Dual Role- Transplant inpatient Unit and Clinic RN

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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.

This position is a Dual Role that will share time between the Abdominal Transplant unit and the Abdominal Transplant, Nephrology and Surgery Clinic. The position with be a 1.0 FTE (40 hours/week) where two 12-hour shifts/week will be spent on the inpatient unit and two 8-hour shifts/week will be spent in the outpatient clinic. Both areas serve the same patient population and will allow the RN to follow the patients through their continuum of care while enjoying a career with diverse setting.
The Abdominal Transplant (6DCT) Unit is comprised of 37 beds. Our team of nursing staff provide exemplary care for a variety of complex patients with diagnosis such as Pre-Liver Transplant, Liver Transplant, Kidney Transplant, Pancreas Transplant, Small Bowel Transplant and Hand Transplant.

Department Highlights: •    RN to Patient Ratio is 1: 3-4
•    Strengths in teamwork, multi-disciplinary collaboration and professional respect – we offer a dynamic environment for professional development.
•    Procedures/treatments frequently performed include diabetes management, pain management, wound care, telemetry, oxygen therapy, blood product administration, and IV management of fluids and medications.
•    Affords the clinical experience to attain strong critical thinking skills, vast knowledge of disease processes and body systems, and robust care management skills.
•    The unit cares for this patient population throughout the entirety of their Transplant experience beginning with inpatient care prior to transplant when necessary, care during their index Transplant stay, and care on any readmission. This fosters strong relationship between our patients and the care team while promoting continuity of care.
•    Daily multidisciplinary Transplant Rounds encompassing all care providers involved with the patient’s care; Case Management, Surgery, Medicine, Advanced Practice Providers, Transplant Coordinators, and Nursing
Clinic 2B/2C
The Abdominal Transplant, Nephrology and Surgery Clinic is a multidisciplinary, multi-specialty outpatient clinic comprised of several different specialties, including Nephrology, Pain & Palliative Care, Liver/Intestine Transplant, Kidney/Pancreas Transplant, Interventional Radiology/ Vascular Radiology, General and Advanced GI surgery, Trauma Surgery, Transplant Psychology, and Transplant Infectious Disease. Clinic 2B/2C’s multidisciplinary team approach to treatment is reflective in the type of patients seen. Patients seen are those with liver, intestine, pancreas, and or kidney disease, pre-solid organ transplant candidates, and those being evaluated for specialty surgeries. 

Department Highlights:
•    Staffing includes Registered Nurses, Licensed Practical Nurses, Registered Medical assistants, and Certified Medical Assistants that are trained in each of the specialty areas. 
•    Strengths in teamwork, multi-disciplinary collaboration and professional respect – we offer a dynamic environment for professional development. •    Treatments frequently performed include specimen collection, vital sign monitoring, medication and allergy review, wound care, IV management of fluids and medication administration.
•    Affords the clinical experience to attain strong critical thinking skills, vast knowledge of disease processes and body systems, and robust care management skills.
•    Excellent customer service is a part of the practice standards for all employees. Clinic 2B/2C practices by the standards of the Hospital Based Clinics of the Duke University Health Care System.
What you will do:
As a Clinical Nurse in Duke University Health System, you will plan and provide professional nursing care for patients 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.
•    Plan, provide and document professional nursing care, utilizing the nursing process, in accordance with physician orders and established policies and procedures under the supervision of the team leader or charge nurse. •    Delegate tasks and supervise the activities of other licensed and unlicensed care providers.
•    Assist other healthcare personnel in the delivery of patient care.
•    Participate in maintaining the environment of care including equipment and material resources. Prioritize work organization and identify resources available to assist in completing components of care in a timely manner.
•    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 or operational performance improvement opportunities and assist in performance improvement activities.

What you can expect:
•    Multitask in myriad ways – document assessments, plan of care, interventions, evaluation and re-evaluation of patient status, access nursing needs of acute and chronically ill patients, independently seek out resources and work collaboratively.
•    Educate patients and families in accordance with the nursing plan of care.
•    Relationship management with patients, families, visitors, healthcare team, physicians, administrators, leadership and others.

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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.