Registered Nurse (RN) - Med Surg Stepdown

Registered Nurse (RN) - Med Surg Stepdown Requisition Number: 262838 Work Arrangement: 12-hour shifts (7A to 7P Nights) Weekend expectation: up to 96 hours per 8-week schedule Major holidays assigned on a 3‑year rotating schedule Location: Raleigh, NC, US, 27710 The work is performed at Duke Raleigh Hospital, a campus of Duke University Hospital. Department Summary The Medical/Surgical Stepdown Unit at Duke Raleigh Campus is seeking passionate, driven nurses to join our high‑performing 34‑bed team. The unit cares for a diverse and complex patient population, including individuals with sepsis, pneumonia, diabetes, sickle cell disease, gastrointestinal conditions, and patients requiring step‑down level care such as cardiac drips, post‑Cath‑Lab recovery, and peritoneal dialysis. With a nurse‑to‑patient ratio of 1:3–5 based on acuity, the team delivers safe, high‑quality, individualized care and supports professional growth. Responsibilities 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 Education Work requires graduation from an accredited BSN program. Registered nurses hired between July1,2014 and April11,2021 without a bachelor’s degree in nursing (or higher) are encouraged 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 July1,2014 are not required to enroll in a BSN program to remain in this job classification. Experience Twelve months of appropriate clinical nursing experience is required; 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 organization 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. 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. Nearest Major Market: Durham Nearest Secondary Market: Raleigh 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. Read more about Duke’s commitment to affirmative action and nondiscrimination at hr.duke.edu/eeo. #J-18808-Ljbffr