Registered Nurse (RN) Endoscopy Services

Clinical Nurse II – Duke Regional Hospital - Endoscopy Services

Duke University Health System seeks to hire an experienced Registered Nurse (RN) - CN II who will embrace our mission of Transforming Lives Transforming Care.

Required: ACLS certification and at least one year RN experience

Preferred: At least two years RN experience and moderate sedation experience.

The Endoscopy Services Department at Duke Regional Hospital is a Gastroenterology/Bronchoscopy procedural area with four procedure rooms. Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time.

Registered Nurses (RNs) in Endoscopy will have the opportunity to assess, prepare, and monitor the patient population prior to, during, and after their GI or Pulmonary procedure (colonoscopy, esophagogastroduodenoscopy, and bronchoscopy). This job function requires the nurse be able to recognize and act on potential life threatening changes of patient condition as well as multitasking, critical thinking, and working with a diverse group of other medical professionals. This includes interpretation of EKG's, including rhythm and ST changes, as well as be responsible for the delivery of Pharmacologic agents ordered along with continuous monitoring of vitals during the procedures.

Shift: 4 - 8 hour shifts Monday - Friday with Alternating arrival times beginning at 7:00am up to 8:30am.

Rotating Standby Call responsibility is for emergencies only - approximately one week every 10-12 weeks: After hours (5pm - 7am - 14hrs), weekends (24hrs) and Holidays for Emergencies. Standby call is always with a Surgical Technician. Call schedules are posted 12 weeks in advance.

Staff schedule is posted 8 weeks in advance.

Job Summary

Independently plan and provide professional nursing care for patients in accordance with physician orders 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.

Work Performed

Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures. Use professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care. Delegate tasks and supervise the activities of other licensed and unlicensed care providers. Assist other nursing personnel in the delivery of nursing care and act as team leader or charge nurse for a group of patients or an entire unit as assigned. 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. Act as preceptor and support the development of other staff and formal learners. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. Perform other related duties incidental to the work described herein.

Knowledge, Skills and Abilities

Knowledge of scope of the registered nurse, licensed practical nurse and unlicensed staff Knowledge of and appropriate application of the nursing process Knowledge of professional theory, practice and procedure Ability to assess nursing needs of acute and chronically ill patients and their families Ability to independently seek out resources and work collaboratively Ability to establish and maintain effective working relationships Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others Ability to teach patients and families in accordance with the nursing plan of care Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up Ability to use fine motor skills Competent in BLS and/or other specialized life support requirements designated by work area Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status Ability to use computer and learn new software programs Able to document and communicate pertinent information using computer and/or paper documentation tools Ability to navigate the entity to provide clinical care for patients Ability to withstand prolonged standing and walking. Ability to remain focused and organized Working knowledge of procedures and techniques involved in administering routine and special treatments to patients Working knowledge of infection control procedures and safety precautions Working knowledge and completion of appropriate The Joint Commission (TJC) and other regulatory requirements Pre-employment Physical Capacity Testing Required

Minimum Qualifications

Education: Work requires graduation from an accredited BSN program. Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are encouraged 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.

Experience: Twelve months of appropriate clinical experience is required.

Degrees, Licensures, Certifications: Must have current or compact RN licensure in the state of North Carolina. BLS required.