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Location: Durham, North Carolina
Internal Number: 75509
Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.
U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.
Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
Duke Nursing Highlights:
The Clinical Lead functions as an assistant nurse manager/team lead in supporting the nurse manager with operations of the unit with 50% clinical and 50% administrative responsibilities. Cardiology, cardiothoracic surgery, or telemetry experience is preferred. We are interested in hiring staff with three or more years of nursing experience. This is an excellent way to progress your career in leadership while acquiring new skills in a fast-paced, high acuity step-down setting!
Work Hours & Shifts
Full time (40 hrs/week). Scheduling requirements are flexible.
Cardiology Step Down at Duke University Hospital provides care for cardiology medicine patients with a range of diagnoses. The patient population includes but is not limited to the care of acute coronary syndrome, post cardiac catheterization, electrophysiology procedures, dysrhythmias, heart failure, heart transplant workups and congenital heart disease. These patients require high acuity care and many come directly from the ICU, post procedures or outside hospitals requiring an increased level of care. Many times, these patients encompass a multi-system involvement which can include but is not limed to pulmonary, renal, endocrine and neurology. The environment is fast paced, challenging and a great place to promote and develop your critical thinking skills with many opportunities for professional growth.
The Clinical Lead RN is a role developed to work in coordination with the nursing leadership in an assigned unit or department to ensure the work is accomplished effectively. The Clinical Lead RN is the first line support for staff, physicians and other related providers on service- specific clinical issues. The Clinical Lead RN is generally a long-term role, requiring clinical and interpersonal skills. The Clinical Lead RN collaborates with the manager on clinical and non-clinical issues (employee relations, individual behaviors, physician relationships, etc.). The Clinical Lead RN is the support for the unit/department/service when the manager is unavailable. The Clinical Team Leader is responsible for supervising, directing, coaching and mentoring their assigned core group of staff.
Duties and responsibilities include all those required of the CN III as well as: Plan and coordinate clinical requirements for staff and ensure that allCBO and CBE requirements for staff are current. Plan and assist with coordination of unit staff schedules and submit for manager approval. Coordinate clinical requirements with staff regarding equipment and supplies. Consult with preceptors and orientees on a regular basis to provide support and determine how orientation should proceed on an individual basis. Collaborate with the manager for issue resolutions and projects to improve work flow processes throughout the department utilizing a proactive approach. Collaborate with different departments (pharmacy, radiology, lab, registration) to resolve issues and improve work flow processes throughout the department. Collaborate with the nurse managers in the interview process for new applicants. Mentor/coach staff to enhance their professional development. Assesses the performance of assigned new hires and orientees including entry level nurses, nursing care assistants and health unit coordinators; provides ongoing feedback and coaching. Understandand communicate potential clinical equipment or supply issues to appropriate team members (Materials, Biomed, Sterile Processing, etc). Mentor and monitor the preceptors for all new employees. Provide clinical/education updates and skill check-offs to entire staff on a regular basis. Provides immediate support and education on policy, procedures, equipment and supplies. Responsible for learning, implementing and teaching new technology/procedures. Demonstrates awareness of current problems and basicplan for all patients within assigned area. Provides clinical consultation and guidance as needed to facilitate patient care. Gives assistance and/or direction to staff to facilitate quality patient flow. Assess staffing needs according to workload and staff competency; Re- assigns and adjusts staffing based upon patient care needs. Delegates responsibilities within the scope of practice and validated competencies in order to meet the workload demands of the shift. Facilitates assignments that support learning for the orientee or nurse learner. Promotes an atmosphere of open communication that facilitates staff input into decision-making, resolution of conflict, and collegiality among all health team members. Communicates in an effective, professional manner. Facilitates staff performance audits related to attitude, team performance, The Joint Commission, DFS Standards and SCIP initiatives. Reviews and comments on forwarded SRSs related to their team or shift. Facilitates and encourages staff participation in departmental and hospital committee and council meetings. Attends departmental and hospital committee meetings as assigned. Coordinates, facilitates, participates and directs departmental projects with follow-through and appropriate follow-up. Other projects and duties as directed by the department managers.
Knowledge of scope of the registered nurse, licensed practical nurse and Ability to assess nursing needs of acute and chronically ill patients Competent in BLS and/or other specialized life support requirements Knowledge of and appropriate application of the nursing process and their families designated by work area Ability to establish and maintain effectiveworking relationships Knowledge of professional theory, practice and procedure routine and special treatments to patients interventions, evaluation and re-evaluation of patient status healthcare team, physicians, administrators, leadership and others Able to communicate clearly with patients, families, visitors, Able to use sensory and cognitive functions to process and prioritize Working knowledge of procedures and techniques involved in administering nursing care assistant Able to independently seek out resources and work collaboratively Able to teach patients and families in accordance with the nursing plan of care information, treatment, and follow-up Able to use fine motor skills Able to record activities, document assessments, plan of care, Able touse computer and learn new software programs Able to navigate the entity to provide clinical care for patients Able to withstand prolonged standing and walking Able to remain focused and organized Pre-employment Physical Capacity Testing Required
Bachelor of Science degree in Nursing required.
Three years of experience in nursing practice. Selected candidates must meet the Clinical Ladder requirements for CN III within one year of appointment.
Must have current or compact RN license in the State of North Carolina. BCLS certification is required.
Duke is an Affirmative Action/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, sexual orientation, or veteran 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 essentialjob 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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