Registered Nurse (RN) - OR Service Line Coordinator

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About Duke University Hospital
Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Registered Nurse (Experienced) – Duke University Hospital – Operating Room Service Line Coordinator

Duke University Health System seeks to hire a Clinical Nurse II who will embrace our mission of Transforming Lives Transforming Care.

General Description of the Job Class

Responsible for supporting patient care and facilitating activities and processes associated with the OR daily schedule, special equipment, instrumentation, inventory and preference cards for selected surgical service line(s).

Duties and Responsibilities of this Level

• Demonstrates a knowledge of management and clinical skills essential to the smooth and efficient operation of specific service line(s).
• Maintains knowledge of regulatory standards and ensures compliance with environment of care, health system and hospital specific policy, and standard operating procedures.
• Supervises RNs, Surgical Technologists and ancillary staff in the performance of their daily duties in the operating room suite, including input into performance evaluations and improvement.
• Maintains equipment and instrumentation, in collaboration with the sterile processing department, for the specific service line(s).
• Maintains effective communication with OR teams to ensure performance to key performance indicators.
• Functions as charge nurse when needed.
• Performs in role of circulating nurse and scrub nurse as needed to maintain skills and procedural knowledge.
• Makes assessment of daily OR schedule to ensure all resources are available, including staffing, equipment, instrumentation, vendor needs and supplies for all shifts.
• Confirms correct preference card is associated with the scheduled procedure.
• Manages surgeon specific preference cards including the creation of preference cards for new surgeons, as well as any changes identified by surgeon and OR team.
• Continuously plans actions necessary to maintain a smooth flow of the daily OR schedule, making allowances for emergency cases or barriers that impede the movement of cases in collaboration with the OR charge nurse.
• Maintains proactive and timely communication with anesthesiologists and surgeons of delays or situations that might impact the flow of their cases.
• Actively plans and implements education activities related to the specific service line(s) for both new staff to the OR as well as continuing education and advanced skill training, including new equipment and supplies.
• Responsible for learning, implementing and teaching new technology/procedures.
• Collaborates with OR teams in identifying and implementing innovative models and best practices for quality improvement and cost reduction.
• Collaborates with surgeons within specific service line(s) on a regular basis to discuss barriers and changes to procedure needs.
• Collaborates with peers at all DUHS OR platforms to enhance standardization in practice across the health system.
• Plan and assist with coordination of unit staff schedules.
• Assist NMO in preparation and monitoring of budget utilization for service line(s).
• Collaborate with the manager for issue resolutions and projects to improve work flow processes throughout the department utilizing a proactive approach.
• Collaborate with different departments (pharmacy, sterile processing, supply chain, radiology) to resolve issues and improve work flow processes throughout the department.
• Participate with the nurse manager in the interview process and selection of new staff.
• Mentor and monitor the preceptors for all new employees.
• Model and support the value of diversity in the workplace.
• Provide oversight and support to charge nurse to ensure staffing needs/assignments are made according to workload, staff competency and scope of practice. Delegate responsibilities within the scope of practice and validated competencies in order to meet the workload demands of the shift.
• Facilitate assignments that support learning for the orientee or nurse learner.
• Promote an atmosphere of open communication that facilitates staff input into decision-making, resolution of conflict, and collegiality among all health team members.
• Communicate in an effective, professional manner.
• Review and provide appropriate follow up/communication on SRSs related to their team or patients in conjunction with NMO.
• Facilitate and encourage staff participation in departmental and hospital committee and council meetings.
• Attend departmental and hospital committee meetings as assigned.
• Other projects and duties as directed by the department manager.

Required Qualifications at this Level

Education

Bachelor of Science degree in Nursing required.

Experience

Two or more years of Operating Room experience.

Degrees, Licensure, and/or Certification

Must have current or compact RN license in the State of North Carolina.

BCLS certification is required.

CNOR certification preferred.

Knowledge, Skills, and Abilities

• Knowledge of scope of the registered nurse and surgical technologist.
• Knowledge of and appropriate application of the nursing process.
• Knowledge of professional theory, practice and procedure.
• Ability to assess unit needs based on situation monitoring.
• Able to independently seek out resources and work collaboratively.
• Ability to establish and maintain effective working relationships.
• Able to communicate clearly healthcare team, physicians, administrators, leadership and others.
• Able to teach, coach and mentor team members in multi-disciplinary roles.
• Able to use sensory and cognitive functions to process and prioritize information, implementation, 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 assigned service line(s) surgeons.
• Pre-employment Physical Capacity Testing Required.

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.