Registered Nurse

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 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.

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)

Description  

 Cardiology Stepdown Units at Duke University Hospital provides care for cardiology medicine patients with a range of diagnoses.  The patient population includes but is not limited to the care of acute coronary syndrome, post cardiac catheterization, electrophysiology procedures, dysrhythmias, heart failure, heart transplant workups and congenital heart disease.   These patients require high acuity care and many come directly from the ICU, post procedures or outside hospitals requiring an increased level of care.  Many times, these patients encompass a multi-system involvement, which can include but is not limed to pulmonary, renal, endocrine and neurology. Cardiology Stepdown unit 3200/7100 and Cardiology Stepdown unit 3200/7100 are now offering a $15,000 commitment bonus to experienced RNs that’s new to Duke, must have one year or more experience

The environment has low patient ratios 1:4 is fast paced, challenging and a great place to promote and develop your critical thinking skills with many opportunities for professional growth. Cardiology stepdown units are fast-paced units constructed of an elite team of enthusiastic cardiology registered nurses and nursing care assistants. Staff have strong assessment skills, value teamwork, and strive to provide excellent patient care. The well-being of our patients is a top priority. Come be a part of the heart of Duke on Cardiology Stepdown team   

Job Summary

As a Clinical Nurse with Duke University Health System, you will make providing service your priority while caring for the whole person in a patient-centered atmosphere. The Clinical Nurse (RN) is responsible for providing and supervising direct and indirect total nursing care responsibilities. Utilizing the nursing process (assessing, planning, implementing and evaluating) in achieving the goals of the nursing department. Plan and provide advanced and/or specialized nursing care for patients in guided by DUHS Professional Practice model participate in the clinical ladder program, educational activities, departmental committees, research projects or other health related projects as assigned. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Adheres to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

Work Schedule:  3-12 hours shifts, Day, Night or Rotating.  

Work Performed

Clinical Nurse will 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 incident al to the work described herein.

Knowledge, Skills and Abilities

Knowledge of scope of the registered nurse, licensed practical nurse and NCA 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 us e computer and learn new software programs. Able to document and communicate pertinent information using computer and/or paper documentation tool. 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 JCAHO and other regulatory requirements. Pre -employment Physical Capacity Testing Required

Minimum Qualifications

Education

Work requires graduation from an accredited BSN 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.

Experience

• One year or more of RN experience

Degrees, Licensures, Certifications

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

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.