About The Position

The Clinical Nurse II is a registered nurse providing competent clinical nursing care consistent with professional standards in the Emergency Department’s Zone 4 behavioral health holding area at UNC Rex Healthcare. The nurse coordinates and delivers patient care using the nursing process for patients with behavioral health crises and medical needs, supporting safety, dignity, recovery, and quality outcomes. Zone 4 is an 8-bed, non-designated holding area with private rooms and a stated nurse-to-patient ratio of 1:5. The Emergency Department also treats life-threatening emergencies, acute medical illnesses, minor injuries, stroke and other neurological emergencies, cardiac events, and other critical conditions. The role involves assessing, planning, implementing, and evaluating care; monitoring patients and responding to changes in clinical status; educating patients and families; coordinating with physicians, behavioral health specialists, social workers, and other interdisciplinary colleagues; and maintaining accurate documentation. The nurse works onsite in Raleigh, North Carolina, on a 7:00 p.m.–7:00 a.m. schedule for 36 standard hours per week. The position offers a salary range of $34.22–$48.38 per hour, with pay offers based on experience and internal equity. Applicants must graduate from a Board of Nursing-approved nursing education program, hold North Carolina RN licensure and BLS for Healthcare Provider certification, and have one year of nursing experience. Nurses hired after January 6, 2014 must enroll within four years of employment and obtain a bachelor’s degree with a major in Nursing or a master’s degree with a major in Nursing within seven years of their employment date. The position qualifies for the UNC Rex Incentive Program, including up to $20,000 in commitment incentive or up to $25,000 in tuition loan forgiveness. It may also qualify for up to $10,000 in relocation assistance based on location, and the employee referral program is available.

Requirements

  • Graduate of a Board of Nursing-approved nursing education program.
  • Licensed to practice as a Registered Nurse in North Carolina.
  • Basic Life Support (BLS) for Healthcare Provider certification.
  • One year of nursing experience.
  • If hired after January 6, 2014, enrollment in a bachelor’s degree program with a major in Nursing or a master’s degree program with a major in Nursing within four years of employment, and completion of that degree within seven years of employment.
  • Ability to provide competent clinical nursing care consistent with professional standards.

Responsibilities

  • Assess, plan, implement, and evaluate nursing care for patients with behavioral health and medical needs.
  • Provide compassionate care to patients experiencing behavioral health crises while maintaining a safe environment.
  • Monitor patient conditions and respond appropriately to changes in clinical status.
  • Collaborate with physicians, behavioral health specialists, social workers, and interdisciplinary team members.
  • Use critical thinking and clinical judgment in a fast-paced emergency care setting.
  • Maintain accurate and timely documentation in accordance with organizational standards.
  • Advocate for patient safety, dignity, and quality outcomes.
  • Participate in identifying and meeting personal learning needs and attend education programs based on identified needs.
  • Use relevant patient education materials with assistance; assess patient and family readiness to learn, developmental level, and factors affecting learning.
  • Identify expected patient outcomes, seek guidance when revising plans of care, participate in interdisciplinary evaluation of care, and communicate information to promote continuity.
  • Provide care for patients with complex problems, including physical, psychosocial, educational, and safety needs; perform point-of-care testing as required.
  • Apply organizational and nursing standards, policies, and procedures; organize and prioritize care according to patient and family needs.
  • Consult appropriate resources in a timely manner for complex care issues, unusual teaching needs, or high-risk discharge planning.
  • Develop professional growth goals with assistance and work toward them within identified time frames or renegotiate them with a supervisor.
  • Participate in unit goals and performance improvement activities, support collaboration, use communication systems effectively, provide coworker feedback, promote cost-effective care, and remain aware of relevant public policy and regulatory guidelines.
  • Promote a safe, clean, and secure hospital environment.
  • Recognize data from complex situations to set care priorities, synthesize assessment information, and anticipate discharge needs.
  • Develop relationships with families that support their ability to advocate for the patient and their own needs.
  • Collaborate with patients and families on plans of care, use multidisciplinary resources, address cultural and ethnic issues, and prioritize tasks for patients with complex problems.
  • Read relevant journal articles and bring ideas or questions to staff for assessment of applicability to practice.

Benefits

  • Up to $20,000 commitment incentive or up to $25,000 tuition loan forgiveness through the UNC Rex Incentive Program.
  • Up to $10,000 in relocation assistance, based on location.
  • Employee referral program.
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