Clinical Nurse IV Leader - General Medicine Stepdown

Clinical Nurse IV Leader - General Medicine Stepdown (2100) - Duke University Hospital

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Health hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Duke University Health System seeks to hire a Registered Nurse (new or experienced) who will embrace our mission of Advancing Health Together.

The General Medicine Stepdown (Unit 2100) is a newly renovated unit comprised of 16 beds. Our team of nursing staff provide exemplary care for a variety of complex patients with varying diagnosis such as stroke, heart failure, pneumonia, sepsis, liver/kidney failure, BKAs/AKAs, diabetes, GI bleed, sickle cell, rheumatic disorders, psychiatric, and behavioral health disorders.

Department Highlights:

• RN to Patient Ratio is 1:4
• A brand new, renovated unit!
• Lots of opportunity to grow and advance in your career as an Assistant Nurse Manager, preceptor, charge nurse, create committees, etc.
• You will be a part of building the culture and personality of the unit.
• Phenomenal teamwork, multi-disciplinary collaboration, and professional respect we offer a dynamic environment for lateral professional development.
• Extraordinary unit culture that embraces each team member a sense of belonging.
• Affords the clinical experience to attain strong critical thinking skills, vast knowledge of disease processes and body systems, and robust care management skills.

This unit is part of Duke University Hospital's innovation initiative, designed to redefine care delivery by integrating cutting-edge technologies that enhance patient outcomes, streamline workflows, and improve operational efficiency. Units 2100, 3100, and 4100 at Duke North are piloting smart room capabilities, automated signage, and virtual access for care teams and families. Future enhancements include predictive tools for fall prevention and ambient listening for documentation. Staff foster a culture of innovation and continuous improvement, collaborating across departments to explore solutions like expedited medication delivery, all aimed at improving the patient experience and reducing length of stay.

General Description of the Job Class

Plan and provide advanced and/or specialized nursing care for patients in accordance with guidelines established within the Discipline of Nursing Clinical Ladder Program and the North Carolina Board of Nursing. The position will provide local level leadership in the areas of administration, education, informatics and quality.

Duties and Responsibilities of this Level

Identify care needs for patient populations across the continuum of care. Collaborate and provide leadership in the development of standards of care, patient/family education and staff education to address the needs of specific populations. Collaborate with multidisciplinary team and provide leadership within the delivery of patient care.

Provide leadership in educational activities, departmental committees, research projects and other health-related projects.

Provide evaluation, direction and guidance in the proper selection, use, care and control of material resources. Appraise quality and effectiveness of material and equipment and collaborate with appropriate departments to assist with vendor selection and feedback on performance.

Guide the professional growth of others across the continuum of care through role modeling, coaching and/or mentoring. This may include designing orientation modules, primary precepting of senior nursing students.

Provide leadership at a departmental, entity, community or regional/national level for initiatives focused on improving the quality of care for populations of patients and growth of others.

Conduct performance reviews.

Effectively recommend personnel actions including, but not limited to, hiring, performance appraisals, disciplinary actions, terminations and other related activities.

Perform other related duties incidental to the work described herein.

CNIV Pathways

Leadership/Regulatory: Monitor clinical practice and ensure compliance to practice standards and regulatory standards. Collaborate with unit/clinic leadership to coach and mentor nursing colleagues. Influence recruitment and development of staff.

Education: Plan and deliver in house education sessions or collaborate with subject matter experts. Keep up to date with evidence-based nursing practices and adult education. Assess educational needs of staff. Partners with clinical nurse educator and clinical nurse specialist to address unit educational needs.

Informatics: Serve as a superuser for clinical information systems. Disseminate and communicate information to staff regarding adoption of or changes to technology. Facilitate service tickets and troubleshoot efficiency concerns with staff. Provide training and technology education support on the unit. Serve as a change agent and facilitate adoption of new technology on the unit.

Quality/Research/Innovation: Collaborate with subject matter experts to analyze patient care data to identify trends and areas for improvement. Participate in multidisciplinary committees focused on quality and patient safety. Provide guidance and support to nursing staff in quality assurance and best practices. Engage in research and innovation initiatives to develop new methodologies and technologies for enhancing patient care.

Required Qualifications at this Level

Education

Work requires graduation from an accredited nursing program with a BSN degree.

Experience

Applicants must meet all requirements set forth by the DUHS Career Ladder Program for level IV.

A minimum of 3 years of nursing experience required.

Degrees, Licensure, and/or Certification

Must have current or compact RN licensure in the state of North Carolina. BLS required.

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

Ability 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

Distinguishing Characteristics of this Level

Provide leadership at a CSU, departmental, institutional, community or regional/national level. Lead change by constantly seeking creative solutions to improve quality and efficiency in the delivery of patient care.

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

Duke University 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