JobsUSARN Clinical Nurse II - Medical Surgical
Company : UNC Health
Location : Smithfield, NC, 27577
Posted Date : 15 September 2025
Job Type : Full Time
Category : Nursing
Occupation : Nurse
Job 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:
Provides 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/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. Education - Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn.
2. Evaluation of Care - Identifies expected patient outcomes. Seeks guidance as needed in revision of plan of care. Participates in discussion with members of the interdisciplinary team in evaluation of patient care. Communicates relevant information to promote continuity of care.
3. Implementation - Demonstrates competence in care of patients with complex problems, including population-appropriate physical, psychosocial, educational and safety aspects of care. Performs bedside point of care testing as required for patient care plan. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning.
4. Leadership - With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment for all.
5. Patient Assessment - Recognizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial, education and safety needs. Synthesizes assessment data into meaningful whole prior to communication to others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs.
6. Planning - Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems.
7. Research - Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability.
Other Information
Other information:
Education Requirements:
•Graduation from a school of professional nursing.
Licensure/Certification Requirements:
•Licensed to practice as a Registered Nurse in the state of North Carolina.
•Basic Life Support (BLS) for Healthcare Provider certification
Professional Experience Requirements:
•One (1) year of nursing experience.
Knowledge/Skills/and Abilities Requirements:
Job Details
Legal Employer: NCHEALTH
Entity: Johnston Health
Organization Unit: 3rd Floor
Work Type: Full Time
Standard Hours Per Week: 36.00
Salary Range: $33.88 - $47.91 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: US:NC:Smithfield
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email if you need a reasonable accommodation to search and/or to apply for a career opportunity.
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