RN ER Full-time
WakeMed Health

Registered Nurse (RN) Emergency Department

Overview

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

Diploma Nursing Required - Or Associate's Degree Nursing Required - And Bachelor's Degree Nursing Preferred
Experience

2 Years Nursing - Related Area Required - Or No Experience Required With Preferred Education

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Duke Health

Nurse Manager - Emergency Department

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 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. Nurse Manager, Operations – Emergency Department Duke University Hospital – Durham, NC Relocation assistance up to $10,000 available (for moves 50+ miles) Duke University Hospital is seeking an experienced, highly engaged Nurse Manager, Operations, to lead clinical and operational functions in our high-acuity Emergency Department (ED) . This is an exceptional opportunity to join a nationally recognized academic medical center and guide a team committed to delivering exemplary, patient-centered care. About the Emergency Department Our state-of-the-art Emergency Department includes 82 total beds , dedicated to serving patients across the lifespan. The unit features: 11 Pediatric beds 54 Adult Monitored beds 8 Fast Track beds 4 Triage beds 4 Resuscitation/Trauma rooms 1 Sexual Assault Examiner room Centralized telemetry monitoring Our ED team is passionate about delivering exceptional care and ensuring an excellent patient experience—every patient, every time. Job Summary The Nurse Manager, Operations, provides 24/7 leadership for assigned clinical areas, ensuring high-quality patient care, regulatory compliance, and alignment with Duke Health’s mission and professional practice standards. This role is responsible for operational oversight, staff development, strategic planning, and fostering a collaborative and supportive work environment. Key Responsibilities Leadership & Strategic Direction Participate in the development and execution of strategic and operational plans. Promote a professional practice model that encourages shared decision-making and evidence‑based standards. Serve as a visible, supportive leader and role model, fostering accountability and positive change. Patient Care & Advocacy Champion safe, high-quality, patient-centered care. Advocate for patients, families, and staff to ensure care delivery aligns with expectations and standards. Ensure consistent use of the nursing process from admission to discharge. Team & Staff Development Recruit, coach, evaluate, and support nursing staff to develop clinical competency from novice to expert. Promote diversity, inclusion, and positive team culture. Assure staff participation in councils, committees, and departmental initiatives. Operations & Quality Management Oversee day-to-day management of the unit, ensuring efficient workflows, staffing, and resource use. Monitor quality metrics and lead unit-based Performance Improvement initiatives. Coordinate development and implementation of policies and procedures that enhance operational efficiency. Fiscal Management Collaborate with the Director of Clinical Operations on budget planning and resource allocation. Evaluate resource utilization and implement action plans, ensuring operational and fiscal responsibility. Education Requirements Bachelor’s degree in Nursing (BSN) required Master’s degree in Nursing strongly preferred Experience Requirements At least 3 years of Emergency Nursing experience required 1+ years of nursing leadership experience (e.g., Charge RN, Clinical Supervisor, Manager) preferred Experience in a high-acuity ED of similar scope preferred Preferred Leadership Competencies Project management Conflict resolution Team building Staff onboarding Budget and finance management Licensure & Certification Current or compact RN licensure in North Carolina BLS certification 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.
RN ER Full-time
Duke Health

Clinical Nurse IV Leader - Emergency Department

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 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 Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Plan and provide advanced and/or specialized nursing care for patients in accordance with guidelines established within the Discipline of Nursing Clinical Ladder Program and the North Carolina Board of Nursing. The position will provide local level leadership in the areas of administration, education, informatics and quality. Location: 2301 Erwin Rd., Durham, NC 27710 Schedule: Full-Time - 40 hours per week NIghts - 7p-7a Call requirement for back-up on another shift Relocation Assistance: Eligible for up to $8000.00 in relocation assistance and access to a dedicated websites that let’s you research the area attractions, services, and neighborhoods. Duties and Responsibilities Identify care needs for patient populations across the continuum of care. Collaborate and provide leadership in the development of standards of care, patient/family education and staff education to address the needs of specific populations. Collaborate with multidisciplinary team and provide leadership within the delivery of patient care. Provide leadership in educational activities, departmental committees, research projects and other health-related projects. Provide evaluation, direction and guidance in the proper selection, use, care and control of material resources. Appraise quality and effectiveness of material and equipment and collaborate with appropriate departments to assist with vendor selection and feedback on performance. Guide the professional growth of others across the continuum of care through role modeling, coaching and/or mentoring. This may include designing orientation modules, primary precepting of senior nursing students. Provide leadership at a departmental, entity, community or regional/national level for initiatives focused on improving the quality of care for populations of patients and growth of others. Conduct performance reviews. Effectively recommend personnel actions including, but not limited to, hiring, performance appraisals, disciplinary actions, terminations and other related activities. Perform other related duties incidental to the work described herein. CNIV Pathways Leadership/Regulatory: Monitor clinical practice and ensure compliance to practice standards and regulatory standards. Collaborate with unit/clinic leadership to coach and mentor nursing colleagues. Influence recruitment and development of staff. Education: Plan and deliver in house education sessions or collaborate with subject matter experts. Keep up to date with evidence-based nursing practices and adult education. Assess educational needs of staff. Partners with clinical nurse educator and clinical nurse specialist to address unit educational needs. Informatics: Serve as a superuser for clinical information systems. Disseminate and communicate information to staff regarding adoption of or changes to technology. Facilitate service tickets and troubleshoot efficiency concerns with staff. Provide training and technology education support on the unit. Serve as a change agent and facilitate adoption of new technology on the unit. Quality/Research/Innovation: Collaborate with subject matter experts to analyze patient care data to identify trends and areas for improvement. Participate in multidisciplinary committees focused on quality and patient safety. Provide guidance and support to nursing staff in quality assurance and best practices. Engage in research and innovation initiatives to develop new methodologies and technologies for enhancing patient care. Required Qualifications Education Work requires graduation from an accredited nursing program with a BSN degree. Experience Applicants must meet all requirements set forth by the DUHS Career Ladder Program for level IV. Emergency Department 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 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 Provide leadership at a CSU, departmental, institutional, community or regional/national level. Lead change by constantly seeking creative solutions to improve quality and efficiency in the delivery of patient care. 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. 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.
RN ER Full-time
Cape Fear Valley Health

Registered Nurse - Emergency Department, Full Time, Variable

$20,000 sign-on bonus, relocation assistance available, comprehensive benefits package, and tuition assistance available! Facility Central Harnett Hospital Location Lillington, North Carolina Department Emergency Department Job Family Nursing Work Shift Variable (United States of America) Summary Registered Nurse, RN plans and implements professional nursing care for patients in accordance with hospital policies. Assumes charge nurse responsibilities as assigned. Knowledge, Skills, and Abilities Major Job Functions The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time: Assesses the patient and identifies patient care needs Uses patient assessment information to organize appropriate patient care Plans, organizes, implements, and evaluates patient care Facilitates a safe environment Maintains required competencies Functions as charge nurse as assigned Maintains an accurate and relevant record of patient care Administers medication as ordered by physician Recognizes life threatening situations and responds appropriately Establishes collaborative interdisciplinary relationships with other Health System staff and medical staff Monitors the quality of care based on pre-established outcome-oriented indicators Actively participates in cost containment and assists in accurate charging for patient services Adjusts care based upon age-specific physiological and psychosocial needs of patients Supports patients in the practice of their cultural and spiritual beliefs within limits of medical regimen Other duties as assigned Minimum Qualifications The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job: Education and Formal Training : Associates Degree in Nursing required Bachelors Degree in Nursing preferred Current licensure in North Carolina as a Registered Nurse or Compact state licensure Unit Description : The Emergency Department (ED) provides high-quality, compassionate emergency care to patients presenting with a variety of acute medical, surgical, and traumatic conditions. The unit consists of 12-22 treatment beds. We provide care across all phases of emergency service — triage, stabilization, treatment, and disposition (admission, transfer, or discharge). Our patient population includes pediatric, adult, and geriatric individuals, encompassing both low-acuity and high-acuity presentations. We are committed to delivering timely, patient-centered care in a community-focused environment. • Our Care Team is composed of Registered Nurses, paramedics, certified nursing assistants, physicians, and advanced practice providers, all working collaboratively to provide safe, efficient, and quality care. • Our PCM, department educator, and Charge Nurses are available to support staff with education, clinical guidance, and access to policies, protocols, and resources. • Our electronic medical record system is EPIC. • Experience in hospital and emergency settings preferred. • Weekend and holiday rotations are scheduled according to departmental needs and staffing guidelines. No mandatory on-call or over-time requirements. Work Experience: • Experience in hospital and emergency settings preferred. Knowledge, Skills, and Abilities Required : Demonstrates positive interpersonal skills Verbal and written skills required Demonstrates effective organizational and leadership skills Has knowledge of the age-specific physiological and psychosocial, developmental and spiritual needs of the patients typically served Physical Requirements : Speech and auditory acuity for communication of patient needs Visual acuity for observation of patients Much standing, walking, bending, and lifting May involve skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious material Required Licenses and Certifications BLS - American Heart Association, RN - Board Of Nursing Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity Explore the exciting opportunities at Cape Fear Valley — watch this short video to learn more!
RN PCU Full-time
Duke Health

Registered Nurse (RN) - General Surgery / Trauma 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 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 Duke Health's four hospitals 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) General Surgery & Trauma Stepdown 3100 New Grad and Experienced Nurses *Newly Hired Experienced RNs are eligible for a $15,000 commitment bonus *Relocation is available ** Newly Hired RNs are eligible for up to $25,000 Nursing Loan Forgiveness for first nursing degree** Shift Preference: Nights or Rotating (3 / 12 hour shifts per week) Unit Profile: The General Surgery & Vascular Trauma Stepdown Unit at Duke strives to provide exceptional care to acutely ill patients. We are a 32 bed stepdown unit with a patient population consisting primarily of abdominal and vascular surgeries, abdominal oncology as well as a variety of trauma patients. Our unit offers an opportunity to cultivate critical thinking in a fast-paced environment that promotes team building and fosters learning. The RNs in our unit aim to provide the highest quality care to our patient population while serving as patient advocates. 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. On this unit, we strive to develop the foundational skills required to excel in the nursing field while working within an extensive interdisciplinary and supportive team. You will master skills such as: ● Tracheostomy care and maintenance ● Blood product administration ● Wound care including wound management systems ● Ostomy care and maintenance and patient education ● Management of chest tubes and various drains ● Maintenance of a variety of collars, braces, and orthopedic devices ● Polytrauma mobility ● Post-operative monitoring and care ● Various pain management techniques including Patient Controlled Analgesic (PCA), Epidural pumps, Ketamine, and Lidocaine infusions. ● Foley catheter insertion, maintenance, and removal ● Nasogastric tube insertion, maintenance, and removal ● Central and Peripheral IV maintenance and removal ● Administration of oral, intravenous, and via tube medications ● Collection of laboratory specimens, including but not limited to blood and urine ● Cardiac telemetry monitoring ● Parenteral and Enteral nutrition administration ● Coordination of patient and family education 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 is required. Experienced Nurses: Previous work experience (1+ years) as a clinical nurse is required. All registered nurses without a Bachelor's degree in Nursing 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 Licensure, Certification or Registration 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 (or higher) certification required. Experienced Nurses: 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.
RN Pediatric CVICU Full-time
Duke Health

Registered Nurse (Experienced) - PCICU

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 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) Registered Nurse (Experienced ) Peds Cardiac Intensive Care Unit – Duke University Hospital Located in Duke Central Tower, Unit 3 B Hiring Incentive $15,000 Commitment Bonus for eligible experienced RN's - Paid in four equal installments over 24 months (every six months) Duke University Health System seeks to hire an experienced Registered Nurse who will embrace our mission of Advancing Health Together. Department Profile: Our team is active in delivering exemplary care for each patient to ensure an excellent patient ex perience, every time. The Pediatric Cardiac Intensive Care Unit is a 20- bed unit in a Level I Trauma C enter. Areas of subspecialty expertise include congenital heart disease and cardiovascular surgery. In this unit we care for high acuity patients and nurses gain hands-on experience with devices unique to this unit. Available advanced treatment modalities include Extracorporeal Life Support (ECMO) and ventricular assist devices. We are a fast paced unit working in an environment of teamwork and inclusion where everyone’s input matters. Work Schedule: Full Time: 3, 12 hour shifts. 7a/7p, Day/Night rotating. 36 hours per week. What you will do: As a Clinical Nurse II 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, 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. 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 will provide: Paid Training: 8 – 16 weeks of paid orientation depending on level of experience. 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 Relocation Grant Employee Referral Program Nursing Specialty Certification 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 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.