Most recent job postings at dukehealth
via Jobrapido.com posted_at: 5 days agoschedule_type: Full-time
Duke University Hospital 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 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing... 65 operating rooms; an endo-surgery center; a separate Duke University Hospital 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 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing... 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.
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:

Duke University Health System is designated as a Magnet organization
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
Duke University Health System has 6000 + registered nurses
Quality of Life: Living in the Triangle!
Relocation Assistance (based on eligibility)

Registered Nurse - (NIGHTS ONLY) Emergency Department Adult Boarder Unit - Duke University Hospital
• **As of 10/1/22, Experienced RNs that accept full time positions in the EDABU are eligible for a $15000 sign on bonus (or former Duke employees coming back after 1 year into the Duke Health System)******

Duke University Health System seeks to hire an experienced Registered Nurse who will embrace our mission of Transforming Lives Transforming Care.

Department Profile:
The Boarder Unit is a new unit that has been developed to support the Emergency Department and Inpatient units that admit intermediate and stepdown level patients. As our health system is challenged with unprecedented capacity and throughput challenges it was imperative that we implement creative initiatives that would support our patients requiring inpatient care. The 8200 admission border unit will care for patients that have been admitted and are awaiting an inpatient bed assignment. A team of nurses will strive to deliver exceptional care and ensure an excellent patient experience. Primary responsibilities include; providing nursing care that is inclusive of acting on admission orders, transporting and monitoring of patients and facilitating treatment as ordered/directed. Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time.

Job Summary:
As a Registered Nurse/Experienced RNwith Duke University Health System, you will make providing service your priority while caring for the whole person in a patient-centered atmosphere. The Registered Nurse/Experienced RNis responsible for providing and supervising direct and indirect total nursing care responsibilities. Utilizing the nursing process (assessing, planning, implementing and evaluating) in achieving the goals of the nursing department. Plan and provide advanced and/or specialized nursing care for patients in guided by DUHS Professional Practice model participate in the clinical ladder program, educational activities, departmental committees, research projects or other health related projects as assigned. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Adheres to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

Work Hours & Shifts:
Full Time: 3 - 12 hour Night shift (7pm - 7am) ***Weekend Option or alternate schedule may be available upon manager approval ***

Knowledge, Skills, Education, and Experience Required:
Previous work experience (1+ years) as a Registered Nurse/Clinical Nurse is required; at least one-year previous work experience as a registered nurse is required for a CNII role
Graduation from an accredited Bachelor’s Degree in Nursing (or higher), Associate's Degree in Nursing or Nursing Diploma program is required.
All Registered Nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within five years of their start date

Knowledge, Skills, Education, and Experience Preferred:
~2 or more years of RN experience in a General Medicine or Emergency Department or other Inpatient Units with mixed acuity.

Licensure, Certification or Registration:
Current registration with North Carolina State Board of Nursing as a registered professional nurse OR current compact RN licensure to practice in the state of North Carolina required.
BLS (or higher) certification required.
Professional specialty certification preferred: TNCC, ENPC or CEN

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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via Jobrapido.com posted_at: 3 days agoschedule_type: Full-time
Duke Homecare & Hospice Duke Homecare & Hospice offers hospice, home health and infusion services as well as serves as the home for the Duke Caregiver Support Program. Our Hospice team works closely with a patient's physician to provide comprehensive, individualized care in the comfort their home or at our inpatient hospice facility located in Durham. Our team of nurses, therapists, social... workers, counselors, and chaplains help patients and their Duke Homecare & Hospice Duke Homecare & Hospice offers hospice, home health and infusion services as well as serves as the home for the Duke Caregiver Support Program. Our Hospice team works closely with a patient's physician to provide comprehensive, individualized care in the comfort their home or at our inpatient hospice facility located in Durham. Our team of nurses, therapists, social... workers, counselors, and chaplains help patients and their families manage advanced medical conditions. Duke Home Health provides services in a patient's home that include skilled nursing, physical therapy, occupational therapy, speech therapy, social service, home health aides, and pain and wound management. Our infusion team comes to a patient's home to administer intravenous medications, including antibiotics and chemotherapy, to children and adults. Our nurses, pharmacists, dietitians, and patient services coordinators work under the direction of a patient's doctor to monitor needs and treatment.

To have the opportunity to speak to someone further about this position, please click (or copy and paste) this link to schedule with a recruiter: https://calendly.com/jacqueline-huff/homecare-hospice-information
The Duke HomeCare, Hospice and Infusion Services program is active in delivering exemplary care for each patient to ensure an excellent patient experience every time. As an Infusion Field Nurse, you will work at both Duke University's outpatient Cancer Center and provide home infusion visits.

Shift: Monday-Friday: (5) 8-hour or (4) 10-hour shifts M-F / Once per month: Saturday and Sunday coverage. **Weekend differential for these shifts

Duke HomeCare, Hospice and Infusion Services differs from other home health companies in many amazing ways. Please see a list of some of those reasons below:
• Manageable caseloads and territories
• Commitment to safety for both patients and employees
• Mileage reimbursement rate equal to the federal rate of $0.62/mile
• Extensive orientation of 10-20 weeks based on individual needs

JOB SUMMARY:

Performs professional nursing care for patients in a primary care setting (the home or alternate-site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.

MAJOR JOB RESPONSIBILITIES:
• Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient’s baseline needs and response to care.
• Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care.
• Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care.
• Develop and implement an effective discharge plan for patients to begin at the initiation of services.
• Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching.
• Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills.
• Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient.
• Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance.
• Assesse the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate.
• Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards.
• Complete documentation accurately, timely, concisely.
• Medication reconciliation and education to prevent adverse events and readmission to hospital
• Observe patient’s reactions to medications and reports significant incidents to the physicians.
• Communicate regularly with team members, caregivers, and physicians.
• Follow infection control standard precautions and uses personal protective equipment as required.
• Delegate and supervise care given by NCA’s/LPN’s.
• Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient’s care needs.
• Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness.
• Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
• Implement agency policy, procedures and objectives.
• Work closely and collaboratively with agency billing staff to ensure accuracy of billing.
• Maintain confidentiality of employee and patient information.
• Exhibit an attitude which promotes harmony and goodwill in the workplace.
• Display a clean, neat, professional appearance.
• Participate in Performance Improvement Program.
• Promote quality, comprehensive services through a team approach.
• Perform other duties as assigned.

WORK ENVIRONMENT AND REQUIREMENTS:

Perform Patient care primarily in the patient’s residence or skilled nursing facility (>50%)

Travel to and from patients' residence

PREFERRED QUALIFICATIONS

(Above and beyond what is stated in the DUHS job description)

Education and Formal Training
• Associate Degree or Diploma, Nursing required
• Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service of their start date.
• ASN, Diploma, and BSN prepared nurses are eligible to participate in DUHS RN Clinical Ladder program

Licensures, Certifications
• Must have a current or compact RN licensure in the state of North Carolina
• Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only)

Professional Work Experience & Requirements
• Two years of med-surgical, critical care or home health/hospice/infusion
• Valid driver’s license and current automobile insurance coverage
• Prior experience in Home Health, Hospice or Infusion preferred

Knowledge, Skills & Abilities
• Working knowledge of Medicare and Medicaid regulations, including JCAHO and DFS standards, ICD-9 Coding.
• Knowledge of scope of the registered nurse, licensed practical nurse and NCA
• Knowledge of and appropriate application of the nursing process
• 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
• 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 and technology
• Able to document and communicate pertinent information using computer and/or paper documentation tools
• Knowledge in wound identification and treatments, infusion and other advanced nursing skills
• Critical thinking skills and organization skills
• Working knowledge of infection control procedures and safety precautions
• Strong computer skills including MS Outlook, Word, Excel, preferred
• Excellent rapport, understanding, and communication with the patients and their family members
• Ability to work autonomously and independently in varying environments.
• Able to withstand driving long distances, stooping, bending, lifting 20 plus pounds, and climb stairs

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
Show more details...
via Jobrapido.com posted_at: 5 days agoschedule_type: Full-time
Duke University Hospital 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 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing... 65 operating rooms; an endo-surgery center; a separate Duke University Hospital 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 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing... 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area. 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.
RNs who join the Duke Internal Traveler Program (DITP) use their specialized clinical expertise and adaptability skills to fill new assignments every 12 weeks across Duke University Health System’s three hospitals (Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital).
Registered Nurses will be hired for up to one year into specialty groups to fulfill requests for a traveler RN across DUHS.

Nurses chosen for the program gain the ability to expand their own professional network and experiences in assignments on different units, including:
Emergency Services (Level 1 Trauma in Durham)
Perioperative Services
Medical/Surgical
Mother/Baby
Critical Care
Oncology
Heart

Duties and Responsibilities of this Level
Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures. Use professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care.
Delegate tasks and supervise the activities of other licensed and unlicensed care providers.
Assist other nursing personnel in the delivery of nursing care and act as team leader or charge nurse for a group of patients or an entire unit as assigned.
Monitor and initiate corrective action to maintain the environment of care including equipment and material resources.
Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
Act as preceptor and support the development of other staff and formal learners.
Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities.
Perform other related duties incidental to the work described herein.

Required Qualifications at this Level
Education:
Work requires graduation from an accredited BSN or Associate's Degree in Nursing or Nursing Diploma program.
All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within five years of their start date.

Experience:
2 years of clinical experience in a specialty 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 NCA
- 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
- Able to independently seek out resources and work collaboratively
- Ability to establish and maintain effective working relationships
- Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others
- Able to teach patients and families in accordance with the nursing plan of care
- Able to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up
- Able to use fine motor skills
- Competent in BLS and/or other specialized life support requirements designated by work area
- Able to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status
- Able to use computer and learn new software programs
- Able to document and communicate pertinent information using computer and/or paper documentation tools
- Able to navigate the entity to provide clinical care for patients
- Able to withstand prolonged standing and walking
- Able 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 JCAHO and other regulatory requirements

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
Show more details...
via Jobrapido.com posted_at: 4 days agoschedule_type: Full-time
Duke Homecare & Hospice Duke Homecare & Hospice offers hospice, home health and infusion services as well as serves as the home for the Duke Caregiver Support Program. Our Hospice team works closely with a patient's physician to provide comprehensive, individualized care in the comfort their home or at our inpatient hospice facility located in Durham. Our team of nurses, therapists, social... workers, counselors, and chaplains help patients and their Duke Homecare & Hospice Duke Homecare & Hospice offers hospice, home health and infusion services as well as serves as the home for the Duke Caregiver Support Program. Our Hospice team works closely with a patient's physician to provide comprehensive, individualized care in the comfort their home or at our inpatient hospice facility located in Durham. Our team of nurses, therapists, social... workers, counselors, and chaplains help patients and their families manage advanced medical conditions. Duke Home Health provides services in a patient's home that include skilled nursing, physical therapy, occupational therapy, speech therapy, social service, home health aides, and pain and wound management. Our infusion team comes to a patient's home to administer intravenous medications, including antibiotics and chemotherapy, to children and adults. Our nurses, pharmacists, dietitians, and patient services coordinators work under the direction of a patient's doctor to monitor needs and treatment. Duke Nursing Highlights:

Duke University Health System is designated as a Magnet organization
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
Duke University Health System has 6000 + registered nurses
Quality of Life: Living in the Triangle!
Relocation Assistance (based on eligibility)

To have the opportunity to speak to someone further about this position, please click this link to schedule with a recruiter:
• *Eligible for Sign-On Bonus

Shift: Monday-Friday 8:30AM-5:00PM

Duke HomeCare and Hospice differs from other home health companies inmany amazing ways. Please see a list of some of those reasons below:
# No call or weekend requirements
# Manageable caseloads and territories
# Commitment to safety for both patients and employees
# Mileage reimbursement rate equal to the federal rate of $0.62/mile
# Extensive orientation of 10-20weeks based on individual needs

JOB SUMMARY:

Performs professional nursing care for patients in a primary care setting (the home or alternate site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.

MAJOR JOB RESPONSIBILITIES:

# Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient’s baseline needs and response to care.
# Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care.
# Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care.
# Develop and implement an effective discharge plan for patients to begin at the initiation of services.
# Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching.
# Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills.
# Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient.
# Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance.
# Assesse the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate.
# Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards.
# Complete documentation accurately, timely, concisely.
# Medication reconciliation and education to prevent adverse events and readmission to hospital
# Observe patient’s reactions to medications and reports significant incidents to the physicians.
# Communicate regularly with team members, caregivers, and physicians.
# Follow infection control standard precautions and uses personal protective equipment as required.
# Delegate and supervise care given by NCA’s/LPN’s.
# Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient’s care needs.
# Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness.
# Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
# Implement agency policy, procedures and objectives.
# Work closely and collaboratively with agency billing staff to ensure accuracy of billing.
# Maintain confidentiality of employee and patient information.
# Exhibit an attitude which promotes harmony and goodwill in the workplace.
# Display a clean, neat, professional appearance.
# Participate in Performance Improvement Program.
# Promote quality, comprehensive services through a team approach.
# Perform other duties as assigned.

Home Health
Case manage interdisciplinary team of clinicians caring for patients in the home.
Complete required OASIS Comprehensive assessments at admission, recertification, Resumption of care and discharge. This assessment determines patient reimbursement for Medicare and other episodic payors and also results in publicly reported patient outcomes and additional payment impacts related to value based purchasing
Work with interdisciplinary team and patient providers to prevent re-hospitalization of the patient.
Be aware of patient insurance requirements and assures authorization for all services have been obtained.
Appropriate utilization of resources for patient including visit and supply utilization.

WORK ENVIRONMENT AND REQUIREMENTS:

Perform Patient care primarily in the patient’s residence or skilled nursing facility (50%)
Travel to and from patient residence

PREFERRED QUALIFICATIONS

Education and Formal Training
Associate Degree or Diploma, Nursing required
Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service of their start date.
BSN is not required for Duke University Clinical Ladder
Licensures, Certifications
Must have a current single-state RN licensure in NCor compact RN licensure from participating state
Current Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only)

Professional Work Experience & Requirements
Two years of med-surgical, critical care or home health/hospice/infusion
Valid driver’s license and current automobile insurance coverage
Prior experience in Home Health, Hospice or Infusion preferred
Prior OASIS and PDGM experience preferred for home health

Knowledge, Skills & Abilities
Working knowledge of Medicare and Medicaid regulations, including JCAHO and DFS standards, ICD-9 Coding.
Knowledge of scope of the registered nurse, licensed practical nurse and NCA
Knowledge of and appropriate application of the nursing process
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
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 and technology
Able to document and communicate pertinent information using computer and/or paper documentation tools
Knowledge in wound identification and treatments, infusion and other advanced nursing skills
Critical thinking skills and organization skills
Working knowledge of infection control procedures and safety precautions
Strong computer skills including MS Outlook, Word, Excel, preferred
Excellent rapport, understanding, and communication with the patients and their family members
Ability to work autonomously and independently in varying environments.
Able to withstand driving long distances, stooping, bending, lifting 20 plus pounds, and climb stairs

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
Show more details...
via Jobrapido.com posted_at: 5 days agoschedule_type: Full-time
Duke Regional Hospital offers the personal touch and hometown feel of a community hospital while serving as an essential arm of internationally recognized Duke University Health System. Duke Regional has served Durham, Orange, Person, Granville and Alamance counties for more than 45 years. To be successful at caring for our community and have a strong reputation among patients who seek our care... we have 3,500 team members who work together to provide Duke Regional Hospital offers the personal touch and hometown feel of a community hospital while serving as an essential arm of internationally recognized Duke University Health System. Duke Regional has served Durham, Orange, Person, Granville and Alamance counties for more than 45 years. To be successful at caring for our community and have a strong reputation among patients who seek our care... we have 3,500 team members who work together to provide exceptional, compassionate and equitable healthcare 24/7. We are a place of learning and acceptance for team members just starting their careers, as well as an institution of family culture and professional development for employees who have served for decades in our hospital units. Duke Regional has 388 inpatient beds and offers a comprehensive range of medical, surgical and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. We also offer care at our Duke Rehabilitation Institute, Davis Ambulatory Surgical Center, Duke Ambulatory Surgery Center Arringdon, Health Services Center, and Duke Behavioral Health Center North Durham. In fiscal year 2021, Duke Regional Hospital admitted 16,422 patients, performed 18,152 surgeries and welcomed 2,673 babies into the world. U.S. News & World Report ranked Duke Regional Hospital as #9 in North Carolina and #4 in the Raleigh-Durham area for 2021-22. The Human Rights Campaign consistently names us a Healthcare Equality Leader, and we are a Joint Commission-accredited and Magnet-designated hospital. Duke Nursing Highlights:

Duke University Health System is designated as a Magnet organization
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
Duke University Health System has 6000 + registered nurses
Quality of Life: Living in the Triangle!
Relocation Assistance (based on eligibility)

Registered Nurse - General Medicine/Stepdown Unit - Duke Regional Hospital

Experienced RNs (1+ years of experience) are eligible for a $15,000 Sign-On Bonus!
Relocation Bonuses also available!

Job Title: CLINICAL NURSE II
Job Code: 4024
FLSA: N
Job Level: F2
Revised Date: 02/13/2023
Supervisory Responsibility: No

Shifts

Full-time; 36 hours per week.
Three (3) 12-hour shifts.
DAYS (7a-7p) or NIGHTS (7p-7a) available!

Unit Overview

Unit 5-3 is a 40 bed general medicine unit. Acuity is a mix of intermediate and progressive care/step-down. There is a lot of opportunity to practice a variety of skills amongst a wide range of patient types which, in addition to general medicine, includes some surgery, neurology, palliative care and inpatient hospice. 5-3 is consistently recognized as a high-performing team by leadership and work culture scores indicate a healthy, team-supported environment. Come be part of the magic in an area that welcomes new and experienced nurses !

General Description of the Job Class

Independently plan and provide professional nursing care for patients in accordance with physician orders and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.

Duties and Responsibilities of this Level

Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures. Use professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care.
Delegate tasks and supervise the activities of other licensed and unlicensed care providers.
Assist other nursing personnel in the delivery of nursing care and act as team leader or charge nurse for a group of patients or an entire unit as assigned.
Monitor and initiate corrective action to maintain the environment of care including equipment and material resources.
Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
Act as preceptor and support the development of other staff and formal learners.
Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities.
Perform other related duties incidental to the work described herein.

Required Qualifications at this Level
Education

Work requires graduation from an accredited BSN program.
Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are encouraged to enroll in an appropriate BSN program within two years of their start date but must complete the program within five years of their start date. Registered nurses hired before July 1, 2014 are not required to enroll in a BSN program to remain in this job classification.

Experience

Twelve months of appropriate clinical experience is required. At a manager's discretion, employees with 6 months of experience who are exceptional performers may be eligible for this level.

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 NCA
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
Able 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 JCAHO and other regulatory requirements
Pre-employment Physical Capacity Testing Required

Distinguishing Characteristics of this Level

N/A

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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via Jobrapido.com posted_at: 5 days agoschedule_type: Full-time
Duke University Hospital 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 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing... 65 operating rooms; an endo-surgery center; a separate Duke University Hospital 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 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing... 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.
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:

Duke University Health System is designated as a Magnet organization
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
Duke University Health System has 6000 + registered nurses
Quality of Life: Living in the Triangle!
Relocation Assistance (based on eligibility)

Duke Outpatient Pain Clinic seeks to hire aClinical Nurse IIwho will embrace our mission of Advancing Health Together!

Job Summary
Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. Ideal applicants would have excellent computer and phone skills and be able to communicate effectively with a multidisciplinary team. We are looking for someone with the ability to establish a strong rapport with patients and families by phone, to coordinate services, and to provide education and nursing care to patients and families in the clinic setting.
Clinic Summary
Duke Pain Medicine – Provides comprehensive, care-coordinated services for patients with acute and chronic pain management conditions. Staff assist with clinic intake, assessment, and support during visits. Additionally, provides pre and post procedure care to outpatients who require interventional treatment for various pain conditions.

Schedule
Monday – Friday, Eight hrs. Shift.
No Weekends, No Holidays

Job Duties
Assess nursing needs of acute and chronically ill patients and their families.
Plan, provide and document professional nursing care in ambulatory settings, utilizing the nursing process, in accordance with physician orders and established policies and procedures, under the supervision of the nurse manager, charge nurse or practice manager.
Communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others.
Collect and analyze patient data, make recommendations for nursing care plans, evaluate nursing care provided, document and communicate appropriately nursing actions taken and patient responses.
Teach patients and families in accordance with the nursing plan of care.
Assist other nursing personnel in the delivery of patient care and serve as a team leader.
Monitor and initiate corrective action to maintain the environment of care, including equipment and material resources.
Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
Participate in the identification of clinical, operational and safety related performance improvement opportunities.
Participate in clinic or entity level performance improvement activities.
Perform other related duties incidental to the work described herein.

Minimum Requirements
~ Must have an accredited Bachelor’s Degree in Nursing (or higher), Associate's Degree in Nursing or Nursing Diploma. (All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within five years of their start date.)
~ Must have current or compact RN license in the State of North Carolina
~ At least 1 year of nursing experience is required.
~2+ years of nursing experience preferred
~ Previous experience in surgery, pain management, oncology and/or hospice is preferred
~ BCLS certification is required.
~ Pre-employment Physical Capacity Testing 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
Show more details...
via Jobrapido.com schedule_type: Full-time
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 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an... endo-surgery center; a separate hospital outpatient 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 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an... endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area.

For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.

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.

Registered Nurse (New Graduate or Experienced)
Duke University Hospital – Adult Medicine Stepdown Unit (4300)

Duke University Health System seeks to hire a Registered Nurse who will embrace our mission of Advancing Health Together.
The Adult General Medicine Intermediate/Stepdown Unit (4300)is comprised of31 beds. Our team of nursing staff provide exemplary care for a variety of complex patients with diagnosis such as Sepsis, Sickle Cell, GI Bleed, End Stage Renal Failure, Diabetes, Cirrhosis and Behavioral Health Disorders.

Department Highlights:
~ RN to Patient Ratio is 1: 3-4
~3 DAISY Awards – for providing extraordinary compassionate care to their patients and families every day!
~ 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.

Work Schedule:
Nights, Rotating, Weekend Option Nights or Weekend Option Rotating.
What you will do:
As a Clinical Nurse in Duke University Health System, you will plan and provide professional nursing care for patients in accordance with the medical and nursing plans of care and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.
Plan, provide and document professional nursing care, utilizing the nursing process, in accordance with physician orders and established policies and procedures under the supervision of the team leader or charge nurse.
Delegate tasks and supervise the activities of other licensed and unlicensed care providers.
Assist other healthcare personnel in the delivery of patient care.
Participate in maintaining the environment of care including equipment and material resources. Prioritize work organization and identify resources available to assist in completing components of care in a timely manner.
Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
Support the development of other staff and formal learners.
Participate in the identification of clinical or operational performance improvement opportunities and assist in performance improvement activities.

What you can expect:
~ Multitask in myriad ways – document assessments, plan of care, interventions, evaluation and re-evaluation of patient status, access nursing needs of acute and chronically ill patients, independently seek out resources and work collaboratively.

Educate patients and families in accordance with the nursing plan of care.
Relationship management with patients, families, visitors, healthcare team, physicians, administrators, leadership and others.

What we’ll provide:
Paid Training
New Graduate Nurses: 8 weeks of paid orientation and monthly nurse residency classes and the completion of a unit-focused project.
Opportunities for a Lifetime. Duke University Health System is committed to providing robust learning and development from Office of Continuing Education.
Clinical Ladder Advancement
Tuition Assistance and Nurse Loan Forgiveness
Relocation Grant and Sign On Bonus
Nursing Specialty Certification Bonus
Employee Referral Bonus
Performance Increases
Comprehensive Benefits: Medical, Dental, Vision, Employee Pension plan and much more.

What you will need:
~ Graduation from an accredited Bachelor’s Degree in Nursing (or higher) OR Associate's Degree in Nursing OR Nursing Diploma program.
• **All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within five years of their start date.

Licensure and Certification Required:
~ Current registration with North Carolina State Board of Nursing as a registered professional nurse OR current compact RN licensure to practice in the state of North Carolina required.

~ BLS Certification

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
Show more details...
via WayUp schedule_type: Full-time
Duke Regional HospitalDuke Regional Hospital offers the personal touch and hometown feel of a community hospital while serving as an essential arm of the internationally recognized Duke University Health System.Duke Regional has served Durham, Orange, Person, Granville, and Alamance counties for more than 45 years. To be successful at caring for our community and have a strong reputation among patients who seek our care, we have 3,500 team members Duke Regional HospitalDuke Regional Hospital offers the personal touch and hometown feel of a community hospital while serving as an essential arm of the internationally recognized Duke University Health System.Duke Regional has served Durham, Orange, Person, Granville, and Alamance counties for more than 45 years. To be successful at caring for our community and have a strong reputation among patients who seek our care, we have 3,500 team members who work together to provide exceptional, compassionate, and equitable healthcare 24/7. We are a place of learning and acceptance for team members just starting their careers, as well as an institution of family culture and professional development for employees who have served for decades in our hospital units.Duke Regional has 388 inpatient beds and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. We also offer care at... our Duke Rehabilitation Institute, Davis Ambulatory Surgical Center, Duke Ambulatory Surgery Center Arringdon, Health Services Center, and Duke Behavioral Health Center North Durham. In the fiscal year 2021, Duke Regional Hospital admitted 16,422 patients, performed 18,152 surgeries, and welcomed 2,673 babies into the world.U.S. News & World Report ranked Duke Regional Hospital as #9 in North Carolina and #4 in the Raleigh-Durham area for 2021-22. The Human Rights Campaign consistently names us a Healthcare Equality Leader, and we are a Joint Commission-accredited and Magnet-designated hospital. Occ Summary Plan and provide professional nursing care for p atients in accordancewith the medical and nursing plans of care and esta blished policies andprocedures. Provide nursing services to patients and families inaccordance with the scope of the RN as defined by the North CarolinaBoard of Nursing.Work PerformedPlan, provid e and document professional nursing care, utilizing thenursing process, in accordance with physician orders and establishedpolicies and procedur es under the supervision of the team leader orcharge nurse.Delegate task s and supervise the activities of other licensed andunlicensed care prov iders.Assist other healthcare personnel in the delivery of patient care. Participate in maintaining the environment of care including equipmentan d material resources. Prioritize work organization and identifyresources available to assist in completing components of care in atimely manner. Participate in own professional development by maintaining requiredcompe tencies, identifying learning needs and seeking appropriateassistance or educational offerings.Support the development of other staff and formal learners.Participate in the identification of clinical or operational p erformanceimprovement opportunities and assist in performance improvemen tactivities.Perform other related duties incidental to the work describe d herein.Knowledge, Skills and AbilitiesKnowledge o f scope of the registered nurse, licensed practical nurse andNCAKnowledg eof and appropriate application of the nursing processKnowledge of prof essional theory, practice and procedureAbility to assess nursing needs o f acute and chronically ill patientsand their familiesAbility to indepen dently seek out resources and work collaborativelyAbility to establish a nd maintain effective working relationshipsAbility to communicate clearl y with patients, families, visitors,healthcare team, physicians, adminis trators, leadership and othersAbility to teach patients and families in accordance with the nursingplan of careAbility to use sensory and cognit ive functions to process and prioritizeinformation, treatment, and follo w-upAbility to use fine motor skillsCompetent in BLS and/or other specia lized life support requirementsdesignated by work area or organizationAb ility to record activities, document assessments, plan of care,intervent ions, evaluation and re-evaluation of patient statusAbility to use compu ter and learn new software programsAbility to document and communicate p ertinent information using computerand/or paper documentation toolsAbili ty to navigate the entity to provide clinical care for patientsAbility t o withstand prolonged standing and walkingAbility to remain focused and organizedWorking knowledge of procedures and techniques involved in admi nisteringroutine and special treatments to patientsWorking knowledge of infection control procedures and safety precautionsWorking knowledge and completion of appropriate JCAHO and otherregulatory requirementsPre-emp loyment Physical Capacity Testing RequiredLevel Characteris ticsN/A Minimum Qualifications Education Work requires graduation from an accredited BSN program. Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are expected to enroll in an appropriate BSN program within two years of their start date but must complete the program within five years of their start date. Registered nurses hired before July 1, 2014 are not required to enroll in a BSN program to remain in this job classification. Experience No experience required Degrees, Licensures, Certifications Must have current or compact RN licensure in the state of North Carolina. BLS 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 Show more details...
via Jobrapido.com posted_at: 16 days agoschedule_type: Full-time
Duke Regional Hospital offers the personal touch and hometown feel of a community hospital while serving as an essential arm of internationally recognized Duke University Health System. Duke Regional has served Durham, Orange, Person, Granville and Alamance counties for more than 45 years. To be successful at caring for our community and have a strong reputation among patients who seek our care... we have 3,500 team members who work together to provide Duke Regional Hospital offers the personal touch and hometown feel of a community hospital while serving as an essential arm of internationally recognized Duke University Health System.

Duke Regional has served Durham, Orange, Person, Granville and Alamance counties for more than 45 years. To be successful at caring for our community and have a strong reputation among patients who seek our care... we have 3,500 team members who work together to provide exceptional, compassionate and equitable healthcare 24/7. We are a place of learning and acceptance for team members just starting their careers, as well as an institution of family culture and professional development for employees who have served for decades in our hospital units.

Duke Regional has 388 inpatient beds and offers a comprehensive range of medical, surgical and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. We also offer care at our Duke Rehabilitation Institute, Davis Ambulatory Surgical Center, Duke Ambulatory Surgery Center Arringdon, Health Services Center, and Duke Behavioral Health Center North Durham. In fiscal year 2021, Duke Regional Hospital admitted 16,422 patients, performed 18,152 surgeries and welcomed 2,673 babies into the world.

U.S. News & World Report ranked Duke Regional Hospital as #9 in North Carolina and #4 in the Raleigh-Durham area for 2021-22. The Human Rights Campaign consistently names us a Healthcare Equality Leader, and we are a Joint Commission-accredited and Magnet-designated hospital.

ARCP - Advanced Respiratory Care Practitioner - Duke Regional Hospital - PRN Nights

Duke Regional Hospital seeks to hire an Advanced Respiratory Care Practitioner who will embrace our mission of Advancing Health Together.

General Description of the Job Class

Perform and evaluate diagnostic and therapeutic clinical procedures as defined in the Respiratory Care Services scope of clinical practice, performing work in accordance with physician orders in the adult patient population.

Duties and Responsibilities of this Level
• Perform all duties and responsibilities required of a Respiratory Care Practitioner I.
• Evaluate appropriateness of medical orders.
• Proficient in the application of mechanical ventilator modalities.
• Proficient in the application of Non-Invasive Positive Pressure Ventilation (NPPV); Continuous Positive Airway Pressure (CPAP) and Bi-Level Positive Airway Pressure (BiPAP)
• Perform endotracheal intubation and extubations under the observation of a Supervisor or Advanced Practitioner.
• Serve as member of the code/emergency team.
• Administer medical gases.
• Insert nasogastric and orogastric tubes.
• Perform tracheotomy tube changes and capnography monitoring.
• Transport patients requiring mechanical ventilation or airway protection.
• Interpret clinical data to optimize patient clinical objectives.
• Participate in clinical rounds with physicians, nurses and other health care providers
• Assist with Bronchoscopy and assist with orientation and training of Level II RT.
• Assure safe operations of devices in the MRI.
• Qualified for certification in the hyperbaric chamber, if applicable to the institution scope of practice

Required Qualifications at this Level

Education
• Completion of a 2 year AMA approved respiratory care program (Associates Degree or the equivalent).
• Must maintain annual skill maintenance and annual safety/compliance requirements
• Must maintain North Carolina annual license requirements for CEUs

Experience
• Six months to one year of clinical experience following graduation from a respiratory care program.

Degrees, Licensure, and/or Certification
• North Carolina State Licensure
• Registry ( RRT) by the National Association for Respiratory Care (NBRC)
• Certification in Basic Life Support (BLS)
• Certification in Advanced Cardiac Life Support (ACLS)
• Certification in Pediatric Advanced Life Support (PALS)
• Certification in Neonatal Resuscitation (NRPS) if applicable to institution

Knowledge, Skills, and Abilities
• Knowledge necessary to make appropriate clinical decisions and interaction relative to the specific age of a patient.
• Skills validation/certification of competencies for the duties and responsibilities required for a Level I RT.
• Work involves contact with patients of all ages, family members, physicians, nursing, and all other members of the health care team.
• Work is performed in all areas of the hospital.
• Work may require lifting or pushing in excess of 30 pounds.
• Required to carry emergency airway bag weighing approximately 20 pounds.
• Work requires walking, running, climbing and bending.
• Customer service and communication expertise.

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 ideasan 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
Show more details...
via Jobrapido.com posted_at: 12 days agoschedule_type: Full-time
Duke University: Duke University was created in 1924 through an indenture of trust by James Buchanan Duke. Today, Duke is regarded as one of America's leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who... study and conduct research in its 10 undergraduate, Duke University:
Duke University was created in 1924 through an indenture of trust by James Buchanan Duke. Today, Duke is regarded as one of America's leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who... study and conduct research in its 10 undergraduate, graduate and professional schools. With about 40,000 employees, Duke is the third largest private employer in North Carolina, and it now has international programs in more than 150 countries.
Operational Summary
Serve as the Superintendent of the 77' oceanographic research vessel R/V Shearwater , operated by Duke University and based at the Duke University Marine Laboratory in Beaufort, North Carolina. The Duke University Marine Laboratory strives to be at the forefront of understanding marine environmental systems, their conservation, and their governance through leadership in research, training, communication, and application.
Reporting to DUML Associate Director and working closely with the Marine Operations Manager, the Superintendent is responsible for the safe and effective operation of the vessel, including administration, management, safe operation, and maintenance, in support of scientific research, education, and community outreach. This position serves in a supervisory role to the captain and crew members. Shoreside work will be the primary function; but the Superintendent serves as relief captain, including overnight cruises and work onweekends/ holidays. The position is three quarters time (or 30 hours per week), primary hours are 9am to 3pm daily, with flexibility and based on position need.
Scheduling, Administration and Operations (60%):
Oversee the management and operation of R/V Shearwater (72' aluminum hull vessel).
Coordinate scheduling, vessel contracting and billing for the R/V Shearwater.
Coordinate cruise planning efforts with R/V Shearwater users in coordination with vessel's Captain/Crew to include review and approval of cruise objectives, scientific equipment needs, documentation management, fuel, food, logistics, vessel maintenance/repair.
Ensure effienct utilization, operational readiness, and fulfillment of R/V Shearwater
mission to include research, education, and outreach.
Oversee R/V Shearwater budget and expenditures; participate in budget development in conjunction with DUML Associate Director
Serve as R/V Shearwater contracting and procurement lead ensuring compliance with Duke University policies and procedures.
Market R/V Shearwater availability and capabilities via existing website, email list servs, etc. Serve as first line of customer service for R/V Shearwater users
Supervise, train and schedule Captain/Crew for R/V Shearwater. This includes giving work assignments, completing performance evaluations, make personnel recommendations (promotion, hiring and disciplinary actions), as well as checking for completeness of work and accuracy.
Serve as relief Captain for R/V Shearwater, R/V Richard T. Barber and R/V Kirby-Smith as needed.
Support and/or serve as back-up for management, vessel operations and scheduling of other Marine Operations Department vessels and the Marine Operations Department facility.
Compliance (20%):
Maintain R/V Shearwater compliance with all applicable federal, state, local and Duke University regulations and policies. Example, ensuring compliance for all required Coast Guard documentation, overseeing Coast Guard vessel inspections, and ensuring crew members have required, up-to-date training/licensing as dictated by the Coast Guard as well as those set by NOAA, MARPOL, etc.
Responsible for applying for and managing Oceanographic Research Vessel (ORV) designation on R/V Shearwater.
Responsible to ensure compliance with Chemical Testing Program as defined by 46 CFR parts 4 and 16, 33 CFR part 95 and 40 CFR part 40.
Maintain detailed records, establish standard operating procedures and policies and provide reports as requested. Assist in development of and recommendations for training programs for R/V Shearwater crew.
Responsible for managing severe weather/hurricane emergency management plan for the R/V Shearwater with support from vessel crew and Marine Operations Manager.
Maintenance (20%):
Serve as the principal authority on all R/V Shearwater engineering related matters to include managing the material mechanical and scientific readiness of the vessel and associated equipment while ensuring compliant with regulations and safety standards.
Working closely with the R/V Shearwater Captain, provide shoreside support to coordinate, perform or contract maintenance for the vessel to routine/preventative maintenance, troubleshooting, and shipyard periods.
Working closely with the R/V Shearwater Captain and crew write and manage vessel shipyard specification for dry-docking, major machinery overhauls and vessel modifications.
Manage and maintain up to date Vessel Inventory and Management System (VIMS) for R/V Shearwater to facilitate vessel parts, equipment inventory and maintenance per manufacturer recommendations.
Essential Functions, Physical Capabilities/Requirements, and Working Conditions
All marine positions have essential functions that personnel must be able to perform, minimum physical capacities and requirements that personnel must meet, and working conditions that may be considered hazardous.
Essential Functions
• Live and work in cramped quarters, frequently in bad weather and with violent ship motion.
• Climb steep and vertical ladders, and enter and exit compartments through hatches, doors, and sills up to two feet high.
• Participate in emergency drills and in launching lifeboats and life rafts.
• Perform physical labor, climb and handle moderate weights and equipment requiring lifting up to 75 pounds and push/pull up to 100 pounds of force.
Physical Capability
Example of Essential Function
Balance
Work in confined, wet, and unstable/uneven surfaces (docks moving boat, rough water)
Bend, kneel, squat, twist
Maintain/repair boats; fuel boats, tie lines/CPR. Turn to view/navigate waters
Climb
Reach work areas, equipment and stores by ladder and stairs, through hatches.
Handle/grasp
Steer boat. Manipulate levers, throttle, pull lines handle equipment.
Hear, talk
Communicate with people. Hear engine noises and alarms.
Lift, carry
Up to 75 pounds.
Push, pull
Sweep/scrub/squeegee deck. Pull lines. Requires up to 100 pounds of force.
Reaching down and up
Access floor and under seat storage. Access lines, handrails. Perform maintenance
See
Read labels, menus, logs, charts, and gauges in poor lighting.
Sit
Operate boat, forklift, etc.
Walk/Stand
Operate boats, perform maintenance/repairs
Fingers/Pinching
Turn keys, push buttons, manipulate triggers, use radio, computer work, etc.
Minimum Education/Training Job Requirements:
Maritime Academy graduate or four-year degree in science, mathematics, engineering or applicable program.
Minimum Experience Job Requirements: Please indicate the nature and amount of work experience required
3-5 years experience as a seagoing vessel operator and shoreside support/management for vessel or vessels.
Must understand the principles of good seamanship and marine maintenance with respect to small boats, deck, and oceanographic equipment
Knowledge of maintenance and operation of diesel and gasoline engines, pumps, compressors, generators, hydraulic systems, electrical systems, winches and other equipment common to research vessels.
2 years supervisory experience (5 years preferred)
Minimum Qualifications
Education
Maritime Academy graduate or four-year degree in science, mathematics, engineering or applicable program.
Experience
3-5 years experience as a seagoing vessel operator and shoreside support/management for vessel or vessels. Must understand the principles of good seamanship and marine maintenance with respect to small boats, deck, and oceanographic equipment Knowledge of maintenance and operation of diesel and gasoline engines, pumps, compressors, generators, hydraulic systems, electrical systems, winches and other equipment common to research vessels. 2 years supervisory experience (5 years preferred)
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.
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