Registered Nurse (Experienced RN) Neuro Stepdown Unit

About Duke University Hospital

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 the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

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)

Location: Duke University Hospital

Duke University Health System- Duke University Hospital seeks to hire a Registered Nurse who will embrace our mission of Advancing Health Together.

Department Profile:

The NeuroScience Progressive Care Units (also known as Stepdown) at Duke University Hospital comprises of two 37 bed units (one on the 8th and one on the 9th floor) of the Brand new Duke Central Tower. Our team is active in delivering exemplary care for each patient and their families to ensure an excellent patient experience, every time.

Similar to the high acuity of a community hospital ICU, the Neuro Stepdown units see a myriad of populations and cases that may include but are not limited to: lumbar drains, EVDs, central lines, spinal trauma injuries, epilepsy and more. The Neuro stepdown units receive medically complex patients that no longer require mechanical ventilation.

Patient Ratio: 1:3/4

SHIFTS AVAILABLE:

New Grads - ROTATING - 7am-7pm/7pm to 7am

Clinical RN II (1+ yrs exp): Straight Days, Straight Nights or Rotating Shifts Available

Job Summary:

As a Clinical Nurse with Duke University Health System, you will make providing service your priority while caring for the whole person in a patient-centered atmosphere. The Clinical Nurse (RN) is responsible for providing and supervising direct and indirect total nursing care responsibilities. Utilizing the nursing process (assessing, planning, implementing, and evaluating) in achieving the goals of the nursing department. Plan and provide advanced and/or specialized nursing care for patients guided by the DUHS Professional Practice model and participate in the clinical ladder program, educational activities, departmental committees, research projects, or other health-related projects as assigned. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Adheres to all rules and regulations of all applicable local, state, and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to all.

Knowledge, Skills, Education, and Experience Required:

· Graduation from an accredited Bachelor’s Degree in Nursing (or higher), 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, Certification, or Registration Required:

· Current registration with the 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.

· BLS (or higher) certification required.

· Professional specialty certification (preferred).

Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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 essential job 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.

Share this job

Related Jobs

Home Health

Full-time

6 days ago

Registered Nurse (RN) Home Health

WakeMed Health Raleigh, NC

Overview The Home Health Department provides full service home health to patients in Wake County and some of the surrounding counties. The Clinical Nurse is responsible for providing total comprehensive nursing to patients and their families through the implementation of a plan of care. The plan is based upon the patient's developmental and health care needs identified through the assessment of the patient's physical, psychological, socioeconomic status, and physician orders regarding care, treatment, and education. The Clinical Nurse understands the needs of the organization and supports the mission, values, and management of patient care services. The Clinical Nurse actively supports and incorporates ANA Scope and Standards of Nursing Practice, North Carolina Board of Nursing Practice Act, WakeMed's Division of Nursing Professional Practice model, and WakeMed's Patient & Family Centered Care (PFCC) model. The four key concepts of PFCC are: Dignity and Respect = Listen to and honor patient and family perspectives and choices; Information Sharing = Communicate and share complete and unbiased information with patients and families in ways that are affirming and useful; Participation = Patients and families are encouraged and supported in participating in care and decision-making at the level they choose; Collaboration = Patients and families and the Clinical Nurse collaborate in the delivery of care. Department Description Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org . EOE Licensure Registered Nurse Required Education Bachelor's Degree Nursing Required Experience 8 Years Nursing - Related Area Required

Outpatient

Full-time

1 month ago

Clinical Nurse II- Cardiology CDU Triage

Duke Health Raleigh, NC

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. Duke Health Integrated Practice https://careers.dukehealth.org/us/en/dhip Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina. 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) Clinical Nurse II- Cardiology of Raleigh Job Location: Cardiology of Raleigh 3320 Wake Forest Rd, Raleigh, NC Job Summary: We are seeking a CLINICAL NURSE II at Duke Cardiology of Raleigh , located in Raleigh, NC to serve as a triage nurse and as an integral member of the healthcare team and provide direct and indirect care to patients. JOB DUTIES: Manage nurse line for telephone triage with patients, document encounter, follow protocols established by clinic leadership and inform provider as indicated. Monitor and address all triage related in basket tasks including Mychart patient advice, cardiac clearance forms and collaborate with other internal and external patient’s care team members. Evaluate/Assess/Educate patient prior to procedures. Alert MD for necessary modifications prior to Cardiac ultrasound procedures. Primary nurse in cardiac diagnostic testing (CDU). Start IV’s prior to procedures – calculate dose, prepare & titrate infusion & monitor patient. Administer Dobutamine, Definity and saline according to orders. Monitor patients during Nuclear Stress testing and echos as needed. Administer medications to patients as ordered by providers or by established protocols following the six rights of medication administration. Assist with IV Lasix therapy as needed. Handle prescription refills according to protocols. Managing and performing PT/INR’s and providing Warfarin education. Maintains department logs, educational materials and reports as required for accreditation and JCAHO (medications, equipment, crash cart). Perform intake with patients to include vital signs, visit information and other clinical information as indicated based on patients assessment and clinic staffing needs. Backup coverage for procedure triage & scheduling as needed. Clinical resource for all Unlicensed Assistive Personnel. Participates in performance improvement projects and/or acts as a liaison in various Clinic related projects. Assist in training new staff for cross-coverage & educational purposes. Perform other related duties incidental to the work described herein. Job Eligibility Requirements: Work requires graduation from an accredited Associate's Degree in Nursing or Nursing Diploma program. All registered nurses 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 BSN program within seven years of their start date. 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. BLS required. Cardiology experience preferred Must be present on site for 8 hour shifts during standard business hours. Experience in Triage preferred. Must be able to lift 50 lbs. Must be able to push/pull 250 lbs. Must be able to carry 25 lbs. Must have current or compact RN licensure in the state of North Carolina. BLS required. Advanced Cardiac Life Support (ACLS) within 6 months of hire date Job Hours: The schedule for this position is day shifts, Monday-Friday, with no weekends or holidays. Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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 essential job 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.

Oncology

Full-time

1 month ago

Registered Nurse (RN) - Inpatient Medical Oncology - Day Shift

Duke Health Raleigh, NC

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 Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of the four Duke Health hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care. Duke Nursing Highlights: y 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) Duke Raleigh Hospital, A Campus of Duke University Hospital - North Pavilion 5200 (Medical – Surgical Oncology Unit) seeks to hire Registered Nurse who will embrace our mission of Advancing Health Together. Qualifying candidates will receive a $15,000 Commitment Bonus! Unit Summary: NP 5200 is a 37-bed inpatient adult medical/stepdown oncology unit. Our main patient populations involve symptom management for oncology patients, administration of chemotherapeutic agents, and end-of-life care. Nursing care is provided in collaboration with other departments and disciplines including hospital medicine, surgical services, pharmacy, case management, social work, nurse navigators, dieticians, and chaplain services. The unit is also part of Duke Cancer Institute of Wake County, which provides comprehensive cancer treatment for patients in Wake County receiving care across the continuum of inpatient and ambulatory settings. Work Hours & Shifts: 12-hour shifts (7A to 7P Days) Weekend expectation: up to 96 hours per 8-week schedule Major holidays are assigned upon hire on a 3 year rotating schedule Job Summary: Plan and provide professional nursing care for patients in accordance with physician orders and established policies and procedures. RNs with no previous oncology/chemo experience will be skilled to administer chemotherapy/immunotherapy within 6-8 months of hire. We offer didactic education and hands-on precepted orientation for chemotherapy/immunotherapy administration based on ONS/APHON guidelines, DUHS policies and procedures, and appropriate evidence in practice standards. RNs will complete the ONS/ONCC Chemotherapy Immunotherapy Certificate Course within 24 months of initial chemotherapy/immunotherapy competency with DUHS. Job Duties: Plan and provide professional nursing care for patients in accordance with the scope of the RN as defined by the North Carolina Board of Nursing Perform other related duties incidental to the work described herein. Assist other nursing personnel in the delivery of nursing care and act Assist in the development and implementation of general policies and responses. Provide direction and guidance in the proper use, care and control of as assigned with physician orders and established policies and procedures to include collecting and analyzing patient data, developing and implementing nursing care plans, establishing interpersonal relationships with patients, evaluating nursing care given and communicating to proper personnel relevant facts about patients, action taken and patient as team leader or charge nurse for a group of patients or an entire unit material resources; appraise quality and effectiveness of material and equipment and report results to head nurse; maintain standards of cleanliness in assigned areas. Observe activities of nursing staff and make recommendations to nursing management for improvement in the quality and effectiveness of nursing care given procedures designed to effect efficiency of operations. Required Qualifications at this Level. Experience 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 Education, Degrees, Licensure, and/or Certification Graduation from an accredited Bachelor’s Degree in Nursing (or higher), Associate's Degree in Nursing or Nursing Diploma program is required. 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 Nurses hired at Duke Health with a valid compact license are required to obtain their North Carolina nursing license within 90 days of their start date. 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 document and communicate pertinent information using computer and/or paper documentation tools Ability to use fine motor skills. Competent in BLS and/or other specialized life support requirements designated by work area or organization. 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. 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 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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 essential job 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.

Outpatient

Full-time

1 month ago

Clinical Nurse II- Cardiology CDU Triage

Duke Health Raleigh, NC

Full-time

2 months ago

Registered Nurse (RN) - Neuro Spine - Days

Duke Health Raleigh, NC

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 Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of the four Duke Health 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) Duke Raleigh Hospital, A Campus of Duke University Hospital - Inpatient Unit 3700 - Orthopedic - Neuro/Spine Stepdown Unit is seeking a Registered Nurse who embraces Advancing Health Together Accepting new grads! Unit Summary: Located at Duke Raleigh Campus's new South Pavilion, 3700 is a Ortho/Neuro Spine and Neuro Stepdown Unit consisting of 32 inpatient beds. The team has Commitment to Zero Harm of their patients, and this is executed through their dedication to providing exceptional patient care and customer service. The typical patient population is post-operative spine, both ortho-spine and neuro-spine, and patients who have been diagnosed with a stroke and/or neurology related procedure. Although the unit specializes in adult patients, they also care for a specific population of pediatric adolescents who undergo spine surgery. South Pavilion 3700 occasionally absorbs overflow orthopeadic joint surgical patients and general medicine patients. Schedule: 3 - 12hr shifts (7A - 7P & 7P - 7A) Rotating Weekends & Rotating Holidays 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. 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 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 The Joint Commission (TJC) and other regulatory requirements Pre-employment Physical Capacity Testing Required Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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 essential job 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.