Registered Nurse (RN) General Medicine Stepdown

At Duke Health, we're 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.

About Duke Regional Hospital

Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.

The General Medicine Step-down is a 40-bed general medicine unit. Acuity is a mix of intermediate and progressive care/step-down. There is a lot of opportunity to practice a variety of skills amongst a wide range of patient types which, in addition to general medicine, includes some surgery, neurology, palliative care, and inpatient hospice. This unit is consistently recognized as a high-performing team by leadership and work culture scores indicate a healthy, team-supported environment. Come be part of the magic in an area that welcomes new and experienced nurses. Great Unit to set a good nursing foundation. We are eager to add like-minded motivated nurses to our staff. We truly believe we offer Opportunities for a Lifetime at Duke Health!

Shift Information

Full-time; 36 hours per week.

Three (3) 12-hour shifts.

Day Shift 7a-7p or Night shift 7p-7a

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.

• Plan, provide, and document professional nursing care, utilizing the nursing process, by 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 promptly.
• Participate in 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.
• Perform other related duties incidental to the work described herein.

• Work requires graduation from an accredited BSN program.
• Registered Nurses who do not have a Bachelor's degree in Nursing (BSN) or higher will be required to enroll in an appropriate BSN program within two years of their start date, and to complete that program within seven years of their start date in this role.
• 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.

• No experience required.
• All CNIs will be enrolled in and must complete the DUHS Nurse Residency Program within 12 months of hire.
• CNIs are required to meet criteria set forth by the DUHS Nurse Residency Program within 18 months of hire to be promoted to CNII.

• Must have current or compact RN licensure in the state of North Carolina.
• BLS required.

• 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