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Nursing Care Assistant (CNA) - Med/Surg Stepdown

Duke Careers·Raleigh, North Carolina

Full Time·On Site·0-2 yrs·Posted 3 days ago
Practice for this role

About the role

Provides direct patient care and support to RNs and LPNs, including administering personal care, monitoring vital signs, and assisting with medical procedures. Manages unit upkeep, clerical tasks within the electronic medical record system, and ensures a safe environment for acutely ill patients.

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.Department Summary The Medical/Surgical Stepdown Unit at the Duke Raleigh Campus is a 45-bed unit that serves patients with a wide range of diagnoses to include but not limited to sepsis, pneumonia, diabetes, sickle cell, and gastrointestinal complications.

The unit also provides care to patients with mental health disorders and stepdown level of care patients (this includes cardiac drips, post cath lab recovery, peritoneal dialysis and more).

General Description of the Job Class The Nursing Assistant (NA) is a patient care support partner with the Registered Nurse (RN) and/or Licensed Practical Nurse (LPN) and performs work as delegated by the RN or LPN.

The NA provides direct care to patients and assists with non-direct patient care unit coordination.

The individual in this position is expected to perform basic care and comfort standards as well as have knowledge of the patient population needs in the assigned work area.

In addition, the NA is expected to assist the RN in the care of acutely ill patients.

This individual is expected to practice medical asepsis, respect the dignity and privacy of every patient and family, and to respect cultural differences during patient care.

They are expected to know and adhere to all basic policies and procedures and respond appropriately during emergency situations.

They are expected to maintain the patient/family environment, perform general unit upkeep, order and maintain unit equipment, and order supplies as needed, with or without direct supervision.

The NA is expected to use accurate verbal and written communication and to document patient care appropriately in the electronic health record.

Perform a variety of clerical duties involved in preparing, maintaining, and processing patient, unit(s) and hospital data and records to include operating the organization's patient care information systems.

Individuals in this role are typically scheduled for NCA I shifts at minimum 25% of the time.

Duties and Responsibilities of this Level

Prepare patients, equipment and supplies for specific procedures and provide manual assistance as required.

Obtain and record patient data for medical records noting and informing RN/LPN of information collected.

Administer treatment and personal care procedures to patients including, but not limited to, feeding, bathing, hair care, changing clothing, nail care, bed-making, assisting with ambulation, enemas, skin care, and bowel and bladder elimination; provide such additional care as required to meet the personal needs and comfort of assigned patients.

Participate in teaching activities by reinforcing teaching instructed by RN and/or providers as needed.

Assist providers and nurses with physical examinations by helping position patients, changing non-sterile dressing and weighing patients.

Take and record vital signs, record I&O, and apply ice bags.

Note and report any changes in patient's condition.

Turn and position patients, set up and feed patients as necessary, provide patients with fresh drinking water.

Perform fingersticks for blood glucose testing, with appropriate training, document and notify RN/LPN.

Assist with admission, discharge, and transportation of patients.

Follow standard precautions and use personal protective equipment as required.

Collect, deliver and conduct routine tests on patient specimens.

Clean assigned area; stock and replenish supplies and equipment as required.

Participate in own professional development by maintaining required skills validation and attending educational offerings.

Support the development of other staff and formal learners.

May also perform clean dressing change for wounds over 48 hours old.

Perform a variety of clerical tasks involved in operating the organization's patient care information system.

Acknowledge orders on EMR task list, verify printout and input verified orders to request diets, treatments, nursing services, equipment and diagnostic and laboratory tests and procedures.

Assemble and maintain patient charts from admission through discharge.

Prepare and upload paper documents into the electronic medical record (EMR).

Navigate electronic medical record, access patient information, generate reports, schedule appointments and manage task list.

Assign nursing staff to communication systems.

Required Qualifications at this Level Education Completion of a Level I - Nurse Aide education program approved by the North Carolina Board of Nursing or successful completion of the NC - approved Nurse Aide I competency test. Experience N/A Degrees, Licensure, and/or Certification Currently listed as a Nursing Assistant I (NA I) and Nursing Assitant II (NA II) with the Division of Facility Services with no substantiated findings of abuse, fraud, neglect or misappropriation of property.BCLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment. Knowledge, Skills, and Abilities

Working knowledge of procedures and techniques involved in administering routine and special treatments to patients.

Working knowledge of sanitation, personal hygiene and basic health and safety precautions applicable to work in a hospital.

Working knowledge of the organization and physical layout of the hospital.

Working knowledge of infection control procedures and safety precautions.

Ability to withstand prolonged standing and walking.

This position is very active and requires standing, walking, bending, kneeling, stooping, crouching, crawling and climbing all day.

The employee must frequently lift or move objects and patients weighing over 35 pounds with assistance or appropriate lift equipment.

Ability to understand and follow oral and written instructions.

Ability to document and communicate pertinent information using computer and/or paper documentation tools.

Ability to establish and maintain effective working relationships with patients and hospital staff.

Working knowledge of principles and practices of providing non- professional bedside patient care.

Pre-employment Physical Capacity Testing may be 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.

Requirements

Requires completion of a Level I Nurse Aide program or passing the NC-approved Nurse Aide I competency test. Must be listed as a Nursing Assistant I or II with the Division of Facility Services and maintain BCLS certification.

  • professional certificate
  • Patient Care
  • Electronic Health Records
  • Infection Control
  • Clinical Documentation
  • Basic Life Support
  • Patient Positioning
  • Vital Signs Monitoring
  • Patient Transport
  • Specimen Collection
  • Medical Asepsis
  • Blood Glucose Testing
  • Personal Care Procedures

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
0-2 yrs
Location
Raleigh, North Carolina
Posted
Jul 25, 2026
Application
Employer website
DC

Hiring organization

Duke Careers

Duke Health Technology Solutions is a robust, specialized division of Duke University Health System dedicated to the development and management of enterprise IT systems. A 2018 Davies Award Recipient, Duke Health is nationally recognized for IT and information management as the...

Salary listed on 48 jobs
IndustryIT Services and IT Consulting
TypeEducational
Size501-1,000 employees
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Perform other related duties incidental to the work described herein.

Market context

North Carolina nursing roles stay competitive

North Carolina nursing jobs often reflect steady demand in hospitals, clinics, and long-term care settings, especially for RNs who can provide age-appropriate care across patient populations. These roles are competitive because employers typically want an approved nursing-school graduate with a current North Carolina RN or Compact License and active AHA BLS certification. Review the AI-summarized requirements and benefits here to save research time, and confirm your license status and BLS renewal before applying.

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