Clinical Nurse II- Dermatology- Southwest Durham Patterson Place

Duke Health Integrated Practice is an exceptional, multi-specialty physician practice encompassing 140 clinics across North Carolina. We attract and retain premier medical professionals with competitive compensation, benefits, and a nurturing work atmosphere that unites passion and purpose.

Learn more about us: https://dhip.dukehealth.org/about-us

Clinical Nurse II-Dermatology

Job Location:

Duke Dermatology 5324 McFarland Drive in Durham, NC.  

Job Summary:

We are seeking an CLINICAL NURSE to be an integral member of the healthcare team and provide direct and indirect care to patients at the Duke Dermatology Clinic in Patterson Place.  Dermatology is a high functioning, busy clinic that sees a variety of skin problems including skin cancers and contact dermatitis.This nurse will provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. This is an area that provides many opportunities for enhancing knowledge and skills and for professional development through the clinical ladder.

Job Duties and Responsibilities:

• 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. 
• Acts as a clinic resource for health care providers, CMAs
• Demonstrates awareness of changes in patient status
• Able to coordinate nurse-only visits for biologics and other injectable
• Collect and analyze patient data, make recommendations for nursing care plans, evaluate nursing care provided, and document and communicate appropriate nursing actions taken and patient responses. 
• Daily resource for the unlicensed care providers to triage and assess patient needs and requests that are received via telephone or electronic communication in to the clinic
• Delegate tasks and supervise the activities of other licensed and unlicensed care providers
• Completes daily/weekly assignments (direct and indirect patient care tasks) of self and clinic staff to ensure physician and patient care is maintained at all times, (first daily appointments, lunch breaks, and end of day patients)  
• Completes daily assignments for the completion of indirect patient care tasks required to support direct patient care activities within the staff’s scope of practice. (Telephone messaging, cleaning and packing instruments for sterilization, room supply stocking etc.)
• In conjunction with the Nurse Manager, facilitates assignments that support learning for the new orientee/learner
• Gives assistance and/or direction to Certified Medical Assistants, Certified Nursing Assistants, Patient Service Associates, to facilitate quality patient flow
• Re-structure assignments in the event of staff “call-ins” to maintain patient care and the daily clinic operation
• Assist other nursing personnel in the delivery of patient care and serve as a team leader
• Ensures completion of delegated duties and performance of assigned clinic roles by support staff.  Provides assistance for support staff when needed during procedures, suture removals, and completion of assigned duties
• Assist with new staff competencies and skills development as outlined in unit specific competency based orientation checklists and policies and procedures
• Anticipates situations that may need action and acts accordingly, notifying the Nurse Manager/HCA
• Monitor and initiate corrective action to maintain the environment of care, including equipment and material resources
• Collaborates with the Nurse Manager and specific personnel to ensure equipment and supplies are readily available for patient care
• Monitor supply and medication inventory. Submit completed purchase requisitions of needed supplies/ medication to Nurse Manager for signature
• Performs and documents monthly medication inspections to remove any expired medications from the inventory
• Ensures that clinic-specific QC measures are completed and documented: daily medication refrigerator temperature documentation, positive clearance of patient care area, monthly fire extinguisher and emergency light inspection and documentation
• Assists in ensuring clinic operations are compliant with legal, JCAHO, Infection Control and professional standards
• Participate in your 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, operational and safety-related performance improvement opportunities
• Collaborate with the nurse manager in identifying the overall learning needs of team members and assist with initiatives that meet the identified learning needs of the team
• Provides feedback and follow-up regarding patient/staff concerns, problems, or unusual incidents to the Nurse Manager/HCA
• Ensures staff are compliant with PPE requirements during daily operations
• Participate in clinic or entity level performance improvement activities
• Implements communication of delay policy during  prolonged patient waiting periods and communicates specific clinic back log to front desk staff
• Monitor clinic flow and identify measures to facilitate the movement of patients through all aspects of their visit.  Inform Nurse Manager of periods of prolonged delay
• Perform other related duties incidental to the work described herein

Job Eligibility Requirements:

• 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 seven years of their start date.
• Twelve months of appropriate clinical experience is required.
• Must have current or compact RN licensure in the state of North Carolina. BLS required.

Job Hours:

The schedule for this position is 8:30am-5:00pm Monday-Friday with no weekends or holidays

Some roles within our organization may encompass essential job functions requiring distinct physical and/or mental capabilities. Further details and accommodation requests will be addressed by individual hiring departments.

Duke Health Integrated Practice is dedicated to Equal Opportunity Employment, fostering a diverse workforce without regard to age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

We aspire to build a community grounded in collaboration, innovation, creativity, and belonging. Our shared achievements rely on a dynamic exchange of ideas, flourishing best when a multitude of perspectives, backgrounds, and experiences thrive. Upholding these values is a collective responsibility within our community.

This job description aims to outline representative responsibilities for this title, not an exhaustive account of specific duties. Employees may be assigned job-related tasks beyond those explicitly outlined here.