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Posted: 12-Feb-25
Location: Durham, North Carolina
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Internal Number: 253815
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 and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Clinical Nurse IV Leader - Duke University Hospital - DCT 6 Solid Organ Transplant Unit
This position is a Leadership position that will share time between administrative work and clinical work. The position with be a 1.0 FTE (40 hours/week) where two 12-hour shifts/week will be spent on the inpatient unit and two 8-hour shifts/week will be spent in office hours (this may change dependent on unit/employee needs).
The Abdominal Transplant (6DCT) Unit is comprised of 37 beds. Our team of nursing staff provide exemplary care for a variety of complex patients with diagnosis such as Pre-Liver Transplant, Liver Transplant, Kidney Transplant, Pancreas Transplant, Small Bowel Transplant and Hand Transplant.
Department Highlights:
RN to Patient Ratio is 1: 3-4
Strengths in teamwork, multi-disciplinary collaboration and professional respect - we offer a dynamic environment for professional development.
Procedures/treatments frequently performed include diabetes management, pain management, wound care, telemetry, oxygen therapy, blood product administration, and IV management of fluids and medications.
Affords the clinical experience to attain strong critical thinking skills, vast knowledge of disease processes and body systems, and robust care management skills.
The unit cares for this patient population throughout the entirety of their Transplant experience beginning with inpatient care prior to transplant when necessary, care during their index Transplant stay, and care on any readmission. This fosters strong relationship between our patients and the care team while promoting continuity of care.
Daily multidisciplinary Transplant Rounds encompassing all care providers involved with the patient's care; Case Management, Surgery, Medicine, Advanced Practice Providers, Transplant Coordinators, and Nursing.
General Description of the Job Class
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.
Duties and Responsibilities of this Level
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 at this Level
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.
A minimum of 3 years of nursing experience 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 of this Level
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 University 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 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.
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.