CLINICAL NURSE II - Main Duke Hospital - Inpatient Dialysis

  • Requisition Number: 4602
  • Department: DUKE HOSPITAL
  • Location: Durham
  • Type of Position: Regular
  • Shift: Full Time
  • Specialty: Dialysis
  • Apply

Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.


U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.


Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.


In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.


Duke Nursing Highlights:


  • Duke University Health System is designated as a Magnet® organization
  • Nurses from each hospital are consistently recognizedeach 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!


Clinical Nurse ll- Main Duke Inpatient Dialysis:


The Duke Dialysis unit is set apart from other inpatient dialysis units because we have a much more acute patient population. Here you will learn the skill of dialysis, but also be responsible for the nursing care of patients during their treatments.  For example, we have patients on insulin drips, cardiac drips, patients with tracheostomies, chest tubes, etc. that you will be responsible for maintaining during that patient’s dialysis treatment.  You will provide intermittent hemodialysis, peritoneal dialysis, and continuous renal replacement therapy for patients throughout the hospital becoming competent in all modalities. 


Join our team and you will work closely with nursing leadership and physicians, including a safety huddle each morning where nursing staff and nursing leadership identify any safety issues over the previous 24-hour period.  A typical day in our dialysis unit is a 12-hour shift where you will treat patients on the unit or at the bedside. If you treat patients at the bedside you will be 1:1 but will be responsible for going to that patient to complete HD and hooking up our unique water system. Generally, two bedside treatments can be completed in one shift. If you are assigned to treat patients on the unit, you will have 2 patients per 1 nurse. There are usually 2 – 3 dialysis shifts per day, so you would be treating a total of 4 – 6 patients on a normal day.


Benefits second to none.

•         Relocation Assistance

•         Pension plan

•         Generous PTO

•         Comprehensive health benefits

•         Loan forgiveness

•         Education reimbursement

•         Community discounts

•         Child care options


Living in Raleigh/Durham

U.S. News & World Report named Raleigh/Durham a Top 10 Best Place to Live.  Here you will find young, friendly, diverse and educated people who enjoy dining out in local restaurants and gathering over craft beers.  The family-friendly Triangle (Raleigh, Durham and Chapel Hill) also has an abundance of beautiful green spaces and a growing art and music scene.


  • 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 judgement to individualize the plan of care based on assessment of the patient's baseline needs and response to care. Delegate tasks and supervises 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 supports the development of other staff and formal learners.


  • Participate in the formal evaluation process of peers and other care providers. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities


  • May participate in the interview process and make hiring recommendations. 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 NCA *Knowledge of and appropriate application of the nursing process *Knowledge of professional theory, practice and procedure


  • Assess nursing needs of acute and chronically ill patients and their families


  • Independently seek out resources and work collaboratively


  • Establish and maintain effective working relationships


  • Communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others


  • Teach patients and families in accordance with the nursing plan of care


  • Use sensory and cognitive functions to process and prioritize information, treatment, and follow-up


  • Use fine motor skills


  • Competent in BLS and/or other specialized life support requirements designated by work area


  • Record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status


  • Use computer and learn new software programs


  • Able to navigate the entity to provide clinical care for patients


  • Withstand prolonged standing and walking with the ability to move or lift at least fifty pounds


  • Remain focused and organized


  • Working knowledge of procedures and techniques involved in administering routine and special treatments to patients


  • Working knowledge of infection control procedures and safety precautions


  • Working knowledge and completion of appropriate JCAHO and other regulatory requirements Level Characteristics N/A




Minimum Qualifications


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 five 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.


Degrees, Licensures, Certifications

Must have current or compact RN licensure in the state of North Carolina. BLS required.



Duke University 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 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.