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)
Occ Summary
Plan and provide advanced and/or specialized nursing care for patients in accordance with guidelines established within the Discipline of Nursing Clinical Ladder Program; participate in educational activities departmental committees, research projects or other health related projects as assigned. Provides nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.
Work Performed
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 with in 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. Perform other related duties incidental to the work described herein.
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
Level Characteristics
Provide leadership at aCSU, 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.
Minimum Qualifications
Education
Work requires graduation from an accredited nursing program with a BSN degree. Incumbents in this job classification effective on or before 10/01/2015 who currently hold an Associate's Degree in Nursing or a Nursing Diploma may remain in this classification under a "grandfathered" status. Transferring to another job classification will require that all minimum qualifications of that job be met and will result in a loss of grandfathering status for this classification.
Experience
Applicants must meet all requirements set forth by the DUHS Career Ladder Program for the level IV.
Degrees, Licensures, Certifications
Must have current or compact RN licensure in the state of North Carolina. BLS 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.
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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. 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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. 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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. 
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There are opportunities to practice a wide variety of skills such as chest tube and other drain management, tube feedings, trach care, pain management with PCAs/epidurals, wound care, etc. The unit is 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) or (7P to 7A Nights) Weekend expectation: up to 96 hours per 8-week schedule Major holidays are assigned upon hire on a 3 year rotating schedule 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. 
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. 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Work Hours & Shifts: 40 hours per week 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. Experience: Twelve months of appropriate clinical experience is required. 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 seven 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.