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Registered Nurse (RN) - General Medicine Stepdown

Duke University Health System seeks to hire a Registered Nurse (new or experienced) who will embrace our mission of Advancing Health Together.

Posted Sep 4 · New grads welcomed

Unit and setting
General Medicine Stepdown (Unit 2100) · Hospital
License
RN license Current registration with North Carolina State Board of Nursing or compact RN licensure
Term
Permanent

Do you qualify?

New grads
Welcomed, 8-week residency Duke University Health System seeks to hire a Registered Nurse (new or experienced) who will embrace our mission of Advancing Health Together.
License
Current registration with North Carolina State Board of Nursing or compact RN licensure Check your license
Certification
BLS Certification
Education
Bachelor's Degree in Nursing (or higher), Associate's Degree in Nursing, or Nursing Diploma Graduation from an accredited Bachelor’s Degree in Nursing (or higher) OR Associate's Degree in Nursing OR Nursing Diploma program.
Your six-month RN application plan

Start about six months before graduation. Some programs open earlier; use each employer’s application dates.

  1. 6 months before

    Shortlist units

    Check application windows. Gather clinical experience, references and your expected graduation date.

    Find residencies
  2. 4–6 months before

    Apply as windows open

    Apply before graduation when the program allows it. Keep the cohort date and license deadline with each application.

    Explore new grad jobs
  3. 2–3 months before

    Meet the unit manager

    Ask about overtime, a shadow shift, preceptor continuity and the schedule after orientation.

    Prepare your questions
  4. Around graduation

    Confirm your start

    Coordinate NCLEX, the required license and your start date. Get relocation and repayment terms in writing.

    Plan your license
Why start this early?

Advocate describes a 6–9 month application runway for several regional RN programs. These milestones are a planning guide, not deadlines for every employer. See program calendars.

What it pays

Tuition assistance
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. We do offer Tuition Assistance.
Loan repayment
Up to $25,000 nursing loan forgiveness
Bonus
Commitment Bonus Commitment Bonus is available for Experienced RNs!for Experienced RNs
Bonus
Nursing Specialty Certification Bonus Nursing Specialty Certification Bonus
Bonus
Employee Referral Bonus Employee Referral Bonus
Pay reviews
Performance Increases Performance Increases

Benefits

  • BenefitsRelocation assistance based on eligibilityRelocation Assistance (based on eligibility)
  • BenefitsRelocation for eligible Experienced and New RNsRelocation for eligible Experienced and New RNs
  • BenefitsUp to $25,000 nursing loan forgivenessUp to $25,000 nursing loan forgiveness
  • Benefits8 weeks of paid orientation and monthly nurse residency classes for New Graduate NursesNew Graduate Nurses: 8 weeks of paid orientation and monthly nurse residency classes
  • Benefits4 - 6 weeks of paid orientation depending on level of experience for Experienced NursesExperienced Nurses: 4 - 6 weeks of paid orientation depending on level of experience.
  • BenefitsLearning and development from Office of Continuing EducationDuke University Health System is committed to providing robust learning and development from Office of Continuing Education.
More benefits (12)
  • BenefitsClinical Ladder AdvancementClinical Ladder Advancement
  • BenefitsTuition Assistance and Nurse Loan ForgivenessTuition Assistance and Nurse Loan Forgiveness
  • BenefitsRelocation GrantRelocation Grant
  • BenefitsMedical, Dental, Vision, Employee Pension plan and much moreComprehensive Benefits: Medical, Dental, Vision, Employee Pension plan and much more.
  • Paid Training
  • Nurse Residency
  • Tuition Assistance
  • Nurse Loan Forgiveness
  • Medical
  • Dental
  • Vision
  • Employee Pension plan

The role and schedule

Patients
complex patients with stroke, heart failure, pneumonia, sepsis, liver/kidney failure, BKAs/AKAs, diabetes, GI bleed, sickle cell, rheumatic, psychiatric, and behavioral health disorders
Charge
Charge shifts are part of the role
Day to day
plan, provide and document professional nursing care under supervision of team leader or charge nurse
Day to day
delegate tasks and supervise other licensed and unlicensed care providers Delegate tasks and supervise the activities of other licensed and unlicensed care providers.
Day to day
assist other healthcare personnel in patient care delivery Assist other healthcare personnel in the delivery of patient care.
Day to day
maintain environment of care and prioritize work organization
Day to day
participate in professional development and maintain competencies Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
Day to day
support development of other staff and formal learners Support the development of other staff and formal learners.
Day to day
participate in clinical or operational performance improvement Participate in the identification of clinical or operational performance improvement opportunities and assist in performance improvement activities.
Day to day
multitask across documentation, care planning, intervention, and evaluation
Day to day
educate patients and families Educate patients and families in accordance with the nursing plan of care.
Day to day
manage relationships with patients, families, and healthcare team Relationship management with patients, families, visitors, healthcare team, physicians, administrators, leadership and others.
Unit size
16 beds The General Medicine Stepdown (Unit 2100) is a newly renovated unit comprised of 16 beds.
Details
1062 patient beds at Duke University Hospital

Support on this unit

Nurse to patient
1:4 RN to Patient Ratio is 1:4stated in this posting
Orientation
8-week residency

The workplace

Duke University Health System
Health system employer

Worth asking

  • Can you walk me through the pay period for the posted $25,000 range and differentials?
  • What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
More questions to ask
  • What preceptor time and ongoing unit support are included?
  • How are floating and staffing support handled day to day?
Build questions for this role

Your fit

On your path

Telemetry is open from year one. One of the most open front doors in acute care; ACLS and rhythm.

Original listing

Read full text

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 (RN) – Duke University Hospital – General Medicine Stepdown (Unit 2100)

Commitment Bonus is available for Experienced RNs! Relocation for eligible Experienced and New RNs Up to $25,000 nursing loan forgiveness

Duke University Health System seeks to hire a Registered Nurse (new or experienced) who will embrace our mission of Advancing Health Together.

The General Medicine Stepdown (Unit 2100) is a newly renovated unit comprised of 16 beds. Our team of nursing staff provide exemplary care for a variety of complex patients with varying diagnosis such as stroke, heart failure, pneumonia, sepsis, liver/kidney failure, BKAs/AKAs, diabetes, GI bleed, sickle cell, rheumatic disorders, psychiatric, and behavioral health disorders.

Department Highlights

RN to Patient Ratio is 1:4 A brand new, renovated unit! Lots of opportunity to grow and advance in your career as an Assistant Nurse Manager, preceptor, charge nurse, create committees, etc. You will be a part of building the culture and personality of the unit. Phenomenal teamwork, multi-disciplinary collaboration, and professional respect – we offer a dynamic environment for lateral professional development. Extraordinary unit culture that embraces each team member – a sense of belonging. Affords the clinical experience to attain strong critical thinking skills, vast knowledge of disease processes and body systems, and robust care management skills.

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.

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 Experienced Nurses: 4 – 6 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 and Nurse Loan Forgiveness Relocation Grant 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 seven years of their start date. We do offer Tuition Assistance.

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. Nurses with a multi state compact license must obtain NC state licensure within the first 90 days of employment. BLS Certification

Education

Graduation from an accredited Bachelor’s Degree in Nursing (or higher), Associate's Degree in Nursing or Nursing Diploma program is required. RNs 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 Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are expected to enroll in an appropriate BSN program within two years of their start date but must complete the program within seven 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.

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.

What's around it?

In Durham, NC

Durham, NCFrom Census ACS 2024.

Living costs about 2% below the US average

Median rent
$1,508/mo
Household income
$81,619/yr, all local households, not nurse pay

See Durham, NC

Nurses on this role

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