Clinical Nurse (RN) - PRN

Gig Options

• Gig A: 1–2 years’ experience; commitment: 2 shifts in 8-week schedule; no holiday or weekend commitment
• Gig B: 2+ years’ experience; commitment: 4 shifts in 8-week schedule; no holiday or weekend commitment
• Gig C: 5+ years’ experience; commitment: 6 shifts in 8-week schedule; no holiday or weekend commitment

Each Gig option requires New Hire Orientation attendance: Monday–Friday, mix of virtual, in-person, and online education completion.

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 2023-2024. 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.

About the Role

Duke University Health System seeks to hire an experienced Registered Nurse who will embrace our mission of Advancing Health Together. The PRN/Gig Nursing team provides patient care, support and cares for a variety of patients. Nurses would work as a part of a multidisciplinary team and have the opportunity to participate in rounds on their patients.

Highlights

• Flexible Scheduling: Work when you want!
• No weekend or holiday commitment!
• Three tiers of pay, based on commitment level
• Eligible for daily pay! No need to wait for pay day!
• Eligible for shift differentials
• Supportive Team: Be a part of a collaborative team that values your input, with access to ongoing support and training.

What to Expect

• Three locations in the Raleigh/Durham area – Duke University Hospital, Duke Regional Hospital both in Durham, and Duke Raleigh Hospital
• Variety – float to specialty areas within your specialty, including but not limited to: Emergency Services, Medical/Surgical, Critical Care, Cardiac Services, Oncology
• Opportunities to expand your nursing skill set
• Most assignments are determined the morning of the scheduled shift
• PRN/Gig shifts are subject to cancellation based on flex down order
• Nurse:Patient ratio in adult medical and surgical areas averages 1:3 through 1:6 dependent on acuity
• Nurse:Patient ratio in adult ICU is typically 1:2
• Support team members, including Nursing Care Assistants and Health Unit Coordinators, 24/7

What You Will Do

Due to prior experience for PRN/Gig nursing and training received in each area, our team members continue to be clinical experts, offering a broad skillset and range of knowledge throughout the various patient populations.

As a Clinical Nurse II in Duke University Health System, you will plan and provide professional nursing care for patients in accordance with the medical and nursing plans of care and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.

• Plan, provide, supervise, and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures
• Use professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care
• Delegate tasks and supervise the activities of other licensed and unlicensed care providers
• Assist other nursing personnel in the delivery of nursing care and act as team leader or charge nurse for a group of patients or an entire unit as assigned
• Monitor and initiate corrective action to maintain the environment of care, including equipment and material resources
• Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings
• Act as a preceptor and support the development of other team members and formal learners
• Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities
• Perform other related duties incidental to the work described herein

What You Can Expect

• Because PRN/Gig nurses bring prior clinical experience, DUHS is able to provide an accelerated orientation process. This streamlined onboarding approach equips team members with the knowledge and resources needed to be successful, allowing them to quickly integrate into the team and begin providing high-quality patient care and support
• Multitask in myriad ways – document assessments, plan of care, interventions, evaluation and re-evaluation of patient status, assess nursing needs of acute and chronically ill patients, independently seek out resources, and work collaboratively
• Educate patients and families in accordance with the nursing plan of care
• Relationship management with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others

Qualifications

• Graduation from an accredited Bachelor's Degree in Nursing (or higher), Associate's Degree in Nursing, or Nursing Diploma program
• Twelve months of appropriate clinical experience is required for Experienced Registered Nurses
• 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
• Current registration with the 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
• Current American Heart Association BLS certification required
• American Heart Association ACLS within 90 days