Registered Nurse (RN) - Med Surg Stepdown - Days

Registered Nurse (RN) - Med Surg Stepdown - Days

Work Arrangement: Regular Location: Raleigh, NC, US, 27710

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. Join us and discover how we can advance health together.

Duke Raleigh Hospital, A Campus of Duke University Hospital, offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care. Duke Nursing Highlights include being recognized as North Carolina's Great 100 Nurses and receiving the American Board of Nursing Specialties Award for Nursing Certification Advocacy.

Quality of Life: Living in the Triangle! Relocation Assistance (based on eligibility)

Duke Raleigh Hospital, A Campus of Duke University Hospital - Inpatient Unit 4200 - Medical Surgical Stepdown, is seeking a Registered Nurse who embraces Advancing Health Together. Accepting new grads and experienced nurses! Offering a $10K Commitment Bonus for Experienced Nurses!

Department Summary: The Medical/Surgical Stepdown Unit at Duke Raleigh Campus is seeking passionate, driven nurses to join our high-performing 34-bed team. This is an exciting opportunity to care for a diverse and complex patient population, including individuals with sepsis, pneumonia, diabetes, sickle cell disease, and gastrointestinal conditions, as well as patients requiring step-down level care such as cardiac drips, post–cath lab recovery, and peritoneal dialysis.

Our unit offers a unique, well-rounded clinical environment that also includes providing nurses with the chance to expand their skills and make a meaningful impact across multiple areas of care. With a supportive nurse-to-patient ratio of 1:3–5 based on acuity, our team is empowered to deliver safe, high-quality, and individualized care. You'll work alongside a collaborative, engaged team that is deeply committed to professional growth, teamwork, and delivering exceptional outcomes for every patient, every time.

Work Hours & Shifts: 12-hour shifts (7A to 7P Nights) Weekend expectation: up to 96 hours per 8-week schedule Major holidays are assigned upon hire on a 3 year rotating schedule

General Description: Independently plan and provide professional nursing care for patients in accordance with physician orders 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.

Duties and Responsibilities of this Level: 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 incidental to the work described herein.

Required Qualifications at this Level: Education Work requires graduation from an accredited BSN program. Experience Twelve months of appropriate clinical nursing experience is required and or New Graduates are also considered Degrees, Licensure, and/or Certification Must have current or compact RN licensure in the state of North Carolina. BLS required.

Knowledge, Skills, and Abilities: Knowledge of scope of the registered nurse, licensed practical nurse and unlicensed staff 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 use computer and learn new software programs Able to document and communicate pertinent information using computer and/or paper documentation tools 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 The Joint Commission (TJC) and other regulatory requirements Pre-employment Physical Capacity Testing 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.