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RN Clinical Nurse IV - Medical Surge Department
Job in
Smithfield, Johnston County, North Carolina, 27577, USA
Listed on 2026-05-20
Listing for:
UNC HEALTH
Full Time
position Listed on 2026-05-20
Job specializations:
-
Nursing
Healthcare Nursing, Clinical Nurse Specialist, RN Nurse
Job Description & How to Apply Below
* This position qualifies for our UNC Health Johnston Incentive Program, which offers up to a $20,000.00 commitment incentive. Please ask your recruiter for more details.
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.
Summary:
The Clinical Nurse IV practices at the level of an expert practitioner of nursing as defined by Benner, P. (1984). From Novice to Expert. Addison-Wesley Publishing Company. The nurse at this level demonstrates expertise in caring for patients with multiple and complex problems. In addition to demonstrating clinical leadership on the unit, the Clinical Nurse IV serves as a resource and system-wide consultant to staff and participates in endeavors to increase nursing knowledge.
The CN IV functions as a clinical leader.
3rd Floor - Medical/Surgical
Third floor Johnston Health, Smithfield is a 33-bed Medical Surgical Unit that serves primarily medical patients, although Pediatric patients are seen occasionally for overnight observation. Third floor nurses will get exposure to wound/wound vac care, tube feedings and tracheostomies and will care for patients with a variety of medical diagnoses, to include:
• Pneumonia
• Congestive Heart Failure
• Abdominal Pain
• Altered Mental Status
• Chronic Obstructive Pulmonary Disease
• Hypertension
• Hypotension
• Diabetes
• Shortness of Breath, among others
Full time is 3 12-hour shifts. Our standard shifts are and with every other weekend. Holidays are rotated among staff. Each shift is staffed with a charge nurse and nurses are paired with an NA teammate to assist with care. Nurse-to-patient ratios on the unit are typically 1:5 or 1:6.
We have a strong team on 3rd floor Johnston Health Smithfield, and continuously seek ways to improve our processes through our Nurse Council. Our "ONE GREAT TEAM" understands that "It Takes a Village." Our ideal teammate will be able to work independently, while being committed to working together as a TEAM to provide the excellent care that our patients deserve.
Responsibilities:
1. Clinical Nursing Practice - Promotes an environment that values diversity, open communication, teamwork and exceptional service. Ensures that appropriate care and services are available to patients, clients and families for assigned shift. Facilitates interdisciplinary collaboration in patient/client care planning to achieve desired patient outcomes. Coordinates care with interdisciplinary team members. Demonstrates and role models clinical expertise in specified patient population and shares expertise with other staff.
Promotes and ensures the use of the nursing process to provide quality patient care. Assesses and anticipates patient and family learning needs and organizes resources to ensure that they are met. Performs bedside point of care testing as required for patient care plan.
2. Education and Professional Development - Coordinates, designs and implements educational programs to meet identified learning needs of staff, patients and families. Promotes and ensures staff participation in continuing education, orientation, competency, in-service and staff development offerings. Participates in development and implementation of competency initiatives. Serves as an area of specialty consultant in the design of educational programs. Participates in development of and provides clinical expertise for patient education materials.
Promotes professional growth of self and staff. Promotes a conducive environment for learning and provides educational experiences for students.
3. HR Management - Creates and promotes an environment conducive to recruiting and retaining staff. Provides feedback to Manager/Supervisor and Director to assist in hiring, promoting, transferring and terminating staff. Assists Nurse Manager by providing assigned staff with performance feedback and opportunity to set professional goals. Models and promotes behaviors that effectively give continual feedback to staff and colleagues. Integrates best practice standards regarding retention of staff in all aspects of practice.
4. Operational and Fiscal Management -…
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