Licensed Practical Nurse (LPN) - Med Surg Stepdown

Duke CareersRaleigh, NC
Onsite

About The Position

Duke Raleigh Hospital, A Campus of Duke University Hospital - Inpatient Unit 4200 - Medical Surgical Stepdown, is seeking an LPN - Licensed Practical Nurse who embraces Advancing Health Together! The Medical/Surgical Stepdown Unit at Duke Raleigh Campus is seeking passionate, driven nurses to join our high-performing 34-bed team. This is an exciting opportunity to care for a diverse and complex patient population, including individuals with sepsis, pneumonia, diabetes, sickle cell disease, and gastrointestinal conditions, as well as patients requiring step-down level care such as cardiac drips, post–cath lab recovery, and peritoneal dialysis. Our unit offers a unique, well-rounded clinical environment that also includes providing nurses with the chance to expand their skills and make a meaningful impact across multiple areas of care. With a supportive nurse-to-patient ratio of 1:3–5 based on acuity, our team is empowered to deliver safe, high-quality, and individualized care. You’ll work alongside a collaborative, engaged team that is deeply committed to professional growth, teamwork, and delivering exceptional outcomes for every patient, every time. If you’re looking for a role where you can grow your clinical expertise, be supported by a strong team, and truly make a difference—this is the place for you. Assume responsibilities for direct nursing care of assigned patients under the supervision of a registered nurse or physician in patient care area. Provides nursing services to patients and families in accordance with the scope of the LPN as defined by the North Carolina Board of Nursing.

Requirements

  • Work requires graduation from an approved or accredited Practical Nurse program.
  • Current State of North Carolina LPN licensure or Nurse Licensure Compact (NLC).
  • BLS required.
  • Knowledge of scope of licensed practical nurse, ability to delegate to nursing support staff.
  • Considerable knowledge of the care and treatment of patients and special procedures that apply to practical nursing. Able to independently seek out resources and work collaboratively.
  • Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others.
  • Able to teach patients and families in accordance with the nursing plan of care.
  • Able to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up.
  • Competent in BLS and/or other specialized life support requirements designated by work area or organization.
  • Able to use fine motor skills.
  • Able to record activities, document interventions.
  • Able to use computer and learn new software programs.
  • Able to navigate the entity to provide clinical care for patients.
  • Able to withstand prolonged standing and walking.
  • Able to remain focused and organized.
  • Working knowledge of sterile techniques and special procedures that are applicable to work performed.
  • Working knowledge of procedures and techniques involved in administering routine and special treatments to patients.
  • Working knowledge of sanitation, personal hygiene and basic health and safety precautions applicable to work in a hospital.
  • Working knowledge of infection control procedures and safety precautions.
  • Ability to understand and follow oral and written instructions.
  • Working knowledge and completion of appropriate JCAHO and other regulatory requirements.
  • Pre-employment Physical Capacity Testing Required

Nice To Haves

  • 1 year of LPN clinical experience preferred

Responsibilities

  • Provide and document direct nursing care of assigned patients under the supervision of a registered nurse or physician. Nursing care is guided by the physician orders and the nursing plan of care. Patient response to care is reported to a registered nurse for evaluation, intervention and modification of the plan of care.
  • Assist other health care personnel in the delivery of patient care.
  • Assist physicians and other nursing personnel in the performance of various diagnostic procedures.
  • Evaluate nursing care with emphasis on nursing procedures and patient responses; assist in the delivery of nursing care and selection of nursing priorities.
  • Assist in the development and implementation of general policies and procedures to provide for the emotional and physical comfort and safety of patients; participate in the formulation of new policies.
  • Participate in maintaining the environment of care including equipment and other material resources.
  • Participate in the identification of clinical or operational performance improvement opportunities and assists in performance improvement activities.
  • Assist with control of material resources and maintenance; assist in appraisal of effectiveness of material and equipment and report any equipment malfunctions to charge nurse.
  • Participate in in-service education programs and other conferences within the service.
  • Assist in the training of new employees.
  • Perform other related duties incidental to the work described herein.

Benefits

  • Relocation Assistance (based on eligibility)
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service