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About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Registered Nurse (RN) - Experienced or New Grad - Adult Medicine Stepdown 4100

*COMMITMENT BONUS RELOCATION BONUS AVAILABLE FOR NEW GRADS EXPERIENCED RNs!*

Duke University Health System seeks to hire a Registered Nurse (new or experienced) who will embrace our mission of Advancing Health Together.

Unit 4100 is an adult medicine stepdown unit comprised of 16 beds. Our team of nursing staff provide exemplary care for a variety of complex patients with varying diagnosis such as sepsis, sickle cell, GI bleed, end stage renal failure, diabetes, cirrhosis, and behavioral health disorders. 

Department Highlights:

• RN to Patient Ratio is 1:3-5
• A diverse patient population is GREAT for new nurses who are still unsure about what route they want to take as a nurse, as it allows you to grow and strengthen your skills, build confidence, and learn about many different disease processes.
• Unit has Sunshine Committee that schedules events for the unit to celebrate birthdays, anniversaries, etc.
• Great transition to ICU - ICU Manager has reached out to get RNs specifically from 4100
• Extraordinary unit culture that embraces each team member – a sense of belonging. 
• Affords the clinical experience to attain strong critical thinking skills, vast knowledge of disease processes and body systems, and robust care management skills.

Work Schedule:

• Full time - 36 hours/week.
• Three (3) 12-hour shifts.
• NIGHTS or ROTATING shifts available!

What you will do:

As a Clinical Nurse in Duke University Health System, you will plan and provide professional nursing care for patients in accordance with the medical and nursing plans of care 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.

• Plan, provide and document professional nursing care, utilizing the nursing process, in accordance with physician orders and established policies and procedures under the supervision of the team leader or charge nurse.
• Delegate tasks and supervise the activities of other licensed and unlicensed care providers.
• Assist other healthcare personnel in the delivery of patient care.
• Participate in maintaining the environment of care including equipment and material resources. Prioritize work organization and identify resources available to assist in completing components of care in a timely manner.
• Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
• Support the development of other staff and formal learners.
• Participate in the identification of clinical or operational performance improvement opportunities and assist in performance improvement activities.

What you can expect:

• Multitask in myriad ways – document assessments, plan of care, interventions, evaluation and re-evaluation of patient status, access nursing needs of acute and chronically ill patients, independently seek out resources and work collaboratively.

• Educate patients and families in accordance with the nursing plan of care.
• Relationship management with patients, families, visitors, healthcare team, physicians, administrators, leadership and others.

What we’ll provide:

• Paid Training
  • New Graduate Nurses: 8 weeks of paid orientation and monthly nurse residency classes and the completion of a unit-focused project.
  • Experienced Nurses: 4-6 weeks of paid orientation, depending on level of experience. 
• Opportunities for a Lifetime. Duke University Health System is committed to providing robust learning and development from Office of Continuing Education.
• Clinical Ladder Advancement
• Tuition Assistance and Nurse Loan Forgiveness
• Relocation Grant and Sign On Bonus
• Nursing Specialty Certification Bonus 
• Employee Referral Bonus
• Performance Increases
• Comprehensive Benefits: Medical, Dental, Vision, Employee Pension plan and much more.

What you will need:

• Graduation from an accredited Bachelor’s Degree in Nursing (or higher) OR Associate's Degree in Nursing OR Nursing Diploma program.

***All registered nurses without a Bachelor’s Degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within five years of their start date. We do offer Tuition Assistance.

Licensure and Certification Required:

• Current registration with North Carolina State Board of Nursing as a registered professional nurse OR current compact RN licensure to practice in the state of North Carolina required. Nurses with a multi state compact license must obtain NC state licensure within the first 90 days of employment.

• BLS Certification

Education:

• Graduation from an accredited Bachelor’s Degree in Nursing (or higher), Associate's Degree in Nursing or Nursing Diploma program is required.
• RNs without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within five years of their start date.
• Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are expected to enroll in an appropriate BSN program within two years of their start date but must complete the program within five 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.

Duke is an Affirmative Action/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, sexual orientation, or veteran 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 essentialjob 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.