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RN Clinical Nurse II- Cardiovascular Surgery Stepdown

Job in Raleigh, Wake County, North Carolina, 27601, USA
Listing for: UNC REX Healthcare
Full Time position
Listed on 2026-01-12
Job specializations:
  • Nursing
    ICU Nurse, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 20000 - 25000 USD Yearly USD 20000.00 25000.00 YEAR
Job Description & How to Apply Below

Overview

Description

This position qualifies for our UNC Rex Incentive Program, which includes up to $20,000 commitment incentive or up to $25,000 tuition loan forgiveness. In addition, this position is also eligible for up to $10,000 in relocation assistance (based on location) and our employee referral program. Learn more about our UNC Rex Incentive Program here: (Use the "Apply for this Job" box below).-program

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Cardiovascular Surgery Stepdown

Unit The Cardiovascular Surgical Stepdown Unit is located on the 5th floor of the Heart and Vascular Hospital. This stepdown unit specializes in the care of structural heart, cardiac and vascular surgical patients that require the titration of inotropes, vasopressors and/or patients with increased oxygen demands, needing advanced non-invasive oxygen delivery.

The Cardiovascular Stepdown Unit is designed for patients who have moved out of intensive care but need more frequent observation/interventions by nurses to proactively detect subtle changes in patients’ condition and act quickly when patients show signs of deterioration. The design of the Cardiovascular Surgical Stepdown Unit mirrors the ICU layout and allows for quick access to resources within each workstation.

The rooms are all equipped with bedside monitors that are capable of advanced hemodynamic monitoring and wall mounted computers for easy access to electronic charts.

Nurses can effectively communicate with advanced practice providers, floor assigned pharmacists and respiratory therapists that are present on the unit. The leadership team is shared between both the Cardiovascular Surgery ICU and the Stepdown Unit to provide an environment that fosters critical thinking and supports personal and professional growth.

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary

Provides competent clinical nursing care consistent with professional standards. Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting.

Responsibilities
  • Education - Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn.
  • Evaluation of Care - Identifies expected patient outcomes. Seeks guidance as needed in revision of plan of care. Participates in discussion with members of the interdisciplinary team in evaluation of patient care. Communicates relevant information to promote continuity of care.
  • Implementation - Demonstrates competence in care of patients with complex problems, including population-appropriate physical, psychosocial, educational and safety aspects of care. Performs bedside point of care testing as required for patient care plan. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning.
  • Leadership - With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting…
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