Duke University Hospital
Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area.

For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

Registered Nurse (New Grad or Experienced)

Duke University Hospital - Pulmonary Stepdown/Intermediate Care Unit

Located in Duke North, 7th Floor (Unit 7800)

Duke University Health System seeks to hire an experienced or new grad Registered Nurse who will embrace our mission of Advancing Health Together.
The Pulmonary Medicine Stepdown/Intermediate Care (Unit 7800) is comprised of 28 beds, including 6 ventilator beds. Our patient population includes Advanced Lung Diseases (ALS), Pulmonary Hypertension, Cystic Fibrosis, Pre and Post Lung Transplant, Idiopathic Pulmonary Fibrosis as well as a variety of medical diseases involving all the body systems.

Department Highlights: 

• Low Nurse-to-Patient ratios, 1: 3-4
• We are the only Adult Stepdown Unit at Duke University Hospital caring for ventilator patients.
• Our unique Coaching Program supports new grads in their first year of learning! We are a high-functioning team with positive attitudes and a focus on Excellence and Compassionate Care.
• This unit offers Social Committees with Game Nights and Resiliency Monthly Meetings where you will be paid to attend, will go over any questions or concerns regarding the unit, and food and beverage is available!  
• High retention on the unit and historically we have produced Nurse Practitioners, Clinical Nurse III's and IV's, and internal transfers to the ICU. 

Work Schedule 

You will work 3, 12-hour shifts, 7a-7p or 7p-7a, Full Time. 36 hours per week. 

What you will do:

As a Clinical Nurse in Duke University Health System, you will plan and provide professional nursing care for patients in accordance with the medical and nursing plans of care 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.

• Plan, provide and document professional nursing care, utilizing the nursing process, in accordance with physician orders and established policies and procedures under the supervision of the team leader or charge nurse.
• Delegate tasks and supervise the activities of other licensed and unlicensed care providers.
• Assist other healthcare personnel in the delivery of patient care.
• Participate in maintaining the environment of care including equipment and material resources. Prioritize work organization and identify resources available to assist in completing components of care in a timely manner.
• Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
• Support the development of other staff and formal learners.
• Participate in the identification of clinical or operational performance improvement opportunities and assist in performance improvement activities.

What you can expect:

• Multitask in myriad ways - document assessments, plan of care, interventions, evaluation and re-evaluation of patient status, access nursing needs of acute and chronically ill patients, independently seek out resources and work collaboratively.

• Educate patients and families in accordance with the nursing plan of care.
• Relationship management with patients, families, visitors, healthcare team, physicians, administrators, leadership and others.

What we'll provide:

• Paid Training
  • New Graduate Nurses: 8 weeks of paid orientation and monthly nurse residency classes and the completion of a unit-focused project.
• Opportunities for a Lifetime. Duke University Health System is committed to providing robust learning and development from Office of Continuing Education.
• Clinical Ladder Advancement
• Tuition Assistance and Nurse Loan Forgiveness
• Relocation Grant and Sign On Bonus
• Nursing Specialty Certification Bonus  
• Employee Referral Bonus
• Performance Increases
• Comprehensive Benefits: Medical, Dental, Vision, Employee Pension plan and much more.

What you will need:

• Graduation from an accredited Bachelor's Degree in Nursing (or higher) 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.

Licensure and Certification 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. Nurses with a multi state compact license must obtain NC state licensure within the first 90 days of employment.

• BLS Certification

General Description of the Job Class

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.

Exception: Registered nurses hired between July 1, 2014 and April 11, 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 five years of their start date. Registered nurses hired before July 1, 2014 are not required to enroll in a BSN program to remain in this job classification.

Experience

Twelve months of appropriate clinical experience is required. At a manager's discretion, employees with 6 months of experience who are exceptional performers may be eligible for this level.

Degrees, Licensure, and/or Certification

Must have current or compact RN licensure in the state of North Carolina. Nurses with a multi state compact license must obtain NC state licensure within the first 90 days of employment.

BLS required.

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 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 JCAHO and other regulatory requirements

Pre-employment Physical Capacity Testing Required

Distinguishing Characteristics of this Level

N/A

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.

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About Duke University Health System

As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.

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