RN Clinical Nurse II UNC Medical Center Behavioral Health Emergency Department

3 days ago

Clinical Nurse IV Leader (Mid Shift) - Emergency Department

Duke Health Raleigh, NC

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 Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of the four Duke Health hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care. Plan and provide advanced and/or specialized nursing care for patients in accordance with guidelines established within the Discipline of Nursing Clinical Ladder Program and the North Carolina Board of Nursing. The position will provide local level leadership in the areas of administration, education, informatics and quality. Work Hours & Shifts: Full-Time - 40 hours per week Mid Shift - 2 shifts 11a-11p and 2 shifts 11a-7p with a least one weekend day coverage (most likely Sundays 11a-7p) Call requirement for back-up on another shift Duties and Responsibilities Identify care needs for patient populations across the continuum of care. Collaborate and provide leadership in the development of standards of care, patient/family education and staff education to address the needs of specific populations. Collaborate with multidisciplinary team and provide leadership within the delivery of patient care. Provide leadership in educational activities, departmental committees, research projects and other health-related projects. Provide evaluation, direction and guidance in the proper selection, use, care and control of material resources. Appraise quality and effectiveness of material and equipment and collaborate with appropriate departments to assist with vendor selection and feedback on performance. Guide the professional growth of others across the continuum of care through role modeling, coaching and/or mentoring. This may include designing orientation modules, primary precepting of senior nursing students. Provide leadership at a departmental, entity, community or regional/national level for initiatives focused on improving the quality of care for populations of patients and growth of others. Conduct performance reviews. Effectively recommend personnel actions including, but not limited to, hiring, performance appraisals, disciplinary actions, terminations and other related activities. Perform other related duties incidental to the work described herein. CNIV Pathways Leadership/Regulatory: Monitor clinical practice and ensure compliance to practice standards and regulatory standards. Collaborate with unit/clinic leadership to coach and mentor nursing colleagues. Influence recruitment and development of staff. Education: Plan and deliver in house education sessions or collaborate with subject matter experts. Keep up to date with evidence-based nursing practices and adult education. Assess educational needs of staff. Partners with clinical nurse educator and clinical nurse specialist to address unit educational needs. Informatics: Serve as a superuser for clinical information systems. Disseminate and communicate information to staff regarding adoption of or changes to technology. Facilitate service tickets and troubleshoot efficiency concerns with staff. Provide training and technology education support on the unit. Serve as a change agent and facilitate adoption of new technology on the unit. Quality/Research/Innovation: Collaborate with subject matter experts to analyze patient care data to identify trends and areas for improvement. Participate in multidisciplinary committees focused on quality and patient safety. Provide guidance and support to nursing staff in quality assurance and best practices. Engage in research and innovation initiatives to develop new methodologies and technologies for enhancing patient care. Required Qualifications Education Work requires graduation from an accredited nursing program with a BSN degree. Experience Applicants must meet all requirements set forth by the DUHS Career Ladder Program for level IV. Emergency Department experience is required Degrees, Licensure, and/or Certification Must have current or compact RN licensure in the state of North Carolina. BLS required. Knowledge, Skills, and Abilities Knowledge of scope of the registered nurse, licensed practical nurse and Unlicensed staff. Knowledge of and appropriate application of the nursing process Knowledge of professional theory, practice and procedure Ability to assess nursing needs of acute and chronically ill patients and their families Ability to independently seek out resources and work collaboratively Ability to establish and maintain effective working relationships Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others Ability to teach patients and families in accordance with the nursing plan of care Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up Ability to use fine motor skills Competent in BLS and/or other specialized life support requirements designated by work area Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status Ability to use computer and learn new software programs Ability to document and communicate pertinent information using computer and/or paper documentation tools Ability to navigate the entity to provide clinical care for patients Ability to withstand prolonged standing and walking Ability to remain focused and organized Working knowledge of procedures and techniques involved in administering routine and special treatments to patients Working knowledge of infection control procedures and safety precautions Working knowledge and completion of appropriate The Joint Commission (TJC) and other regulatory requirements Pre-employment Physical Capacity Testing Required Distinguishing Characteristics Provide leadership at a CSU, departmental, institutional, community or regional/national level. Lead change by constantly seeking creative solutions to improve quality and efficiency in the delivery of patient care. The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description. 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.

1 month ago

RN Clinical Nurse II UNC Youth Behavioral Health Facility Dogwood Unit

$34.22 - $48.38 / hour

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. Are you passionate about challenges facing our young population behavioral health needs? If yes, opportunities are available to join our team who are making a difference in a young person’s life. What we offer for eligible candidates: - Three options for commitment incentive ranging from 15K to 25K - Relocation Assistance Why join our team? - Safe work environment with security officers present in the facility who work collaboratively with the staff and patients - Work alongside an interdisciplinary team committed to providing holistic care to our patients - Opportunities for ongoing professional developmental growth Who are we looking for? - RN with at least one year of work experience - Experience in behavioral health nursing (pediatric or adult) strongly preferred - Strong understanding of pediatric patients in need of crisis stabilization and behavioral/psychosocial needs - Excellent communication and team skills What is the work schedule? - 36 hours per week (considered full time) - 12-hour shifts with current need for night shift - No rotating shifts - Weekday and weekends (preferred scheduling) - No on-call Interested in learning more? Apply now! Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Clinical Nurse II needed for UNC Health Youth Behavioral Health (YBH), in Butner, North Carolina. We are seeking a Clinical Nurse II, preferably with strong clinical experience in adolescent mental health to work with a multidisciplinary team. The Clinical Nurse II will be working primarily on Dogwood, a 16-bed unit comprised of pediatric patients in need of crisis stabilization, providing multidisciplinary treatment focused on addressing psychiatric, behavioral, medical, and psychosocial needs. Youth Behavioral Health Hospital (YBH) is a 54-bed, 24-hour, locked psychiatric facility located in Butner, North Carolina. YBH philosophy is grounded in a milieu-based, trauma-informed and therapeutic setting. This facility aims to serve patients with a complex history, including aggression and psychosis. Safety is a key component of the care provided as well as introduction of positive coping skills, healthy living and positive leisure activities. Therapy services will work among a large interdisciplinary team including Psychiatrists, Psychologists, Social Workers, and Nursing Services. There will be four units dedicated to serving children and adolescent with mental health diagnoses, dual diagnoses, substance misuse and complex behaviors, including those with Intellectual and Developmental Disabilities and with autism spectrum disorder. The staff are to be cross trained on all of these units as one team. 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. 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. ● If hired after January 6, 2014, must be enrolled within four years of employment, and obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date. 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: STATE Entity: UNC Medical Center Organization Unit: YBH IP Unit D Dogwood Work Type: Full Time Standard Hours Per Week: 36.00 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: Night Job Location of Job: Butner:NC:27509 Exempt From Overtime: Exempt: No This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health. 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. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

2 months ago

RN Clinical Nurse II UNC Youth Behavioral Health Facility Cardinal Unit

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. Are you passionate about challenges facing our young population behavioral health needs? If yes, opportunities are available to join our team who are making a difference in a young person’s life. What we offer for eligible candidates: - Three options for commitment incentive ranging from 15K to 25K - Relocation Assistance Why join our team? - Safe work environment with security officers present in the facility who work collaboratively with the staff and patients - Work alongside an interdisciplinary team committed to providing holistic care to our patients - Opportunities for ongoing professional developmental growth Who are we looking for? - RN with at least one year of work experience - Experience in behavioral health nursing (pediatric or adult) strongly preferred - Strong understanding of pediatric patients in need of crisis stabilization and behavioral/psychosocial needs - Excellent communication and team skills What is the work schedule? - 36 hours per week (considered full time) - 12-hour shifts with current need for night shift - No rotating shifts - Weekday and weekends (preferred scheduling) - No on-call Interested in learning more? Apply now! Clinical Nurse II needed for UNC Health Youth Behavioral Health (YBH), in Butner, North Carolina. We are seeking a Clinical Nurse II, preferably with strong clinical experience in adolescent mental health to work with a multidisciplinary team. The Clinical Nurse II will primarily be working on Cardinal/1YBH a 14-bed inpatient unit dedicated to providing comprehensive psychiatric care for adolescents aged 12 to 15 who require acute psychiatric stabilization. Our unit is designed to address the urgent needs of these young individuals, focusing on stabilizing their current crises and setting a foundation for long-term mental health. Youth Behavioral Health Hospital (YBH) is a 54-bed, 24-hour, locked psychiatric facility located in Butner, North Carolina. YBH philosophy is grounded in a milieu-based, trauma-informed and therapeutic setting. This facility aims to serve patients with a complex history, including aggression and psychosis. Safety is a key component of the care provided as well as introduction of positive coping skills, healthy living and positive leisure activities. Therapy services will work among a large interdisciplinary team including Psychiatrists, Psychologists, Social Workers, and Nursing Services. There will be four units dedicated to serving children and adolescent with mental health diagnoses, dual diagnoses, substance misuse and complex behaviors, including those with Intellectual and Developmental Disabilities and with Autism Spectrum Disorder. The staff are to be cross trained on all of these units as one team. 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. 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. ● If hired after January 6, 2014, must be enrolled within four years of employment, and obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date. 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: STATE Entity: UNC Medical Center Organization Unit: YBH IP Unit B Cardinal Work Type: Full Time Standard Hours Per Week: 36.00 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: Night Job Location of Job: Butner:NC:27509 Exempt From Overtime: Exempt: No This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health. 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. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

2 months ago

RN Clinical Nurse II UNC Youth Behavioral Health Facility Cardinal Unit

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. Are you passionate about challenges facing our young population behavioral health needs? If yes, opportunities are available to join our team who are making a difference in a young person’s life. What we offer for eligible candidates: - Three options for commitment incentive ranging from 15K to 25K - Relocation Assistance Why join our team? - Safe work environment with security officers present in the facility who work collaboratively with the staff and patients - Work alongside an interdisciplinary team committed to providing holistic care to our patients - Opportunities for ongoing professional developmental growth Who are we looking for? - RN with at least one year of work experience - Experience in behavioral health nursing (pediatric or adult) strongly preferred - Strong understanding of pediatric patients in need of crisis stabilization and behavioral/psychosocial needs - Excellent communication and team skills What is the work schedule? - 36 hours per week (considered full time) - 12-hour shifts with current need for day shift - No rotating shifts - Weekday and weekends (preferred scheduling) - No on-call Interested in learning more? Apply now! Clinical Nurse II needed for UNC Health Youth Behavioral Health (YBH), in Butner, North Carolina. We are seeking a Clinical Nurse II, preferably with strong clinical experience in adolescent mental health to work with a multidisciplinary team. The Clinical Nurse II will primarily be working on Cardinal/1YBH a 14-bed inpatient unit dedicated to providing comprehensive psychiatric care for adolescents aged 12 to 15 who require acute psychiatric stabilization. Our unit is designed to address the urgent needs of these young individuals, focusing on stabilizing their current crises and setting a foundation for long-term mental health. Youth Behavioral Health Hospital (YBH) is a 54-bed, 24-hour, locked psychiatric facility located in Butner, North Carolina. YBH philosophy is grounded in a milieu-based, trauma-informed and therapeutic setting. This facility aims to serve patients with a complex history, including aggression and psychosis. Safety is a key component of the care provided as well as introduction of positive coping skills, healthy living and positive leisure activities. Therapy services will work among a large interdisciplinary team including Psychiatrists, Psychologists, Social Workers, and Nursing Services. There will be four units dedicated to serving children and adolescent with mental health diagnoses, dual diagnoses, substance misuse and complex behaviors, including those with Intellectual and Developmental Disabilities and with Autism Spectrum Disorder. The staff are to be cross trained on all of these units as one team. 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. 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. ● If hired after January 6, 2014, must be enrolled within four years of employment, and obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date. 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: STATE Entity: UNC Medical Center Organization Unit: YBH IP Unit B Cardinal Work Type: Full Time Standard Hours Per Week: 36.00 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: Day Job Location of Job: Butner:NC:27509 Exempt From Overtime: Exempt: No This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health. 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. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

2 months ago

RN Clinical Nurse II UNC Youth Behavioral Health Facility 4YBH Unit