Registered Nurse; RN - General Medicine Stepdown

At Duke Health, we are 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.

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 Duke Health's four hospitals with 1,062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo‑surgery center, and more.

• 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
• Duke University Health System has 6,000+ registered nurses
• Quality of Life:
  Living in the Triangle
• Relocation Assistance (based on eligibility)

Duke University Health System seeks to hire a Registered Nurse (new or experienced) who will embrace our mission of Advancing Health Together.

The adult medicine stepdown unit has 16 beds. Our team provides exemplary care for a variety of complex patients with diagnoses such as sepsis, sickle cell, GI bleed, end‑stage renal failure, diabetes, cirrhosis, and behavioral health disorders.

• RN to Patient Ratio is 1:3‑5
• A diverse patient population is great for new nurses, offering growth, confidence, and learning across many disease processes
• Unit has Sunshine Committee that schedules events for birthdays, anniversaries, etc.
• Great transition to ICU – ICU Manager encourages RNs from 4100
• Extraordinary unit culture that embraces each team member – a sense of belonging
• Affords strong critical thinking, disease knowledge, and robust care management skills

• Full time – 36 hours/week
• Three (3) 12-hour shifts
• Rotating Day / Night Shift

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

• 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
• Prioritize work organization and identify resources to complete care in a timely manner
• Maintain required competencies, seek learning opportunities, and support other staff and formal learners
• Participate in clinical or operational performance improvement opportunities and assist in performance improvement activities

• Document assessments, plans, interventions, and re‑evaluation for acute and chronically ill patients, collaborate with the team, and seek resources independently
• Educate patients and families in accordance with the nursing plan of care
• Manage relationships with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others

• Paid Training
• New Graduate Nurses: 8 weeks of paid orientation, monthly residency classes, and a unit‑focused project
• Experienced Nurses: 4‑6 weeks of paid orientation, depending on level of experience
• Robust learning and development from the Office of Continuing Education
• Clinical Ladder Advancement
• Tuition Assistance and Nurse Loan Forgiveness
• Relocation Grant
• Nursing Specialty Certification Bonus
• Employee Referral Bonus
• Performance Increases
• Comprehensive benefits:
  Medical, Dental, Vision, Employee Pension plan and more

• Graduation from an accredited Bachelor’s Degree in Nursing (or higher), Associate’s Degree in Nursing, or Nursing Diploma program
• Current registration with North Carolina State Board of Nursing (or compact RN licensure) and BLS Certification
• No experience required – all CNIs will complete the DUHS Nurse Residency Program within 12 months of hire
• All RNs without a Bachelor’s degree must enroll in an appropriate BSN program within 2 years and complete within 7 years

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual’s age, color, disability, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.