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Duke Health Integrated Practice
https://careers.dukehealth.org/us/en/dhip
Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.
Location:
3475 Erwin Rd, Durham, NC 27705
Job Summary:
We are seeking a Clinical Nurse II in our Duke Signature Care clinic located in Durham, NC to be an integral member of the healthcare team and provide direct and indirect care to patients. Independently plan and provide professional nursing care for patients in ambulatory clinic settings 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.
Address patient phone calls and coordinate care needs in an ambulatory concierge practice/ Primary Care Medical Home. Includes, but not limited to, triage of acute care needs utilizing approved protocols when appropriate; obtaining medical documents; prescription refills; managing home health supplies and equipment; and scheduling patient visits.
Job Duties and Responsibilities:
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Participate in daily huddles with providers and clinical team to coordinate patient care needs.
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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 assistant nurse manager, nurse manager and Health Center Administrator. Perform patient assessment on intake and documentation utilizing double identifiers including reason for visit, vital signs, medication reconciliation, falls risk, goals, learning assessment, PHQ2/9, SDOH, patient screening for immunizations, and appropriate forms.
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Participates in own professional development by maintaining required competencies, assessing learning needs, and continuing education as required by the NCBON/ other Certification Agencies.
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Maintains current knowledge of policies/procedures set forth by DUHS/DHIP, other regulatory agencies, and those that are clinic specific. (Infection Control, Environment of Care, Joint Commission/PCMH, etc.)
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Assist/chaperone provider with procedures (pap smear, breast/rectal exams, shave biopsy, intra-articular injection/aspiration, etc.).
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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. Address staff messages, patient prescription refill requests patient calls, prior authorizations, faxing, etc. during work shift; walk-in and telephone patient triage when needed
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Perform EKG’s ear lavage, administer medications (PO, IM, ID, SQ, topical, inhalation), immunizations, nebulizer treatments, suture removal, wound dressings and pulse oximetry as needed.
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PIV insertion for patient hydration and urinary catheterization as ordered by provider.
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Perform checks, maintains clinic logs for equipment, supplies, medication, refrigerators, and runs controls in accordance with appropriate policy.
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Clean exam rooms, stock, check for expiration dates, and document on appropriate log.
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Participate in the identification of clinical, operational and safety related performance improvement opportunities. Monitors inventory and reports to assistant nurse manager or nurse manager as appropriate.
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Maintains orderly work environment by keeping work station clean/tidy, hallways and patient care areas hazard free.
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Educates the patient, family, or support person regarding medications, treatment plan, plan of care and documents within the Electronic Health Record (EHR).
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Monitor and initiate corrective action to maintain the environment of care, including equipment and material resources.
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Participates in clinic and entity level Performance Improvement activities.
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Perform phlebotomy, point of care testing, and lab processing in accordance to policy.
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Delegate task and supervise activities of unlicensed assistive personnel; assist other nursing personnel in the delivery of patient care; Support the development of other staff and formal learners.
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Coordinate patient movement throughout clinic to ensure consultations, procedures, and other forms of care are achieved in a timely manner in accordance with physician orders.
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Perform other related duties incidental to the work described herein.
Job Eligibility Requirements:
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Work requires graduation from an accredited Associate's Degree in Nursing or Nursing Diploma program.
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All registered nurses 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 BSN program within seven years of their start date
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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 seven 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.
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2+ years of clinical experience is required.
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Adult Medical/Surgical, ED, Critical Care, Cardiac or previous Ambulatory Care experience with the last 5 years preferred.
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Must have current or compact RN licensure in the state of North Carolina. BLS required.
Job Schedule:
Monday-Friday day shift schedule with no weekends or Duke designated holidays.
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.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
