Registered Nurse Lead/Experienced Lead RN - Emergency Department - Duke Regional Hospital

Duke Regional Hospital has served Durham, Orange, Person, Granville and Alamance counties and the surrounding communities for nearly 41 years. With more than 1,900 employees, its focus is on providing outstanding medical care with compassionate, personalized service in a comfortable community hospital setting. Duke Regional Hospital has 369 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, and also offers care at the Duke Rehabilitation Institute and Davis Ambulatory Surgical Center. We are a Level 3 Geriatric Accredited Emergency Department as of 2020, the Cath lab/ED was awarded the 2020 Chest Pain - MI Registry Silver Performance Achievement Award for commitment to delivering the highest quality in cardiovascular care. We were also recognized in 2019 with the Stroke Gold Plus Target Elite Plus Honor Roll Award for stroke care. In fiscal year 2018, Duke Regional Hospital had 62, 738 Emergency Department Visits in FY2019. U.S. News & World Report ranked Duke Regional Hospital as #11 in North Carolina and #4 in the Raleigh-Durham area for 2019-20. In 2021- Duke Regional Hospital was ranked among the 50 best cardiovascular hospitals by Forbes https://fortune.com/2020/11/17/50-top-cardiovascular-hospitals-2020-ibm-watson-health/ as well as best employer for women in 2020 and best employer for diversity.

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!

Registered Nurse Lead - Experienced Lead RN - Clinical Team Lead - Emergency Department - Duke Regioinal Hospital - Durham, NC

The Emergency Department at Duke Regional Hospital is a 79 bed unit that includes: 49-bed ED and 12-bed CDU/Clinical Decision Unit and 18 bed Behavioral Health Unit.

Schedule

* 40 hours per week.

Job Summary

The Registered Nurse Lead or Clinical Lead RN is a role developed to work in coordination with the nursing leadership in an assigned unit or department to ensure the work is accomplished effectively. The Registered Nurse Lead or Clinical Lead RN is the first line support for staff, physicians and other related providers on service-specific clinical issues. The Registered Nurse Lead or Clinical Lead RN is generally a long-term role, requiring clinical and interpersonal skills. The Registered Nurse Lead or Clinical Lead RN collaborates with the manager on clinical and non-clinical issues (employee relations, individual behaviors, physician relationships ,etc.). The Registered Nurse Lead or Clinical Lead RN is the support for the unit/department/service when the manager is unavailable. The Registered Nurse Lead or Clinical Team Leader is responsible for supervising, directing, coaching and mentoring their assigned core group of staff.

Work Performed

Duties and responsibilities include all those required of the CN III as well as: Plan and coordinate clinical requirements for staff and ensure that all CBO and CBE requirements for staff are current. Plan and assist with coordination of unit staff schedules and submit for manager approval. Coordinate clinical requirements with staff regarding equipment and supplies. Consult with preceptors and orientees on a regular basis to provide support and determine how orientation should proceed on an individual basis. Collaborate with the manager for issue resolutions and projects to improve work flow processes throughout the department utilizing aproactive approach. Collaborate with different departments (pharmacy, radiology, lab, registration) to resolve issues and improve work flow processes throughout the department. Collaborate with the nurse managers in the interview process for new applicants. Mentor/coach staff to enhance their professional development. Assesses the performance of assigned new hires and orientees including entry level nurses, nursing care assistants and health unit coordinators; provides on going feedback and coaching. Understand and communicate potential clinical equipment or supply issues to appropriate team members (Materials, Biomed, Sterile Processing, etc). Mentor and monitor the preceptors for all new employees. Provide clinical/education updates and skill check-offs to entire staff on a regular basis. Provides immediate support and education on policy, procedures, equipment and supplies. Responsible for learning, implementing and teaching new technology/procedures. Demonstrates awareness of current problems and basic plan for all patients within assigned area. Provides clinical consultation and guidance as needed to facilitate patient care. Gives assistance and/or direction to staff to facilitate quality patient flow. Assess staffing needs according to workload and staff competency; re-assigns and adjusts staffing based upon patient care needs. Delegates responsibilities within the scope of practice and validated competencies in order to meet the workload demands of the shift. Facilitates assignments that support learning for the orientee or nurse learner. Promotes an atmosphere of open communication that facilitates staffinput into decision-making, resolution of conflict, and collegiality among all health team members. Communicates in an effective, professional manner. Facilitates staff performance audits related to attitude, team performance, The Joint Commission, DFS Standards and SCIP initiatives. Reviews and comments on forwarded SRSs related to their team or shift. Facilitates and encourages staff participation in departmental and hospital committee and council meetings. Attends departmental and hospital committee meetings as assigned. Coordinates, facilitates, participates and directs departmental projects with follow-through and appropriate follow-up. Other projects and duties as directed by the department managers.

Knowledge, Skills and Abilities

* Knowledge of scope of the registered nurse, licensed practical nurse and nursing care assistant.
* 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 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.
* Pre-employment Physical Capacity Testing Required.

Minimum Qualifications:

Education

* Bachelor of Science degree in Nursing required.

Experience

* Three years of experience in nursing practice.
* Prefers three years of experience in an ED/ER.
* Selected candidates must meet the Clinical Ladder requirements for CNIII within one year of appointment.

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.

Nearest Major Market: Durham

Nearest Secondary Market: Raleigh