Clinical Nurse II - Pediatrics Pulm/Sleep

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Duke Health Integrated Practice

Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of Duke Health's mission across the state of North Carolina.

JOB LOCATION

Duke Children’s Creekstone - 4709 Creekstone Dr, Durham, NC 27703 

JOB SUMMARY

We are seeking a Clinical Nurse II to 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. This position is split - part triage and part clinic. 

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, charge nurse or practice manager.
• 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.
• Delegate tasks and supervise the activities of other licensed and unlicensed care provider, including but not limited to:  Registered Nurses, Licensed Practical Nurses, Certified Medical Assistants/Registered Medical Assistants.
• 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.
• Support the development of other staff and formal learners. Participate in the identification of clinical, operational and safety related performance improvement opportunities.
• Participate in clinic or entity level performance improvement activities.
• Actively participate in unit staff meetings and committee meetings with minimum 80% attendance.
• Perform other related duties incidental to the work described herein.
• Provide nurse triage support for selected group of Children’s Specialty providers.  Assessing patient needs via phone or inbasket when answering calls/messages.  Assess medications and submit prescription refills to pharmacy based on standing orders, Initiating and following up on prior authorization submissions to insurance.  Facilitating peer to peer reviews as needed.  Documentation in electronic health record.
• Completing procedural tasks in clinic as needed including:  collecting patient vital signs, medication review, administering vaccinations injections according to protocols and provider orders, administer allergy tests, specimen collection and correct labeling, assisting with clinic performed, provide patient/family education, bill for nursing procedures.
• Documentation of medications, vaccines, assessments in electronic health record.
• Monitor and initiate corrective action to maintain the environment of care, including equipment and material resources.
• Assist with spirometry testing and spacer teaching. 

JOB ELIGIBILITY REQUIREMENTS

• Work requires graduation from an accredited BSN or Associate's Degree in Nursing or Nursing Diploma 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 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.
• Must have current or compact RN licensure in the state of North Carolina. If candidate has another compact state RN license, NC state licensure must be obtained within 90 days of hire.
• BLS required.
• Some related pediatric or Pulmonary experience is preferred.

JOB HOURS

The schedule for this position is day shifts, Monday-Friday, with an occasional Saturday morning. *Creekstone is open one Saturday morning per month. Staff and specialties rotate.

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