Registered Nurse; RN - Med Surg Stepdown - Nights
Listed on 2026-01-28
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Nursing
Healthcare Nursing, RN Nurse, ICU Nurse, Clinical Nurse Specialist
*$15,000 Commiment Bonus available for experienced nurses!
Schedule Info:
Nights available - shift differentials included!
7:00pm to 7:00am with rotating weekends
About Duke Raleigh Hospital, A Campus of Duke University HospitalPursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of Duke Health's four hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care.
Duke Nursing Highlights- 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 for being strong advocates of specialty nursing certification.
- Duke University Health System has 6000 + registered nurses
- Quality of Life:
Living in the Triangle! - Relocation Assistance (based on eligibility)
The Medical/Surgical Stepdown Unit at Duke Raleigh Campus is a 45-bed unit that serves patients with a wide range of diagnoses including but not limited to sepsis, pneumonia, diabetes, sickle cell, and gastrointestinal complications. The unit also provides care to patients with mental health disorders and step-down level of care patients (this includes cardiac drips, post-cath lab recovery, peritoneal dialysis, and more).
The nurse-to-patient ratio is 1:3-5 (depending on the acuity of the patients) on days and nights. The 4th-floor team is active in delivering exemplary care for every patient, every time!
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. Nurses hired into this limited benefited classification will commit to work a minimum number of hours in a designated inpatient nursing department.
Compensation is a flat rate that is based on years of experience.
- 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.
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 seven 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.
Twelve months of appropriate clinical experience is required.
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…
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