PRN employees are employed by Duke on an "as needed" basis. PRN employees are paid by Duke at an hourly rate, are eligible for limited benefits but do not accrue PTO. Staffing schedules and pay rates for PRN employees are determined based on the department, job classification, or program designation.
PRN status is reserved for mission-critical contingency staffing for positions that are categorized as high demand/low supply.
PRN Personnel Subareas (PSA)
Use the following criteria to determine which personnel sub-area to use for non-exempt PRNs:
Nursing PRN PSA (0017)
Employees in this PSA are ineligible for annual increases and market increases. Program rates are pre-established and market driven.
For Nursing PRNs paid a flat rate in the following job codes:
5063 Nurse Practitioner $70.00
5059 Critical Care Nurse Practitioner $70.00
5461 Nurse Midwife, Certified $50.00
5060 Nurse Anesthetist $140.00
4231 Clinical Nurse, PRN (see below)
4283 Clinical Nurse PRN - Gig A (see below)
4284 Clinical Nurse PRN - Gig B (see below)
4285 Clinical Nurse PRN - Gig C (see below)
4628 Clinical Nurse, Internal Traveler (see below)
| Flat Rate PRN | Gig Nursing | Gig Nursing | Gig Nursing | Internal Traveler | |
|---|---|---|---|---|---|
| Requirements | Clinical Nurse PRN (4231) | Clinical Nurse PRN - Gig A (4283) | Clinical Nurse PRN - Gig B (4284) | Clinical Nurse PRN - Gig C (4285) | Program C - Internal Traveler Float Pool (4628) |
| Agreement Required | Yes | Yes | Yes | Yes | Yes, 24 week commitment. May be renewed |
| Minimum FTE In SAP | 0.2 | 0.1 | 0.1 | 0.1 | 0.9 |
| Minimum Commitment | 32+ hours per month | 8 hours per month | 16 hours per month | 32 hours per month 6 Month Commitment | 36 hours per week |
| Holiday Commitment | as needed | No | No | No | as needed |
| Weekend Commitment | up to 48 hrs/8 weeks | No | No | No | up to 48 hrs/4 weeks |
| Pay Model | Flat Rate | Flat Rate | Flat Rate | Flat Rate | Flat Rate |
| Hourly Rates | $38/hr for nurses with 2+ years of experience | $39/hr for nurses with less than 2 years of experience or 8 hour a month commitment | $43/hr for nurses with 2+ years of experience | $45/hr for nurses with 5+ years of experience | $75/hr for nurses with 2+ years of experience who float |
| Eligible for Nursing Ladder | No | No | No | No | No |
| Benefits | Limited | Limited | Limited | Limited | Limited |
| Holiday | Yes | Yes | Yes | Yes | Yes |
| Managed By | Unit Department Manager | DUHS Float Pool | DUHS Float Pool | DUHS Float Pool | Clinical Staffing Manager |
If the PRN nurse is assigned to a unit, their work schedule will be assigned by the unit nurse manager.
For additional information on Clinical Nurse PRN program eligibility, contact Duke Nurse Recruitment. -1-800-232-6877.
Allied Health PRN PSA (0025)
Employees in this PSA are ineligible for annual increases and market increases. Program rates are pre-established and market driven.
For Allied Health PRNs paid a flat rate in the following job codes:
| Job Title | Job Code | PRN Rate |
|---|---|---|
| PROFESSIONAL NURSING ASSISTANT | 4600 | $18.51 |
| RADIATION THERAPIST | 4127 | $40.00 |
| CT TECHNOLOGIST | 4042 | $35.50 |
| MAMMOGRAPHY TECHNOLOGIST | 4091 | $35.50 |
| INTERVENTIONAL TECH | 4078 | $35.50 |
| MR TECHNOLOGIST | 4101 | $35.50 |
| NUCLEAR MEDICINE TECHNOLOGIST | 4102 | $35.50 |
| RADIOLOGIC TECHNOLOGIST | 4128 | $35.50 |
| SONOGRAPHER | 4163 | $35.50 |
| AUDIOLOGIST | 5509 | $46.00 |
| OCCUPATIONAL THERAPIST | 5068 | $46.00 |
| PHYSICAL THERAPIST | 5249 | $46.00 |
| SPEECH-LANGUAGE PATHOLOGIST | 5100 | $46.00 |
| PHYSICIAN ASSISTANT | 5082 | $70.00 |
| CRITICAL CARE PHYSICIAN ASSISTANT | 5525 | $70.00 |
DukeMed PRN (0026)
For any non-exempt PRN who is paid based on experience, rather than in a pre-approved flat rate program option. Employees in this PSA are annual increase eligible.
Duke Retiree (0050)
Employees in this PSA are annual increase eligible.
Retirees, Non Nursing
For any retiree. The rate is set within the competitive range for the job they are rehired into at retirement.
Retirees, Nursing
Eligible Nursing Job Codes:
4024 Clinical Nurse II
4025 Clinical Nurse III
4026 Clinical Nurse IV
4624 Clinical Nurse II – AD/DIP
4625 Clinical Nurse III – AD/DIP
4646 Clinical Nurse IV – AD/DIP
If the employee is a level III or IV at retirement date, the employee may stay in their clinical ladder level/classification at the same rate of pay if he/she maintains the requirements of the level.
Premium Eligibility for PRN and Retirees
| Premium | Nursing PRN | Allied Health PRN | Duke Med PRN | Retiree |
|---|---|---|---|---|
| Shift Premium | Eligible | Eligible | Eligible | Eligible |
| Weekend Premium | Eligible | Eligible | Eligible | Eligible |
| Weekend Option Premium | Eligible | Not Eligible | Not Eligible | Eligible |
| Holiday Premium | Eligible | Eligible | Eligible | Eligible |
| On-Call | Eligible | Eligible | Eligible | Eligible |
| Call-Back | Eligible | Eligible | Eligible | Eligible |
| Emergency Call Back | Eligible | Not Eligible | Not Eligible | Not Eligible |
| Out of Position | Not Eligible | Not Eligible | Not Eligible | Not Eligible |
| Preceptor* | Eligible | Eligible | Eligible | Eligible |
| Charge * | Eligible | Eligible | Eligible | Eligible |
*Preceptor and Charge are available for pre-approved job classifications as outlined on the Premium Pay website.