Registered Nurse (RN) - Med Surg Stepdown

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About Duke Raleigh Hospital

Pursue your passion for caring with Duke Raleigh Hospital in Raleigh, North Carolina, which has been part of Duke Health since 1998 and has served Wake County for more than 35 years. Duke Raleigh Hospital features 204 inpatient beds and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care.

Medical Surgical Step-Down Unit, Duke Raleigh Hospital 

Day shift - 7 am - 7:30 pm, OR Night Shift 7 pm to 7 am -  three shifts per week, rotating holidays and weekends.

The Medical/Surgical Stepdown Unit at Duke Raleigh Hospital 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!

Experienced RN (1 + yrs experience required)

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 an 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 a 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 a preceptor and support the development of other staff and formal learners.
• Participate in the identification of clinical or operational performance improvement opportunities and performance improvement activities.
• Perform other related duties incidental to the work described herein.

Required Qualifications at this Level

Education

·     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

Experience

Twelve months of appropriate clinical experience is required. At a manager's discretion, employees with 6 months of experience who are exceptional performers may be eligible for this level.

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 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
• The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

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.

Duke is an Affirmative Action/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, sexual orientation, or veteran 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 essentialjob 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.