RN Clinical Nurse II - Medical/Surgical Department
Listed on 2026-06-13
-
Nursing
Healthcare Nursing, RN Nurse, Clinical Nurse Specialist
Description
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.
SummaryProvides competent clinical nursing care consistent with professional standards. Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting.
3rd Floor – Medical/SurgicalThird 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 three 12‑hour shifts. Our standard shifts are 0645‑1915 and 1845‑0715 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- Education - Identifies and meets learning needs of self, attends education programs, uses patient education materials, assesses readiness to learn of the patient/family/caregivers, and assesses developmental level and factors affecting ability to learn.
- Evaluation of Care - Identifies expected patient outcomes, seeks guidance when needed, participates in interdisciplinary discussion of patient care, and communicates relevant information for continuity of care.
- Implementation - Demonstrates competence with complex patients across physical, psychosocial, educational and safety aspects, performs bedside point‑of‑care testing, uses organization policies and procedures, organizes and prioritizes care, and consults with resources for complex care or discharge planning.
- Leadership - Develops goals for professional growth, achieves or renegotiates goals, facilitates intra/interdepartmental collaboration, participates in unit goal achievement and performance improvement, uses communication systems, promotes cost‑effective care, gives feedback, is aware of public policy and regulatory guidelines, and promotes a safe, clean, secure environment.
- Patient Assessment - Recognizes data from complex situations, prioritizes physical, psychosocial, educational and safety needs, synthesizes data for communication, assesses discharge needs, and develops relationships with families to advocate for patients.
- Planning - Collaborates with patient/family to prepare or update care plans, utilizes multidisciplinary resources, uses full range of communication, addresses cultural and ethnic issues, and prioritizes tasks for complex patients.
- Research - Reads relevant journals and brings practice‑applicable ideas to staff for assessment of applicability.
- Graduation from a school of professional nursing.
- Licensed to practice as a Registered Nurse in the state of North Carolina.
- Basic Life Support (BLS) for Healthcare Provider certification.
- One (1) year of nursing experience.
Legal
Employer:
NCHEALTH
Entity:
Johnston Health
Organization Unit: 3rd Floor
Work Type:
Per Diem
Standard Hours Per Week: 4.00
Salary Range: $34.22 - $48.38 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type:
Onsite
Work Schedule:
Variable
Location of Job: US:
NC:
Smithfield
Exempt From Overtime:
Exempt:
No
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities.
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