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How much do duke hospital rn jobs pay per hour?

As of Jul 10, 2026, the average hourly pay for duke hospital rn in the United States is $47.48, according to ZipRecruiter salary data. Most workers in this role earn between $36.78 and $56.25 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Duke Hospital RN, and why are they important?

To thrive as a Duke Hospital RN, you need a solid background in clinical nursing practices, patient assessment, and a current RN license, often supported by a Bachelor of Science in Nursing (BSN). Familiarity with Duke's electronic health record (EHR) systems, advanced patient monitoring technology, and certifications such as BLS or ACLS are typically required. Strong communication, teamwork, and critical thinking skills are vital for collaborating with multidisciplinary teams and providing compassionate patient care. These skills are crucial to ensure patient safety, efficient care delivery, and maintaining Duke Hospital’s high standards of clinical excellence.

How to make $100,000 as an RN?

To earn $100,000 as a registered nurse, gaining experience in high-paying specialties such as critical care or anesthesia, obtaining advanced certifications, and working in metropolitan or high-cost-of-living areas can help increase income. Working overtime, taking on leadership roles, or pursuing additional education like a nurse practitioner degree can also boost earning potential.

What are Duke Hospital RNs?

Duke Hospital RNs are registered nurses who work at Duke University Hospital, providing patient care, administering medications, collaborating with healthcare teams, and supporting patient recovery. They play a critical role in implementing care plans, monitoring patient conditions, and educating patients and families. Duke Hospital RNs may work in various specialties such as critical care, emergency, pediatrics, or surgical units, and are known for upholding high standards of clinical excellence. They are required to be licensed as registered nurses in North Carolina and often have opportunities for ongoing education and career advancement.

What is the commitment bonus for Duke Nursing?

Duke Hospital offers a commitment bonus for registered nurses, which typically involves a sign-on or retention bonus that varies based on the position and staffing needs. Details about the specific amount and eligibility criteria are provided during the application process or by the HR department.

What is it like to work as a nurse at Duke?

Working as a nurse at Duke involves providing patient care in a fast-paced hospital environment with access to advanced medical technology. Nurses typically work in shifts, collaborate with multidisciplinary teams, and are required to maintain licensure and certifications such as BLS and ACLS. The hospital emphasizes professional development and offers opportunities for specialization and career advancement.

What are some common challenges Duke Hospital RNs face when transitioning to a large academic medical center environment?

Duke Hospital RNs often encounter challenges such as adapting to fast-paced workflows, learning to navigate complex electronic health record systems, and collaborating with multidisciplinary teams that include residents, fellows, and attending physicians. Managing a high-acuity patient population and balancing clinical duties with ongoing education or research activities can also be demanding. However, strong onboarding programs and mentorship from experienced colleagues help new RNs adjust and thrive in this dynamic setting.

What is the difference between Duke Hospital Rn vs Duke Hospital Lpn?

AspectDuke Hospital RnDuke Hospital Lpn
Required CredentialsRegistered Nurse license (RN)Licensed Practical Nurse license (LPN)
Work EnvironmentHospitals, acute care, complex patient careHospitals, long-term care, less complex patient care
Job ResponsibilitiesPatient assessments, care planning, medication administrationBasic patient care, vital signs, assisting with procedures
Common UsageMore advanced clinical roles, specialized unitsSupport roles, general patient care

The Duke Hospital RN typically holds a registered nurse license and performs more complex patient assessments and care planning. The LPN role involves basic patient care and assisting nurses. Both roles are essential in hospital settings, but RNs generally have a broader scope of practice and responsibilities.

How much does an RN make at Duke University Hospital?

Registered nurses (RNs) at Duke University Hospital typically earn an average salary ranging from $70,000 to $85,000 annually, depending on experience, certifications, and shift differentials. Salaries may vary based on specialty units, education level, and years of service, with additional benefits such as healthcare and retirement plans.
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Duke Hospital Rn jobs near you
Infographic showing various Duke Hospital Rn job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 86% Full Time, 8% Part Time, 2% Contract, and 1% Nights. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution, with an average salary of $98,756 per year, or $47.5 per hour.
Critical Care Nurse Practitioner or Physician Assistant - Cardiothoracic Step Down Unit

Critical Care Nurse Practitioner or Physician Assistant - Cardiothoracic Step Down Unit

Duke University

Durham, NC • On-site

$105K - $136K/yr

Full-time

This job post has expired today. Applications are no longer accepted.

Duke University rating

6.7

Company rating: 6.7 out of 10

Based on 55 frontline employees who took The Breakroom Quiz

427th of 546 rated colleges and universities

Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.
About Duke University Hospital
Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Job Location
Duke University Hospital Heart Center
Job Summary
The Duke University Hospital Cardiothoracic (CT) Surgery Step-Down Unit (SDU) Advanced Practice Provider (APP) provides direct patient care services for complex critically ill Cardiothoracic Surgery and Advanced Heart Failure patients in collaboration with and under the supervision of the cardiothoracic surgeon(s) and medical director of the CT SDU. The APP performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, and provides direct patient care services.
Job Duties and Responsibilities
  • Provide /coordinate clinical care for cardiothoracic stepdown surgery patients at Duke Hospital being followed primarily in the Cardiothoracic Step-down setting but also throughout Duke Hospital and clinic through established protocols and under the supervision of the cardiothoracic surgeon or back-up supervising physician who is either on site or available by pager (including the OR, PACU, Step-down units, all inpatient units, ER and clinic setting).
  • In collaboration with attending cardiothoracic surgeon(s) round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of cardiothoracic patient care;
  • Collaborate with residents, fellows and attendings to formulate treatment plans and monitor patient progress;
  • Assess patients for change in status and institute appropriate interventions. Initiates emergency interventions in an effort to stabilize the patient until physician support arrives.
  • Preoperative evaluation; including (but not limited to) establishing diagnosis, and baseline status
  • Postoperative stabilization and management.
  • Develop patient care pathways, protocols and guidelines for the management of specific problems in conjunction with physicians and other members of the health care team.
  • Analyze clinical practice patterns so as to provide the best medical care and to increase effectiveness and efficiency.
  • Communicate verbally and in writing all pertinent patient information to supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers.
  • Document in the patient's chart all relevant data including but not limited to results of diagnostic tests; laboratory results; patients' condition and response to therapies/interventions; communications with supervising MD.
  • Utilize prescriptive privileges only for identified patient populations.
  • Prescriptive authority for prescribing, ordering, and or administering drugs; including (but not limited to) schedule II, III, IV, and V drugs and necessary medical devices.
  • Role models competence in all nurse practitioner/physician assistant advanced skills.

Job Eligibility Requirements
Education:
PA: Graduate of an ARC-accredited Physician Assistant (PA) program. Master's degree or Doctoral required.
NP: Graduate of an accredited MSN or DNP Acute Care Nurse Practitioner (NP) program for adult care.
Certification:
PA: PA-C
NP: ACNP or AGACNP
Licensure:
PA: Current unrestricted medical license issued by the NCMB with authorization to practice as a PA.
NP: Current unrestricted RN license issued by or recognized by NCBON with authorization to practice as a NP.
Both: Federal and State DEA with unrestricted prescriptive authority
Experience:
PA: 1 year's experience as a PA in a relevant clinical area preferred.
NP: 1-year NP experience or 2+ years RN experience in a cardiovascular or cardiothoracic surgery unit is preferred
*Will consider a new graduate with prior CTICU/CVICU or CTSD RN experience
Physical and mental requirements:
  • Able to clearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant in the state of North Carolina and within the Duke University Health System.
  • Able to independently seek out resources and work collaboratively to solve complex problems
  • Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others.
  • Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up.
  • Able to use fine motor skills
  • Able to record activities, document assessments & interventions; prepare reports and presentations;
  • Able to use computer and learn new software programs
  • Able to provide leadership in clinical area of expertise and in meeting organizational goals
  • Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations
  • Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds
  • Able to remain focused and organized
  • Able to work collaboratively with all levels of personnel

Job Hours
Primary hours fourteen (12) hour shifts/month, rotating shifts, 7 days per week including holidays.
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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About Duke University

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Duke is regarded as one of America's leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who study and conduct research in its 10 undergraduate, graduate, and professional schools. With about 40,000 employees, Duke is the third largest private employer in North Carolina, and it now has international programs in more than 150 countries.

Industry

Colleges, universities, and professional schools and hospitals

Company size

10,000+ Employees

Headquarters location

Durham, NC, US

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