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DH

Registered Nurse (RN) - General Surgery / Trauma Stepdown

Duke Health·Durham, North Carolina

Full Time·On Site·2-5 yrs·Posted 22 hours ago
Practice for this role

About the role

Provide exceptional care to acutely ill patients in a 32-bed general surgery and vascular trauma stepdown unit. Collaborate with an interdisciplinary team to integrate innovative technologies and improve patient outcomes.

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 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.

The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

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)

General Surgery & Trauma Stepdown 3100 New Grad and Experienced Nurses *Newly Hired Experienced RNs are eligible for a $15,000 commitment bonus *Relocation is available *

Newly Hired RNs are eligible for up to $25,000 Nursing Loan Forgiveness for first nursing degree*

Shift Preference: Nights or Rotating (3 / 12 hour shifts per week) Unit Profile: The General Surgery & Vascular Trauma Stepdown Unit at Duke strives to provide exceptional care to acutely ill patients. We are a 32 bed stepdown unit with a patient population consisting primarily of abdominal and vascular surgeries, abdominal oncology as well as a variety of trauma patients. Our unit offers an opportunity to cultivate critical thinking in a fast-paced environment that promotes team building and fosters learning. The RNs in our unit aim to provide the highest quality care to our patient population while serving as patient advocates. 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. On this unit, we strive to develop the foundational skills required to excel in the nursing field while working within an extensive interdisciplinary and supportive team. You will master skills such as: ● Tracheostomy care and maintenance ● Blood product administration ● Wound care including wound management systems ● Ostomy care and maintenance and patient education ● Management of chest tubes and various drains ● Maintenance of a variety of collars, braces, and orthopedic devices ● Polytrauma mobility ● Post-operative monitoring and care ● Various pain management techniques including Patient Controlled Analgesic (PCA), Epidural pumps, Ketamine, and Lidocaine infusions. ● Foley catheter insertion, maintenance, and removal ● Nasogastric tube insertion, maintenance, and removal ● Central and Peripheral IV maintenance and removal ● Administration of oral, intravenous, and via tube medications ● Collection of laboratory specimens, including but not limited to blood and urine ● Cardiac telemetry monitoring ● Parenteral and Enteral nutrition administration ● Coordination of patient and family education Knowledge, Skills, Education, and Experience Required: Graduation from an accredited Bachelor’s Degree in Nursing (or higher), Associate's Degree in Nursing or Nursing Diploma program is required. Experienced Nurses: Previous work experience (1+ years) as a clinical nurse is required. All registered nurses without a Bachelor's degree in Nursing 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 Licensure, Certification or Registration 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. BLS (or higher) certification required. Experienced Nurses: Professional specialty certification (preferred).

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 graduation from an accredited nursing program and current North Carolina or compact RN licensure. Experienced nurses must have at least one year of clinical experience and hold BLS certification.

  • associate degree
  • bachelor degree
  • professional certificate
  • Critical thinking
  • Patient education
  • Ostomy care
  • Wound care
  • Pain management
  • Team building
  • Blood product administration
  • Foley catheter insertion
  • Tracheostomy care
  • IV maintenance
  • Enteral nutrition
  • Parenteral nutrition
  • Chest tube management
  • Nasogastric tube insertion
  • Cardiac telemetry monitoring
  • Post-operative monitoring

Benefits

  • Relocation assistance
  • Commitment bonus
  • Nursing loan forgiveness

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Location
Durham, North Carolina
Posted
Jul 28, 2026
Application
Employer website
DH

Hiring organization

Duke Health

Duke University Hospital (DUH) is consistently rated as one of the best hospitals in the United States and is known around the world for its outstanding care and groundbreaking research. Driven to bring extraordinary discoveries to fruition, deliver cutting edge clinical...

Salary listed on 14 jobs
IndustryHospitals and Health Care
TypePrivately Held
Size10,001+ employees
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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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