnoses including but not limited to sepsis, pneumonia, diabetes, sickle cell, and gastrointestinal complications. The unit also provides care to patients with mental health disorders and step-down level of care patients (this includes cardiac drips, post-cath lab recovery, peritoneal dialysis, and more). The nurse-to-patient ratio is 1:3-5 (depending on the acuity of the patients) on days and nights. The 4th-floor team is active in delivering exemplary care for every patient, every time! Work Hours & Shifts:

• 12-hour shifts (7A to 7P Nights)
• Weekend expectation: up to 96 hours per 8-week schedule
• Major holidays are assigned upon hire on a 3 year rotating schedule

General Description: Independently plan and provide professional nursing care for patients in accordance with physician orders and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Nurses hired into this limited benefited classification will commit to work a minimum number of hours in a designated inpatient nursing department. Compensation is a flat rate that is based on years of experience. Duties and Responsibilities of this Level:

• Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures. Use professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care.
• Delegate tasks and supervise the activities of other licensed and unlicensed care providers.
• Assist other nursing personnel in the delivery of nursing care and act as team leader or charge nurse for a group of patients or an entire unit as assigned.
• Monitor and initiate corrective action to maintain the environment of care including equipment and material resources.
• Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
• Act as preceptor and support the development of other staff and formal learners.
• Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities.
• Perform other related duties incidental to the work described herein.

Required Qualifications at this Level: Education Work requires graduation from an accredited BSN program. Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are encouraged to enroll in an appropriate BSN program within two years of their start date but must complete the program within seven years of their start date. Registered nurses hired before July 1, 2014 are not required to enroll in a BSN program to remain in this job classification. Experience Twelve months of appropriate clinical nursing experience is required. Degrees, Licensure, and/or Certification

• Must have current or compact RN licensure in the state of North Carolina.
• BLS required.

Knowledge, Skills, and Abilities:

• Knowledge of scope of the registered nurse, licensed practical nurse and unlicensed staff
• Knowledge of and appropriate application of the nursing process
• Knowledge of professional theory, practice and procedure
• Ability to assess nursing needs of acute and chronically ill patients and their families
• Ability to independently seek out resources and work collaboratively
• Ability to establish and maintain effective working relationships
• Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others
• Ability to teach patients and families in accordance with the nursing plan of care
• Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up
• Ability to use fine motor skills
• Competent in BLS and/or other specialized life support requirements designated by work area
• Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status
• Ability to use computer and learn new software programs
• Able to document and communicate pertinent information using computer and/or paper documentation tools
• Ability to navigate the entity to provide clinical care for patients
• Ability to withstand prolonged standing and walking
• Ability to remain focused and organized
• Working knowledge of procedures and techniques involved in administering routine and special treatments to patients
• Working knowledge of infection control procedures and safety precautions
• Working knowledge and completion of appropriate The Joint Commission (TJC) and other regulatory requirements
• Pre-employment Physical Capacity Testing Required

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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