Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
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Duke University Health System is designated as a Magnet organization
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
Duke University Health System has 6000 + registered nurses
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Clinical Services Nurse/VAD Coordinator - Duke University Hospital
The Duke University Hospital Ventricular Assist Device department provides services to a population inclusive of birth through adult. We strive to provide state of the art mechanical circulatory support for patients with both acute and chronic heart failure who do not respond to other therapies. We implant durable mechanical circulatory support for use both in the inpatient and outpatient setting and have estimated 300 patients in the community. Our team consists of board certified cardiologists, cardiothoracic surgeons, advanced practice providers, clinical services nurses, administrative assistants and members of the multidisciplinary team. The VAD department is certified by the Joint Commission and consistently recognized for high quality of care and patient outcomes.
The Clinical Services Nurse (CSN) is responsible and accountable for clinical expertise for patients with heart failure treated with mechanical circulatory support devices, including Left Ventricular Assist Devices (VAD). The incumbent functions as clinician, educator, consultant and leader. Clinical judgements are based on a syntheses of current research, concepts, principles, theories, and outcomes to solve complex problems. The CSN functions as an integral part of an interdisciplinary team, contributing to excellence in patient care, research, teaching, and in providing leadership in the organization. Specific Job Responsibilities and Standards 1. Direct Care a. Assessment of outpatient and inpatient VAD patients b. Participate in phone triage/on call pager coverage for Duke VAD emergency pager c. Provide patient follow up via faxes, phone calls, emails and electronic medical record communication d. Complete paperwork for prescription prior authorizations in collaboration with physician and/or advanced practice provider e. Remain up to date with clinical resources and most recent guidelines pertaining to the care of the VAD population
Coaching / Education, in coordination with multidisciplinary team
Serve as a VAD resource for patients and families by providing pre-operative evaluations and counseling
Identify patient/family education needs and priorities
Coach patients and families to help them prepare for discharge from hospital after index VAD implant
Provide ongoing VAD education for patients and families
Participate in developing, implementing and evaluating patient education resources and programs
Assess learning needs of nursing staff and multidisciplinary team; plan and implement appropriate educational forums and opportunities to address critical learning needs and skills
Establish and maintain collaborative relationships within and across departments that promote patient safety, culturally competent care, and clinical excellence in the care of patients with VADs
Practices collegially with multidisciplinary team including but not limited to medical staff, advanced practice providers and other members of the healthcare team
Role model professional nursing through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, continuous learning and problem-solving skills
Provides clinical experience in a preceptor roles for nursing students attending institutions that have contractual agreements with DUHS. Participates in the orientation of new nursing staff and provides expert coaching and guidance through both formal and informal one-on-one teaching with nursing staff
Evidence based practice, Quality Improvement and Research
Employs evidence-based clinical practice guidelines tailored to the individual
Integrates evidence in the management of patients, families and groups
Collaborates in quality/performance improvement programs and projects, product evaluation, outcomes evaluation studies and/or clinical research
Assists with clinical research when appropriate The work environment involves risk discomfort that are typical of an acute care setting to include working with patients under isolation and universal precautions. IT requires safety precautions, ongoing education and health risk monitoring. Contact with specimens, chemicals, sharps, radiation, technical equipment and fumes are possible. Employees are required to wear personal protective attire according to hospital policies and OSHA guidelines. The work activity and patient activity levels can create a stressful atmosphere.
Qualifications to Apply:
BLS and ACLS
Licensure: Current RN license in the State of North Carolina or compact state
Experience: 3 years RN experience required
VAD experience preferred
Knowledge, Skills, and Abilities:
Basic computer skills including use of excel and PowerPoint.
Experience with electronic medical record system, Epic preferred.
Work Hours and Shift:
Full time salaried position: Day Shift, Monday to Friday 9-5 plus call
What we will provide:
Paid Training: 12 weeks of paid orientation depending on level of experience.
Opportunities for a Lifetime. Duke University Health System is committed to providing robust learning and development from Office of Continuing Education.
Clinical Ladder Advancement
Employee Referral Program
Nursing Specialty Certification Bonus
Comprehensive Benefits: Medical, Dental, Vision, employer generous contribution to 403b, and much more.
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.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.