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Duke University

Private research university in Durham, NC

Clinical Nurse IV Leader - General Medicine Stepdown

Nursing & Frontline Patient CarePosted on Nov 9
Full-timeDurham, NC, USANo salary listedIn-person

About the Job

Requirements

  • Graduation from an accredited nursing program with a Bachelor of Science in Nursing degree.
  • Three years of experience are required; Clinical Nurse II and III are eligible to apply.
  • Current or compact registered nurse licensure in North Carolina and Basic Life Support certification are required.
  • Knowledge of registered nurse, licensed practical nurse, and unlicensed staff scopes of practice; the nursing process; professional nursing theory, practice, and procedures; acute and chronic patient-care needs; and routine and special patient-treatment procedures.
  • Ability to assess nursing needs of acutely and chronically ill patients and their families; seek resources independently; collaborate effectively; maintain working relationships; communicate clearly with patients, families, visitors, healthcare professionals, administrators, and leaders; and teach patients and families according to the nursing plan of care.
  • Ability to use sensory, cognitive, and fine motor functions; record activities and document assessments, care plans, interventions, and evaluations; use computers and learn software; and communicate information using electronic or paper documentation tools.
  • Ability to navigate the facility to provide care, withstand prolonged standing and walking, and remain focused and organized.
  • Working knowledge of infection control, safety precautions, and The Joint Commission and other regulatory requirements.
  • Pre-employment physical capacity testing is required.

Responsibilities

  • Plan and provide advanced or specialized nursing care in accordance with nursing clinical ladder guidelines and North Carolina Board of Nursing standards.
  • Provide local leadership in administration, education, informatics, and quality.
  • Identify care needs of patient populations across the continuum of care; collaborate and lead development of care standards and patient, family, and staff education.
  • Lead educational activities, departmental committees, research projects, and other health-related projects.
  • Guide selection, use, care, and control of material resources; evaluate the quality and effectiveness of materials and equipment; and collaborate with departments on vendor selection and performance feedback.
  • Support professional growth through role modeling, coaching, mentoring, orientation modules, and primary precepting of senior nursing students.
  • Lead initiatives at departmental, entity, community, or regional/national levels to improve care quality and support staff growth.
  • Conduct performance reviews and recommend personnel actions, including hiring, appraisals, discipline, and termination.
  • Monitor clinical practice for compliance with practice and regulatory standards; collaborate with unit or clinic leadership to coach and mentor nursing colleagues; and influence staff recruitment and development.
  • Plan and deliver in-house education or collaborate with subject matter experts; assess staff education needs; and partner with clinical educators and specialists to address unit needs.
  • Serve as a superuser for clinical information systems; communicate technology changes, facilitate service tickets, troubleshoot workflow concerns, train staff, and support adoption of new technology.
  • Analyze patient-care data with subject matter experts to identify trends and improvement areas; participate in quality and patient-safety committees; support quality assurance and best practices; and engage in research and innovation to improve patient care.
  • Lead change by seeking creative solutions to improve the quality and efficiency of patient care.
  • Perform other duties incidental to the work described.

About the Company

Duke University

Private research university in Durham, NC

Duke University is a research university offering undergraduate, graduate, and professional education alongside interdisciplinary research and health care.

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