Nurse Clinician-Perianesthesia Admin. Testing Unit-Duke Regional Hospital-40hrs

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About Duke Regional Hospital Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina, which ranks as the number four hospital in the Raleigh-Durham, North Carolina area, according to U.S. News and World Report for 2023-2024. Duke Regional Hospital is the second largest of Duke Health's three hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.

Nurse Clinician - Perianesthsia Administrative Testing (PAT) Clinic

Duke University Health System seeks to hire a Nurse Clinician at the PreOp Clinic/Preanesthesia testing unit at Duke Regional Hospital who will embrace our mission of Transforming Lives Transforming Care.

Shift: Monday - Friday, 8am – 4:30pm

Salaried position: 40 hours/week

The Nurse Clinician is responsible and accountable for clinical expertise for specific patient populations. The incumbent functions as a clinician, educator, investigator, consultant and leader. Clinical judgments are based on a synthesis of current research, concepts, principles, theories, and outcomes to solve complex problems. The Nurse Clinician functions as an integral part of an interdisciplinary team, contributing to excellence in patient care, research, teaching, and in providing leadership to the organization.

Work Performed

Coordinates Preoperative/Specialty Appointments

• Schedules and coordinates all necessary appointments and testing between preoperative visit and surgery
• Interacts with surgeons’ offices/schedulers and DRH preop schedulers to facilitate patient care
• Coordinates with DRH preop scheduler to manage clinic appointment slots
• Follows up with recommendations from appointments and updates patient’s chart and periop medicine providers
• Follows up on no-shows to preop clinic appointments and other interim appointments, ensuring surgery and periop providers are aware.
• Determines potential barriers for patients and assists with these (transportation, financial, social, etc.)

Monitors and communicates patient updates

• Monitors patient status board (white board) and determines where patients are in process of surgical readiness
• Informs periop providers and surgeon if there are potential delays to surgery (as well as medical director and lead periop APP as needed)
• Communicates estimated time to surgery and/or any changes in perioperative plan to periop providers (as well as medical director and lead periop APP as needed)
• Communicates changes in treatment plans to periop providers and surgeons (as well as medical director, lead periop APP, and anesthesiology as needed) to determine if surgery needs to be postponed or rescheduled

Sends and/or receives notes/messages from specialty appointments via Maestro in-basket and email

• Disseminates notes to appropriate parties (surgeon, PCP, etc.)
• Interprets note and determine if optimization plan has changed or will take longer than surgical timeframe
• Populates a generic note to surgeons, PCPs and other providers regarding any updates on patients (abnormal labs, delay of surgery, need for follow up)
• Sends note in Epic if able or email/call those providers not in Epic to give patient updates

Reviews patient status board (white board) for this week’s pending surgical dates

• Determines what needs to be done to get patient ready for surgery and help facilitate those processes
• Ensures all patient are "green" that are going to surgery (fully optimized)

Cross-trains and works as needed in associated nursing functions in perioperative areas

Communicates with necessary parties to provide for optimal transitions of care, such as from the outpatient to the inpatient setting

Collects and presents related data as requested

Orders

• Enters preop phase of care orders for APP/MD to sign off
• Enters necessary optimization orders otherwise, including orders for preop iron infusion, magnesium infusion, etc.

Weekly Meeting with Medical Director

• To review potential delays in patients’ surgery
• To discuss potential barriers within preop clinic/specialty clinics to prevent patient moving forward with surgery
• To review trends in referral patterns, scheduling, optimization operations
• To prioritize upcoming work

Knowledge, Skills and Abilities

Statistical reporting, analyze trends, statistical analysis, data verification, data coding-general data analysis

Pre-employment Physical Capacity Testing Required

Minimum Qualifications

Education

BSN required

Experience

3 years of nursing experience required

Degrees, Licensures, Certifications

Current or compact RN licensure in the state of North Carolina required.

BLS required.

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.

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.