Experienced Registered Nurse (RN) - General Medicine Stepdown

This unit is part of Duke University Hospital's innovation initiative, designed to redefine care delivery by integrating cutting-edge technologies that enhance patient outcomes, streamline workflows, and improve operational efficiency. Units 2100, 3100, and 4100 at Duke North are piloting smart room capabilities, automated signage, and virtual access for care teams and families. Future enhancements include predictive tools for fall prevention and ambient listening for documentation. Staff foster a culture of innovation and continuous improvement, collaborating across departments to explore solutions like expedited medication delivery, all aimed at improving the patient experience and reducing length of stay.

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
• 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
• 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 seven 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 seven 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 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.

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.