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Registered Nurse - Duke University Hospital - 7800 Pulmonary Stepdown

Company: Duke Health
Location: Durham
Posted on: September 21, 2023

Job Description:

Duke University Hospital
Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For , U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

Registered Nurse (New Grad or Experienced)

Duke University Hospital - Pulmonary Stepdown/Intermediate Care Unit

Located in Duke North, 7th Floor (Unit 7800)

Duke University Health System seeks to hire an experienced or new grad Registered Nurse who will embrace our mission of Advancing Health Together.
The Pulmonary Medicine Stepdown/Intermediate Care (Unit 7800) is comprised of 28 beds, including 6 ventilator beds. Our patient population includes Advanced Lung Diseases (ALS), Pulmonary Hypertension, Cystic Fibrosis, Pre and Post Lung Transplant, Idiopathic Pulmonary Fibrosis as well as a variety of medical diseases involving all the body systems.

Department Highlights:

  • Low Nurse-to-Patient ratios, 1: 3-4
  • We are the only Adult Stepdown Unit at Duke University Hospital caring for ventilator patients.
  • Our unique Coaching Program supports new grads in their first year of learning! We are a high-functioning team with positive attitudes and a focus on Excellence and Compassionate Care.
  • This unit offers Social Committees with Game Nights and Resiliency Monthly Meetings where you will be paid to attend, will go over any questions or concerns regarding the unit, and food and beverage is available!
  • High retention on the unit and historically we have produced Nurse Practitioners, Clinical Nurse III's and IV's, and internal transfers to the ICU. Work Schedule

    You will work 3, 12-hour shifts, 7a-7p or 7p-7a, Full Time. 36 hours per week.

    What you will do:

    As a Clinical Nurse in Duke University Health System, you will plan and provide professional nursing care for patients in accordance with the medical and nursing plans of care 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, 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. What you can expect:
      • Multitask in myriad ways - document assessments, plan of care, interventions, evaluation and re-evaluation of patient status, access nursing needs of acute and chronically ill patients, independently seek out resources and work collaboratively.
        • Educate patients and families in accordance with the nursing plan of care.
        • Relationship management with patients, families, visitors, healthcare team, physicians, administrators, leadership and others. What we'll provide:
          • Paid Training
            • New Graduate Nurses: 8 weeks of paid orientation and monthly nurse residency classes and the completion of a unit-focused project.
            • Opportunities for a Lifetime. Duke University Health System is committed to providing robust learning and development from Office of Continuing Education.
            • Clinical Ladder Advancement
            • Tuition Assistance and Nurse Loan Forgiveness
            • Relocation Grant and Sign On Bonus
            • Nursing Specialty Certification Bonus
            • Employee Referral Bonus
            • Performance Increases
            • Comprehensive Benefits: Medical, Dental, Vision, Employee Pension plan and much more. What you will need:
              • Graduation from an accredited Bachelor's Degree in Nursing (or higher) OR 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 and Certification Required:
                • Current registration with 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 Certification
                    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. 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 . click apply for full job details

Keywords: Duke Health, Durham , Registered Nurse - Duke University Hospital - 7800 Pulmonary Stepdown, Healthcare , Durham, North Carolina

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