New Grad or Experienced RN - Cardiothoracic Stepdown

Location: Durham, NC, US

New Grad or Experienced RN - Cardiothoracic Stepdown

Work Arrangement

On-Site

Requisition Number

274427

Regular or Temporary

Regular

Location

Durham, NC, US, 27710

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Personnel Area

DUKE HOSPITAL

Date

Oct 1, 2026

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)

Clinical Nurse RN – Duke University Hospital 6300 Cardiothoracic Stepdown Unit

Duke University Health System- Duke University Hospital seeks to hire an New Grad or Experienced Registered Nurse who will embrace our mission of Advancing Health Together.

Department Profile

The 6300 Cardiothoracic Stepdown Unit at Duke University Hospital comprises 31 beds. Cardiothoracic Stepdown provides care for adult patients who are transitioning from the Cardiothoracic ICU. The patients require high acuity care with diagnoses such as pre- and post-cardiothoracic surgery, coronary artery bypass grafts, heart valve repair and replacements, aortic and aneurysm repairs, wedge resections, lobectomies, heart transplants, lung transplants, and ventricular assist devices. The environment is fast-paced, where you will develop critical thinking skills while surrounded by opportunities for professional growth. Our team is dedicated to delivering exemplary care for each patient, ensuring an excellent experience every time.

Work Hours & Shifts

Full Time: 7 am-7 pm/7 pm-7 am 3,12-hour days and nights, rotating shifts

Straight shift option available after orientation for experienced nurses, based on unit availability

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

Work requires graduation from an accredited Associate's Degree in Nursing or Nursing Diploma program.

All registered nurses 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 BSN program within seven years of their start date.

Experience

Twelve months of appropriate clinical experience is required.

Degrees, Licensure, and/or Certification

Must have current or compact RN licensure in the state of North Carolina or compact licensure from participating state. Must obtain NC RN licensure within 60- days of start date.

BLS required but may be renewed during orientation.

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 inv