Job Description & Requirements Certified Registered Nurse Anesthetist (CRNA) StartDate: ASAP Available Shifts: Regular 8;10 Pay Rate: $206.61 - $223.65 This facility is seeking a Certified Registered Nurse Anesthetist (CRNA) for locum tenens support as they look to fill a current need. Details and requirements for this opportunity: Available Shift Length and Scheduling Requirements: On-going coverage. 2' 8s and 2' 12s; 5' 8s; 3 12s; 4' 10s as last resort. Will honor a Monday/Tuesday/Thursday/Friday schedule. Required Cases: Hearts, Code Stroke, and some Pediatrics (although locums are not deployed to these cases) Electronic Medical Record (EMR): Epic Care Team or Independent: Care Team 4:1 Credentialing Timeframe: 60+ days License required or willing to license: Must have an active North Carolina license Facility Location Consistently rated as one of the best places to live in America, "The City of Oaks" offers a myriad of cultural and outdoor activities, a reasonable cost of living and top quality educational institutions and medical facilities. Southern, yet cosmopolitan, laid back yet bursting with energy, North Carolina's capital is a sought-after destination for healthcare professionals throughout the year. Job Benefits AMN Healthcare typically arranges medical or dental malpractice insurance for the contractor providers we match to client opportunities. In addition, our locum tenens can receive highly competitive pay and a dedicated team that handles all travel, lodging, rentals and transportation needs. Additionally, our Physician Mobility initiative decreases the amount of time you must wait to work at a facility where you are presented or have worked from 24 months to 6 months. About the Company At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable. Nurse Anesthetist, Certified Registered, Healthcare, Health Care, Patient Care, Hospital, CRNA AMN Healthcare is a digitally enabled workforce solutions partner focused on solving the biggest challenges affecting healthcare organizations today. We offer a single-partner approach to optimize labor sources, increase operating margins, and provide technologies to expand the reach of care. Compensation Information: $206.61 / Hourly - $223.65 / Hourly<img src="https://www.jobg8.com/Tracking.aspx?Nng2O1d1m9vBbvJUV7QIsAj" width="0" height="0" />

**Certified Registered Nurse Anesthetist (CRNA)**

This facility is seeking a Certified Registered Nurse Anesthetist (CRNA) for locum tenens support as they look to fill a current need.

**Job Description**

- Available Shift Length and Scheduling Requirements: On-going coverage. 2' 8s and 2' 12s; 5' 8s; 3 12s; 4' 10s as last resort. Will honor a Monday/Tuesday/Thursday/Friday schedule.
- Required Cases: Hearts, Code Stroke, and some Pediatrics (although locums are not deployed to these cases).
- Electronic Medical Record (EMR): Epic.
- Care Team or Independent: Care Team 4:1.
- Credentialing Timeframe: 60+ days.
- License required or willing to license: Must have an active North Carolina license.

**Benefits**

- AMN Healthcare typically arranges medical or dental malpractice insurance for the contractor providers we match to client opportunities.
- Our locum tenens can receive highly competitive pay and a dedicated team that handles all travel, lodging, rentals, and transportation needs.
- Our Physician Mobility initiative decreases the amount of time you must wait to work at a facility where you are presented or have worked from 24 months to 6 months.

**Community Overview**

Consistently rated as one of the best places to live in America, "The City of Oaks" offers a myriad of cultural and outdoor activities, a reasonable cost of living, and top-quality educational institutions and medical facilities. Southern, yet cosmopolitan, laid back yet bursting with energy, North Carolina's capital is a sought-after destination for healthcare professionals throughout the year.

Certified Registered Nurse Anesthetist (CRNA)

We are hiring nurse practitioners and physician assistants for Cardiothoracic NON Operative roles in the cardiothoracic step down and clinic area of specialization! Will consider Advanced Practice Providers from other specialties ! Work with a Top Ranked Cardiac Surgery program in Beautiful Raleigh, NC! The schedule for these positions shall be working 7 out of every 14 days-excellent quality of life schedule! NO ON-CALL as well! The responsibilities of these roles shall be 100% Cardiothoracic Stepdown, Floor and Clinic. No ICU duties. The advanced practice provider shall be responsible for providing 24/7 in-house care. During business hours, the will work with our existing inpatient NPs to care for the floor and stepdown patients, but also help in clinic. The remainder of the time the advanced practice provider will be in-house to round on patients, respond to issues or questions from the nurses, review orders and charts, help ensure adherence to clinical pathways, and prep patients for discharge. Also perform H&Ps and consults. Compensation Depends Upon Experience, Offering outstanding benefits, Health, Dental, Matching 403B, Life Insurance, Disability, Relocation Assistance and MUCH MORE!<img src="https://www.jobg8.com/Tracking.aspx?glF6GEqhY59l2mKZDsEtmAs" width="0" height="0" />

**Nurse Practitioners and Physician Assistants - Cardiothoracic Non-Operative Roles**

We are hiring nurse practitioners and physician assistants for cardiothoracic non-operative roles in the cardiothoracic step down and clinic area of specialization! Will consider advanced practice providers from other specialties! Work with a top-ranked cardiac surgery program in beautiful Raleigh, NC! The schedule for these positions shall be working 7 out of every 14 days—excellent quality of life schedule! No on-call as well!

**Job Description**

- Responsibilities of these roles shall be 100% cardiothoracic stepdown, floor, and clinic. No ICU duties.
- The advanced practice provider shall be responsible for providing 24/7 in-house care.
- During business hours, they will work with our existing inpatient NPs to care for the floor and stepdown patients, but also help in clinic.
- The remainder of the time, the advanced practice provider will be in-house to round on patients, respond to issues or questions from the nurses, review orders and charts, help ensure adherence to clinical pathways, and prep patients for discharge.
- Also perform H&Ps and consults.

**Benefits**

- Compensation depends upon experience.
- Offering outstanding benefits including health, dental, matching 403B, life insurance, disability, relocation assistance, and much more!

Nurse Practitioner Physician Assistant Cardiothoracic Non OR

$15,000 Commitment Bonus for nurses with 1+ years of experience! Night Shift needed: 7pm to 7am with rotating weekends Shift differentials apply! 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: <ul><li> Duke University Health System is designated as a Magnet organization </li><li> Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. </li><li> 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. </li><li> Duke University Health System has 6000 + registered nurses </li><li> Quality of Life: Living in the Triangle! </li><li> Relocation Assistance (based on eligibility) </li></ul> Department Profile: The Progressive Care Unit is a step down unit for ICU. The patient population on this unit includes patients with altered mental status, DKA, respiratory failure, post cardiac catheterization, and some post-surgery patients. This is a fast paced unit where nurses have the opportunity to learn advanced skills, such as management of drips including Cardizem, Heparin, and Insulin 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 <ul><li> 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. </li><li> Delegate tasks and supervise the activities of other licensed and unlicensed care providers. </li><li> 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. </li><li> Monitor and initiate corrective action to maintain the environment of care including equipment and material resources. </li><li> Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. </li><li> Act as preceptor and support the development of other staff and formal learners. </li><li> Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. </li><li> Perform other related duties incidental to the work described herein. </li></ul> 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 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. Experience: <ul><li> 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. </li></ul> Degrees, Licensure, and/or Certification: Must have current or compact RN licensure in the state of North Carolina. BLS required. Knowledge, Skills, and Abilities: <ul><li> Knowledge of scope of the registered nurse, licensed practical nurse and unlicensed staff </li><li> Knowledge of and appropriate application of the nursing process </li><li> Knowledge of professional theory, practice and procedure </li><li> Ability to assess nursing needs of acute and chronically ill patients and their families </li><li> Ability to independently seek out resources and work collaboratively </li><li> Ability to establish and maintain effective working relationships </li><li> Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others </li><li> Ability to teach patients and families in accordance with the nursing plan of care </li><li> Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up </li><li> Ability to use fine motor skills </li><li> Competent in BLS and/or other specialized life support requirements designated by work area </li><li> Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status </li><li> Ability to use computer and learn new software programs </li><li> Able to document and communicate pertinent information using computer and/or paper documentation tools </li><li> Ability to navigate the entity to provide clinical care for patients </li><li> Ability to withstand prolonged standing and walking. </li><li> Ability to remain focused and organized </li><li> Working knowledge of procedures and techniques involved in administering routine and special treatments to patients </li><li> Working knowledge of infection control procedures and safety precautions </li><li> Working knowledge and completion of appropriate The Joint Commission (TJC) and other regulatory requirements </li><li> Pre-employment Physical Capacity Testing Required </li></ul> 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. <img src="https://www.jobg8.com/Tracking.aspx?Qfd72tT50piUUB1Qb6uY3Qm" width="0" height="0" />

**Registered Nurse - Night Shift**

$15,000 commitment bonus for nurses with 1+ years of experience!

Night shift needed: 7 PM to 7 AM with rotating weekends. Shift differentials apply!

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.
- Duke University Health System has 6000+ registered nurses.
- Quality of life: Living in the Triangle!
- Relocation assistance (based on eligibility).

**Department Profile**

The Progressive Care Unit is a step-down unit for ICU. The patient population on this unit includes patients with altered mental status, DKA, respiratory failure, post-cardiac catheterization, and some post-surgery patients. This is a fast-paced unit where nurses have the opportunity to learn advanced skills, such as management of drips including Cardizem, Heparin, and Insulin.

**Job Description**

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**

- 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**

**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 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.

**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 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.
- Able 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.

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.

Registered Nurse (RN) - Progressive Care - Nights

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: <ul><li>Duke University Health System is designated as a Magnet organization</li><li>Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.</li> <li>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.</li> <li>Duke University Health System has 6000 + registered nurses</li> <li>Quality of Life: Living in the Triangle!</li> <li>Relocation Assistance (based on eligibility)</li> </ul> Experienced Registered Nurse (RN) Cardiology Stepdown 7300 Shift/Schedule: 3 12s, rotating to start, days/night available after orientation Relocation Support: available for eligible nurses relocating greater than 50 miles to the Hospital Commitment Bonus: $15,000 (4 equal installments over 24 months in 6-month increments, eligible taxes apply.) Department Profile: The 7300 Cardiology Stepdown Unit at Duke University Hospital is comprised of 31 beds. Cardiology Step Down provides care for cardiology medicine patients with a range of diagnoses. The patient population includes but is not limited to the care of acute coronary syndrome, post cardiac catheterization, electrophysiology procedures, dysrhythmias, heart failure, heart transplant workups and congenital heart disease. These patients require high acuity care and many come directly from the ICU, post procedures or outside hospitals requiring an increased level of care. Many times, these patients encompass a multi-system involvement which can include but is not limed to pulmonary, renal, endocrine and neurology. The environment is fast paced, challenging and a great place to promote and develop your critical thinking skills with many opportunities for professional growth. Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. Work Hours & Shifts: Full Time: 7am-7pm/7pm-7am 12-hour days and nights rotating shifts<ul><li>Straight shift option available after orientation for experienced nurses based on unit availability</li></ul> Job Summary: As a Clinical Nurse with Duke University Health System, you will make providing service your priority while caring for the whole person in a patient-centered atmosphere. The Clinical Nurse (RN) is responsible for providing and supervising direct and indirect total nursing care responsibilities. Utilizing the nursing process (assessing, planning, implementing, and evaluating) in achieving the goals of the nursing department. Plan and provide advanced and/or specialized nursing care for patients guided by DUHS Professional Practice model participate in the clinical ladder program, educational activities, departmental committees, research projects or other health related projects as assigned. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Adheres to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Duties and Responsibilities of this Level:<ul><li>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.</li><li>Delegate tasks and supervise the activities of other licensed and unlicensed care providers.</li><li>Assist other healthcare personnel in the delivery of patient care.</li><li>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.</li><li>Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.</li><li>Support the development of other staff and formal learners.</li><li>Participate in the identification of clinical or operational performance improvement opportunities and assist in performance improvement activities.</li><li>Perform other related duties incidental to the work described herein.</li></ul> Knowledge, Skills, Education, and Experience Required: <ul><li>Previous work experience (1+ years) as a clinical nurse is required for CNII's.</li><li>Graduation from an accredited Bachelor's Degree in Nursing (or higher), Associate's Degree in Nursing or Nursing Diploma program is required.</li><li>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</li></ul> Licensure, Certification or Registration Required:<ul><li>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.</li><li>BLS (or higher) certification required.</li><li>Professional specialty certification (preferred).</li></ul> 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. <img src="https://www.jobg8.com/Tracking.aspx?%2bjfEGr%2fog%2fLdi1cOLxfFOQe" width="0" height="0" />

**Clinical Nurse - Cardiology 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).

**Job Description**

As a Clinical Nurse with Duke University Health System, you will make providing service your priority while caring for the whole person in a patient-centered atmosphere. The Clinical Nurse (RN) is responsible for providing and supervising direct and indirect total nursing care responsibilities. Utilizing the nursing process (assessing, planning, implementing, and evaluating) in achieving the goals of the nursing department. Plan and provide advanced and/or specialized nursing care for patients guided by DUHS Professional Practice model participate in the clinical ladder program, educational activities, departmental committees, research projects or other health-related projects as assigned. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Adheres to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

**Duties and Responsibilities**

- 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.

**Work Hours & Shifts**

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

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

**Requirements**

- Previous work experience (1+ years) as a clinical nurse is required for CNII's.
- 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.

**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.
- 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.

Experienced Registered Nurse (RN) Cardiology Stepdown 7300

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: <ul><li>Duke University Health System is designated as a Magnet organization</li><li>Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.</li> <li>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.</li> <li>Duke University Health System has 6000 + registered nurses</li> <li>Quality of Life: Living in the Triangle!</li> <li>Relocation Assistance (based on eligibility)</li> </ul> Occ Summary 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. Work Performed 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 licensedand 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 environmentof 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 thedevelopment 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. 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 Able 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 N/A Minimum Qualifications 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. 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 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. Experience Twelve months of appropriate clinical experience is required. 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. <img src="https://www.jobg8.com/Tracking.aspx?JM3DtpsBbfaY9yTGBn1qhQc" width="0" height="0" />

**Registered Nurse**

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 Health 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)

**Job Description**

- 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
- 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

**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
- Able 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

**Minimum Qualifications**

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 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.

Experience

Twelve months of appropriate clinical experience is required.

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.

Registered Nurse (Experienced) - Duke University Hospital - Partial Hospitalization Program

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 Health CRNA Full Time Hiring Incentives<ul><li>A $60,000 COMMITMENT BONUS is currently being offered to New Grad and Experienced CRNAs.</li></ul><ul><li><ul><li>Distributed in $10,000 increments every six months for 36 months</li></ul></li></ul><ul><li><ul><li>All FTE CRNAs working in a hospital setting are offered a $15,000 annual stipend for 1.0FTEs (or prorated for </li></ul></li></ul><ul><li><ul><li>$2500 annual CME allowance for 1.0 FTEs, prorated for those working less</li><li>A $8,000 relocation budget is available for CRNAs who move 50 miles or more (NC primary residence to Duke facility)</li></ul></li></ul> The DUH campus is located at 2301 erwin road. This is a level 1 trauma center where CRNAs will cover nights, weekends, in house call - frequency based on schedule type. Some no-call shifts availbale. OB and peds available. Job SummaryAdminister anesthetics to render patients insensible to pain during surgical, obstetrical and other medical procedures. Job Responsibilities and Duties<ul><li>Administer general anesthetics to render patients insensible to pain during surgical, obstetrical and other medical procedures; take necessary remedial action to aspirate secretions from throat larynx and trachea as required.</li><li>Determine, set up and prepare necessary drugs, supplies and equipment for the administration of anesthetics; assemble gas machine and test to insure proper functioning; ensure availability of proper type blood for emergency use.</li><li>Study patient records to determine probable effects of anesthetic on patient; monitor vital signs during course of procedure; take necessary action to ensure a near normal physiological status of the patient.</li><li>Prepare patients for anesthesia to include explaining procedures and positioning patient on operating room table; record condition of patient and type of anesthetic used on patient's chart.</li><li>Assist in moving patient from operating room to recovery area; check patient periodically and take remedial measures to alleviate unfavorable post anesthesia effects as required.</li><li>Supervise and instruct student nurse anesthetists in the administration of general anesthetics; assist in evaluating clinical performance and progress; instruct residents, interns and allied health students in the procedures and techniques of anesthesiology.</li><li>Disassemble equipment and clean work area; report necessary equipment repairs and adjustments to proper personnel.</li><li>Maintain records of each anesthetic administered and prepare periodic reports related to activities.</li><li>Perform other related duties incidental to the work described herein.</li></ul> Job Eligibility RequirementsEducation<ul><li>Graduate of an accredited MSN or DNP or DNAP CNRA program</li></ul> Certification<ul><li>CRNA</li><li>Eligibility for certification by the AANA as a certified Nurse Anesthetist is required for new grads.</li></ul> Licensure<ul><li>Current RN licensure issued by or recognized by NCBON with approval to practice as a CRNA</li></ul> Experience<ul><li>New grads welcome to apply, no experience required beyond CRNA education and training</li></ul>Job HoursVarious shift options (i.e., 10's, 12's, 24's - based on availability) 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. <img src="https://www.jobg8.com/Tracking.aspx?FmOY6prbDxY%2fihQff53Mmwy" width="0" height="0" />

**CRNA**

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.

**Job Summary**

Administer anesthetics to render patients insensible to pain during surgical, obstetrical, and other medical procedures.

**Job Description**

- Administer general anesthetics to render patients insensible to pain during surgical, obstetrical, and other medical procedures; take necessary remedial action to aspirate secretions from throat larynx and trachea as required.
- Determine, set up, and prepare necessary drugs, supplies, and equipment for the administration of anesthetics; assemble gas machine and test to ensure proper functioning; ensure availability of proper type blood for emergency use.
- Study patient records to determine probable effects of anesthetic on patient; monitor vital signs during the course of procedure; take necessary action to ensure a near normal physiological status of the patient.
- Prepare patients for anesthesia to include explaining procedures and positioning patient on operating room table; record condition of patient and type of anesthetic used on patient's chart.
- Assist in moving patient from operating room to recovery area; check patient periodically and take remedial measures to alleviate unfavorable post-anesthesia effects as required.
- Supervise and instruct student nurse anesthetists in the administration of general anesthetics; assist in evaluating clinical performance and progress; instruct residents, interns, and allied health students in the procedures and techniques of anesthesiology.
- Disassemble equipment and clean work area; report necessary equipment repairs and adjustments to proper personnel.
- Maintain records of each anesthetic administered and prepare periodic reports related to activities.
- Perform other related duties incidental to the work described herein.

**Requirements**

- Graduate of an accredited MSN or DNP or DNAP CRNA program
- CRNA
- Eligibility for certification by the AANA as a certified Nurse Anesthetist is required for new grads.
- Current RN licensure issued by or recognized by NCBON with approval to practice as a CRNA
- New grads welcome to apply, no experience required beyond CRNA education and training

**Job Hours**

Various shift options (i.e., 10's, 12's, 24's - based on availability)

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.

Nurse Anesthetist (CRNA) F/T - Flexible Shifts

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 Regional Hospital Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. Duke Health CRNA Full Time Hiring Incentives<ul><li>A $60,000 COMMITMENT BONUS is currently being offered to New Grad and Experienced CRNAs.</li></ul><ul><li><ul><li>Distributed in $10,000 increments every six months for 36 months</li></ul></li></ul><ul><li><ul><li>All FTE CRNAs working in a hospital setting are offered a $15,000 annual stipend for 1.0FTEs (or prorated for </li></ul></li></ul><ul><li><ul><li>$2500 annual CME allowance for 1.0 FTEs, prorated for those working less</li><li>A $8,000 relocation budget is available for CRNAs who move 50 miles or more (NC primary residence to Duke facility)</li></ul></li></ul> Job Location - Duke Regional Hospital (Multiple Shifts Available) Job SummaryAdminister anesthetics to render patients insensible to pain during surgical, obstetrical and other medical procedures. Job Responsibilities and Duties<ul><li>Administer general anesthetics to render patients insensible to pain during surgical, obstetrical and other medical procedures; take necessary remedial action to aspirate secretions from throat larynx and trachea as required.</li><li>Determine, set up and prepare necessary drugs, supplies and equipment for the administration of anesthetics; assemble gas machine and test to insure proper functioning; ensure availability of proper type blood for emergency use.</li><li>Study patient records to determine probable effects of anesthetic on patient; monitor vital signs during course of procedure; take necessary action to ensure a near normal physiological status of the patient.</li><li>Prepare patients for anesthesia to include explaining procedures and positioning patient on operating room table; record condition of patient and type of anesthetic used on patient's chart.</li><li>Assist in moving patient from operating room to recovery area; check patient periodically and take remedial measures to alleviate unfavorable post anesthesia effects as required.</li><li>Supervise and instruct student nurse anesthetists in the administration of general anesthetics; assist in evaluating clinical performance and progress; instruct residents, interns and allied health students in the procedures and techniques of anesthesiology.</li><li>Disassemble equipment and clean the work area; report necessary equipment repairs and adjustments to the proper personnel.</li><li>Maintain records of each anesthetic administered and prepare periodic reports related to activities.</li><li>Perform other duties related to the work described herein.</li></ul> Job Eligibility RequirementsEducation<ul><li>Graduate of an accredited MSN, DNP or DNAP CNRA program</li></ul> Certification<ul><li>CRNA</li><li>Eligibility for certification by the AANA as a Certified Nurse Anesthetist is required for new grads.</li></ul> Licensure<ul><li>Current RN licensure issued by or recognized by NCBON with approval to practice as a CRNA</li></ul> Experience<ul><li>New grads are welcome to apply; no experience is required beyond CRNA education and training.</li></ul> 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. <img src="https://www.jobg8.com/Tracking.aspx?XW9ILnYZMYOBhQ9O5kP5TQr" width="0" height="0" />

**CRNA**

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 Regional Hospital**

Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds, it is the second largest of Duke Health's four hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.

**Job Summary**

Administer anesthetics to render patients insensible to pain during surgical, obstetrical, and other medical procedures.

**Job Description**

- Administer general anesthetics to render patients insensible to pain during surgical, obstetrical, and other medical procedures; take necessary remedial action to aspirate secretions from throat, larynx, and trachea as required.
- Determine, set up, and prepare necessary drugs, supplies, and equipment for the administration of anesthetics; assemble gas machine and test to ensure proper functioning; ensure availability of proper type blood for emergency use.
- Study patient records to determine probable effects of anesthetic on patient; monitor vital signs during the course of procedure; take necessary action to ensure a near normal physiological status of the patient.
- Prepare patients for anesthesia to include explaining procedures and positioning patient on operating room table; record condition of patient and type of anesthetic used on patient's chart.
- Assist in moving patient from operating room to recovery area; check patient periodically and take remedial measures to alleviate unfavorable post-anesthesia effects as required.
- Supervise and instruct student nurse anesthetists in the administration of general anesthetics; assist in evaluating clinical performance and progress; instruct residents, interns, and allied health students in the procedures and techniques of anesthesiology.
- Disassemble equipment and clean the work area; report necessary equipment repairs and adjustments to the proper personnel.
- Maintain records of each anesthetic administered and prepare periodic reports related to activities.
- Perform other duties related to the work described herein.

**Requirements**

- Graduate of an accredited MSN, DNP, or DNAP CRNA program.
- CRNA certification.
- Eligibility for certification by the AANA as a Certified Nurse Anesthetist is required for new grads.
- Current RN licensure issued by or recognized by NCBON with approval to practice as a CRNA.
- New grads are welcome to apply; no experience is required beyond CRNA education and training.

**Benefits**

- A $60,000 commitment bonus is currently being offered to new grad and experienced CRNAs, distributed in $10,000 increments every six months for 36 months.
- All FTE CRNAs working in a hospital setting are offered a $15,000 annual stipend for 1.0 FTEs (or prorated for less).
- $2,500 annual CME allowance for 1.0 FTEs, prorated for those working less.
- A $8,000 relocation budget is available for CRNAs who move 50 miles or more (NC primary residence to Duke facility).

**Community Overview**

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.

Nurse Anesthetist (CRNA)

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: <ul><li>Duke University Health System is designated as a Magnet organization</li><li>Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.</li> <li>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.</li> <li>Duke University Health System has 6000 + registered nurses</li> <li>Quality of Life: Living in the Triangle!</li> <li>Relocation Assistance (based on eligibility)</li> </ul> Registered Nurse, RN - 7100 Cardiology Stepdown Unit Work Hours & Shifts: F ull Time: 7am-7pm/7pm-7am 12-hour days and nights rotating shifts (straight shifts available once orientation is complete) $15,000 commitment bonus for eligible experienced RNs! Relocation Support for nurses relocating greater than 50 miles to the area! About Us: The 7100 Cardiology Stepdown Unit at Duke University Hospital is comprised of 31 beds. Cardiology Stepdown provides care for cardiology medicine patients with a range of diagnoses. The patient population includes but is not limited to the care of acute coronary syndrome, post cardiac catheterization, electrophysiology procedures, dysrhythmias, heart failure, heart transplant workups and congenital heart disease. These patients require high acuity care and many come directly from the ICU, post procedures or outside hospitals requiring an increased level of care. Many times, these patients encompass a multi-system involvement which can include but is not limed to pulmonary, renal, endocrine and neurology. The environment is fast paced, challenging and a great place to promote and develop your critical thinking skills with many opportunities for professional growth . Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. Job Summary: As a Clinical Nurse with Duke University Health System, you will make providing service your priority while caring for the whole person in a patient-centered atmosphere. The Clinical Nurse (RN) is responsible for providing and supervising direct and indirect total nursing care responsibilities. Utilizing the nursing process (assessing, planning, implementing, and evaluating) in achieving the goals of the nursing department. Plan and provide advanced and/or specialized nursing care for patients guided by DUHS Professional Practice model participate in the clinical ladder program, educational activities, departmental committees, research projects or other health related projects as assigned. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Adheres to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Duties and Responsibilities of this Level: <ul><li> 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. </li><li> Delegate tasks and supervise the activities of other licensed and unlicensed care providers. </li><li> Assist other healthcare personnel in the delivery of patient care. </li><li> 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. </li><li> Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. </li><li> Support the development of other staff and formal learners. </li><li> Participate in the identification of clinical or operational performance improvement opportunities and assist in performance improvement activities. </li><li> Perform other related duties incidental to the work described herein. </li></ul> Knowledge, Skills, Education, and Experience Required: <ul><li> Previous work experience (1+ years) as a clinical nurse is required for CNII's. </li><li> Graduation from an accredited Bachelor's Degree in Nursing (or higher), Associate's Degree in Nursing or Nursing Diploma program is required. </li><li> 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 </li></ul> Licensure, Certification or Registration Required: <ul><li> 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. </li><li> BLS (or higher) certification required. </li><li> Professional specialty certification (preferred). </li></ul> 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 onthe 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. <img src="https://www.jobg8.com/Tracking.aspx?nJoDwzZvEX5U9m3UoEnkBQp" width="0" height="0" />

**Registered Nurse, RN - 7100 Cardiology Stepdown Unit**

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).

**Work Hours & Shifts**

Full Time: 7am-7pm/7pm-7am 12-hour days and nights rotating shifts (straight shifts available once orientation is complete). 

$15,000 commitment bonus for eligible experienced RNs!

Relocation support for nurses relocating greater than 50 miles to the area!

**About Us**

The 7100 Cardiology Stepdown Unit at Duke University Hospital is comprised of 31 beds. Cardiology Stepdown provides care for cardiology medicine patients with a range of diagnoses. The patient population includes but is not limited to the care of acute coronary syndrome, post cardiac catheterization, electrophysiology procedures, dysrhythmias, heart failure, heart transplant workups, and congenital heart disease. These patients require high acuity care and many come directly from the ICU, post procedures or outside hospitals requiring an increased level of care. Many times, these patients encompass a multi-system involvement which can include but is not limited to pulmonary, renal, endocrine, and neurology. The environment is fast-paced, challenging, and a great place to promote and develop your critical thinking skills with many opportunities for professional growth. Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience every time.

**Job Summary**

As a Clinical Nurse with Duke University Health System, you will make providing service your priority while caring for the whole person in a patient-centered atmosphere. The Clinical Nurse (RN) is responsible for providing and supervising direct and indirect total nursing care responsibilities. Utilizing the nursing process (assessing, planning, implementing, and evaluating) in achieving the goals of the nursing department. Plan and provide advanced and/or specialized nursing care for patients guided by DUHS Professional Practice model participate in the clinical ladder program, educational activities, departmental committees, research projects or other health-related projects as assigned. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Adheres to all rules and regulations of all applicable local, state, and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

**Duties and Responsibilities**

- 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.

**Knowledge, Skills, Education, and Experience Required**

- Previous work experience (1+ years) as a clinical nurse is required for CNII's.
- 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.

**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.
- 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.

Experienced Registered Nurse, RN - 7100 Cardiology Stepdown Unit (Rotating Shifts)

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. Duke Health Integrated Practice Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina. Clinical Nurse- Pediatrics Job Location:3116 N Duke Street, Durham, NC location Job Summary:We are seeking a CLINICAL NURSE to be an integral member of the healthcare team and provide direct and indirect care to patients at our Duke Health Center. Job Duties and Responsibilities:<ul><li>Plan, provide, and document professional nursing care in ambulatory settings, utilizing the nursing process, in accordance with physician orders and established policies and procedures, under the supervision of the nurse manager, charge nurse or practice manager.</li><li>Collect and analyze patient data, make recommendations for nursing care plans, evaluate nursing care provided, document and communicate appropriately nursing actions taken and patient responses.</li><li>Perform patient intake including: obtaining vital signs, administering survey tools, data collection, hearing and vision screens, assisting patients with ambulation/toileting, reviewing patient medications</li><li>Completing procedural tasks including: administering vaccinations and medications according to protocols and provider orders, ear lavages, dental varnishing, specimen collection and correct labeling, assisting with clinic-performed procedures (including EKGs and orthostatic blood pressures), reviewing pre-printed material with patient/family, bill for nursing procedures.</li><li>Practice Development: Participates in various clinic committees to organize and improve patient care and serves as liaison between patients and providers to communicate needs and provide patient care</li><li>Serves as a resource as needed to patients and families, providing counseling and follow-up problem solving.</li><li>Collaborates with interdisciplinary team such as interpreters, clerical team, social work, Duke Well, and other members of the patients care team.</li><li>Participates in quality/performance improvement programs and projects, product evaluation, outcomes evaluation studies and/or clinical research.</li><li>Support the development of other staff and formal learners. Participate in the identification of clinical, operational and safety related performance improvement opportunities.</li><li>Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.</li><li>Perform other related duties incidental to the work described herein.</li></ul> Job Eligibility Requirements:<ul><li>Work requires graduation from an accredited BSN or Associate's Degree in Nursing or Nursing Diploma program.</li><li>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.</li><li>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.</li><li>Must have current or compact RN licensure in the state of North Carolina. BLS required.</li></ul> 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. <img src="https://www.jobg8.com/Tracking.aspx?%2bjfEGr%2fog%2fJS0d1onfxnlwe" width="0" height="0" />

**Clinical Nurse - Pediatrics**

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.

Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.

**Job Location**

3116 N Duke Street, Durham, NC

**Job Summary**

We are seeking a Clinical Nurse to be an integral member of the healthcare team and provide direct and indirect care to patients at our Duke Health Center.

**Job Description**

- Plan, provide, and document professional nursing care in ambulatory settings, utilizing the nursing process, in accordance with physician orders and established policies and procedures, under the supervision of the nurse manager, charge nurse or practice manager.
- Collect and analyze patient data, make recommendations for nursing care plans, evaluate nursing care provided, document and communicate appropriately nursing actions taken and patient responses.
- Perform patient intake including: obtaining vital signs, administering survey tools, data collection, hearing and vision screens, assisting patients with ambulation/toileting, reviewing patient medications.
- Completing procedural tasks including: administering vaccinations and medications according to protocols and provider orders, ear lavages, dental varnishing, specimen collection and correct labeling, assisting with clinic-performed procedures (including EKGs and orthostatic blood pressures), reviewing pre-printed material with patient/family, bill for nursing procedures.
- Participate in various clinic committees to organize and improve patient care and serve as liaison between patients and providers to communicate needs and provide patient care.
- Serve as a resource as needed to patients and families, providing counseling and follow-up problem solving.
- Collaborate with interdisciplinary team such as interpreters, clerical team, social work, Duke Well, and other members of the patients care team.
- Participate in quality/performance improvement programs and projects, product evaluation, outcomes evaluation studies and/or clinical research.
- Support the development of other staff and formal learners. Participate in the identification of clinical, operational and safety related performance improvement opportunities.
- Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
- Perform other related duties incidental to the work described herein.

**Requirements**

- Work requires graduation from an accredited BSN 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.
- 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.
- 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.

Clinical Nurse II-Pediatrics

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 and is the number one hospital in North Carolina, according to U.S. News and World Report for . Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Join one of the nation's leading academic medical centers and help shape the future of surgical excellence. At Duke University Hospital, our Operating Room is home to cutting-edge procedures, world-renowned surgeons, and a collaborative perioperative environment that empowers nurses to practice at the top of their profession. We invite you to bring your expertise and passion for surgical care to our RN First Assistant team. Shift: 10hr shifts General Description The Certified Registered Nurse First Assistant (RNFA) plays a critical role in supporting continuity of care for perioperative patients across the preoperative, intraoperative, and postoperative phases. As a key member of the surgical team, the RNFA helps optimize surgical workflow, enhance patient safety, and elevate clinical outcomes.This highly skilled role provides:<ul><li>Expert intraoperative first assistance</li><li>Support and education for surgical residents</li><li>Second assist when needed across a variety of surgical specialties</li><li>Leadership and clinical guidance for perioperative staff</li><li>Seamless coordination of care for patients of all ages</li></ul>In this fast-paced academic environment, RNFAs at Duke have the opportunity to participate in complex and innovative surgical procedures while contributing to an exceptional patient and team experience. Duties and Responsibilities The RNFA functions autonomously and collaboratively alongside surgeons, anesthesiologists, residents, and perioperative staff. Responsibilities include: Preoperative Patient Management <ul><li>Conduct preoperative assessments and screenings</li><li>Participate in planning and coordination of individualized care plans</li><li>Collaborate and communicate with the surgical team</li><li>Write preoperative orders according to established protocols</li></ul> Intraoperative First Assisting Provide skilled and safe intraoperative assistance, including:<ul><li>Using surgical instruments and medical devices</li><li>Providing optimal exposure for the surgical field</li><li>Handling and/or cutting tissues</li><li>Achieving hemostasis</li><li>Suturing and closing incisions</li><li>Anticipating surgical needs to support efficient workflow</li></ul> Note: The RNFA does not simultaneously function as the Scrub Nurse. Postoperative Patient Management <ul><li>Write postoperative orders and operative notes based on protocol</li><li>Participate in postoperative rounds and clinical evaluation</li><li>Assist with discharge planning and transitions of care</li><li>Collaborate with multidisciplinary teams to support positive outcomes</li></ul>The RNFA ensures that patients receive comprehensive nursing management throughout the perioperative phase while supporting the mission of high-quality, evidence-based care at Duke. Required Qualifications Education <ul><li>BSN required; MSN preferred</li><li>Graduate of an accredited School of Nursing</li><li>Completion of an RNFA program based on AORN's Core Curriculum with supervised clinical practice</li></ul> Experience <ul><li>Minimum of 3 years of perioperative nursing experience required</li></ul> Licensure & Certification <ul><li>Current or compact RN license in North Carolina</li><li>BLS required</li><li>CNOR certification required</li><li>RNFA certification must be obtained within 2 years of employment</li></ul> Knowledge, Skills, and Abilities The ideal candidate will have:<ul><li>Strong clinical knowledge of perioperative technologies and procedures</li><li>Demonstrated ability to educate and mentor perioperative staff</li><li>A thorough understanding of the surgical cases in which they assist</li><li>High-level competency in circulating and scrubbing</li><li>Excellent communication, teamwork, and organizational skills</li><li>Commitment to AORN standards and evidence-based practice</li></ul> Duke is an Affirmative Action/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, sexual orientation, or veteran 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 essentialjob 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. <img src="https://www.jobg8.com/Tracking.aspx?yIcdl88u5IfRYOKD21pN%2fwa" width="0" height="0" />

**Certified Registered Nurse First Assistant (RNFA)**

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 and is the number one hospital in North Carolina, according to U.S. News and World Report. Duke University Hospital is the largest of Duke Health's three hospitals and features 1,048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Join one of the nation's leading academic medical centers and help shape the future of surgical excellence. At Duke University Hospital, our Operating Room is home to cutting-edge procedures, world-renowned surgeons, and a collaborative perioperative environment that empowers nurses to practice at the top of their profession. We invite you to bring your expertise and passion for surgical care to our RN First Assistant team. 

**Job Description**

The Certified Registered Nurse First Assistant (RNFA) plays a critical role in supporting continuity of care for perioperative patients across the preoperative, intraoperative, and postoperative phases. As a key member of the surgical team, the RNFA helps optimize surgical workflow, enhance patient safety, and elevate clinical outcomes.

This highly skilled role provides:

- Expert intraoperative first assistance
- Support and education for surgical residents
- Second assist when needed across a variety of surgical specialties
- Leadership and clinical guidance for perioperative staff
- Seamless coordination of care for patients of all ages

In this fast-paced academic environment, RNFAs at Duke have the opportunity to participate in complex and innovative surgical procedures while contributing to an exceptional patient and team experience.

**Duties and Responsibilities**

The RNFA functions autonomously and collaboratively alongside surgeons, anesthesiologists, residents, and perioperative staff. Responsibilities include:

**Preoperative Patient Management**

- Conduct preoperative assessments and screenings
- Participate in planning and coordination of individualized care plans
- Collaborate and communicate with the surgical team
- Write preoperative orders according to established protocols

**Intraoperative First Assisting**

Provide skilled and safe intraoperative assistance, including:

- Using surgical instruments and medical devices
- Providing optimal exposure for the surgical field
- Handling and/or cutting tissues
- Achieving hemostasis
- Suturing and closing incisions
- Anticipating surgical needs to support efficient workflow

*Note: The RNFA does not simultaneously function as the Scrub Nurse.*

**Postoperative Patient Management**

- Write postoperative orders and operative notes based on protocol
- Participate in postoperative rounds and clinical evaluation
- Assist with discharge planning and transitions of care
- Collaborate with multidisciplinary teams to support positive outcomes

The RNFA ensures that patients receive comprehensive nursing management throughout the perioperative phase while supporting the mission of high-quality, evidence-based care at Duke.

**Requirements**

**Education**

- BSN required; MSN preferred
- Graduate of an accredited School of Nursing
- Completion of an RNFA program based on AORN's Core Curriculum with supervised clinical practice

**Experience**

- Minimum of 3 years of perioperative nursing experience required

**Licensure & Certification**

- Current or compact RN license in North Carolina
- BLS required
- CNOR certification required
- RNFA certification must be obtained within 2 years of employment

**Knowledge, Skills, and Abilities**

The ideal candidate will have:

- Strong clinical knowledge of perioperative technologies and procedures
- Demonstrated ability to educate and mentor perioperative staff
- A thorough understanding of the surgical cases in which they assist
- High-level competency in circulating and scrubbing
- Excellent communication, teamwork, and organizational skills
- Commitment to AORN standards and evidence-based practice

Duke is an Affirmative Action/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, sexual orientation, or veteran 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.