Clinical Nurse IV Leader - Emergency Department

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 Regional Hospital

Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.

About Emergency Services
Emergency Services at Duke Regional Hospital is a 89-bed department caring primarily for patients experiencing ischemic strokes, non-specific chest pains, acute dyspnea, and other acute diagnoses. Emergency Services is comprised of three units: the Emergency Department, Behavioral Health Emergency Department, and Clinical Decision Unit. As part of the team, you’ll have the opportunity to advance your career through bonuses for certifications and education, such as trauma nurse core or emergency nurse pediatric courses. Emergency Services recently implemented, and continues to refine, an improved intake process designed to improve patient flow and care. Emergency Services offers self-scheduling in eight-week blocks to help team members find balance between their professional and personal schedules. Apply today and see where a career with Emergency Services can take you.

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
• Shift is nights 7p-7a
• 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.

Minimum Qualifications:

• Education: Bachelor's degree in Nursing required;
• Experience: Minimum of three years of nursing experience required
• Emergency Department experience required
• Applicants must meet all requirements set forth by the DUHS Career Ladder Program for level IV.

Licenses and Certifications:

• Current or compact RN licensure in North Carolina required.
• BLS certification required.
• Crisis Prevention Institute Training must be obtained within three months of hire.

Degrees, Licensure, and/or Certification

• Must have current or compact RN licensure in the state of North Carolina
• BLS certification required.
• Crisis Prevention Institute Training must be obtained within three months of hire.

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

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.

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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.