Adult Medicine Stepdown 4100 (Experienced or New Grad)

Duke University Hospital - Registered Nurse

*$10,000 commitment bonus for Experienced RNs*

*Relocation is available for both new and experienced RNs

**Newly Hired RNs are eligible for up to $25,000 in nursing loan forgiveness towards first nursing degree*

This unit is a 31-bed unit that cares for patients with a wide range of conditions like cardiac, pulmonary, liver, renal, sickle cell, diabetes, infectious diseases, and more. Nurses here usually have a 1:3 to 1:5 ratio during the day, and 1:5 on night shifts. 

This unit is part of Duke University Hospital's innovation initiative, designed to redefine care delivery by integrating cutting-edge technologies that enhance patient outcomes, streamline workflows, and improve operational efficiency. Units 2100, 3100, and 4100 at Duke North are piloting smart room capabilities, automated signage, and virtual access for care teams and families. Future enhancements include predictive tools for fall prevention and ambient listening for documentation. Staff foster a culture of innovation and continuous improvement, collaborating across departments to explore solutions like expedited medication delivery, all aimed at improving the patient experience and reducing length of stay.

Shift Preference: Day Shift (3/12 hour shifts per week)

Duties and Responsibilities of this Level

• Plan, provide and document professional nursing care, utilizing the nursing process, in accordance with 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 in a timely manner.
• Participate in own 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.

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 seven years of their start date.

Degrees, Licensure, and/or Certification

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

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.

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 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 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

Distinguishing Characteristics of this Level

N/A

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.

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.

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As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.

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