Registered Nurse (Experienced) - Duke University Hospital - Inpatient Dialysis

Job Description
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 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.

U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.

Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.

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.

Duke Nursing Highlights:

• 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
• Quality of Life: Living in the Triangle!
• Relocation Assistance!

Registered Nurse (Expereinced), 15K Sign-On Bonus!

Duke University Hospital - Inpatient Dialysis

Located in Duke North, 7th Floor

Duke University Health System seeks to hire an Experienced Registered Nurse who will embrace our mission of Advancing Health Together.

The Inpatient Dialysis Unit contain a total of 12 inpatient beds. Our team of nursing staff provide exceptional care to patients that require Hemodialysis, Peritoneal Dialysis or Continuous Renal Replacement Therapy throughout the entire Duke University Hospital.

Department Highlights:

• Fantastic multiple learning opportunities and growth within the unit. This unit is set apart from other inpatient dialysis units because we have much more acute patient population.

• Affords the clinical experience to attain strong critical thinking skills, strong time management skills and robust care management skills.
• We are a diverse, highly functioning team that collaborates with all members of the healthcare team to provide exceptional and compassionate patient care. We put the patient at the center of everything we do.
• Join our team and work closely with nursing leadership and physicians, including a safety huddle each morning where nursing staff and nursing leadership identify any safety issues over the previous 24-hour period.
• It's challenging, fun and keeps your day fresh.

Work Schedule:

We offer flexible scheduling with various shifts. You will work 3 - 12 hour shifts, Full Time. 36 hours per week.

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:

• You will learn the skillset of dialysis, but also responsible for the nursing care of patients during their treatments. We have patients on insulin drips, cardiac drips, patients with tracheostomies, chest tubes, etc. that you will be responsible for maintaining during the patient's dialysis treatment.
• You will provide Hemodialysis, Peritoneal Dialysis, and Continuous Renal Replacement Therapy for patients throughout the hospital becoming competent in all modalities
• A typical day in our dialysis unit is a 12-hour shift where you will treat patients on the unit or at the bedside
• If you treat patients at bedside you will be 1:1, but will be responsible for going to the patient to complete HD and hooking up our unique water system. Generally, two bedside treatments can be completed in one shift.
• If you are assigned to treat patients on the unit, you will have 2 patients per 1 nurse. There are usually 2 - 3 dialysis shifts per day, so you would be treating a total of 4 - 6 patients on a normal day.
• 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.

Hone your nursing skills and learn:

• Insulin drips, Chest tube insertion.
• Perfect your hands-on nursing skills with an acute population of patients.
• Greater bedside nursing.

• Opportunity to use transferable skills to gain new skillsets.
• If this is your calling to be a nurse and educator, then you will love your work as a Dialysis nurse.
• The investment comes in seeing the transformation of your patients from feeling sick and afraid, to strong and independent.
• You apply your "core" nursing skills to assess, diagnose and implement complete care plans as you look at the whole patient.
• There's a lot to track and manage and the joy comes in witnessing how your care impacts patients' lives.

What we will provide:

• Paid Training
  • New Graduate Nurses: 8 weeks of paid orientation, weekly and bi-weekly meetings with preceptor and leader, and monthly nurse residency classes and the completion of a unit-focused project.
• Opportunities for a Lifetime. Duke University Health System is committed to providing robust learning and development from the Office of Continuing Education.
• Clinical Ladder Advancement
• Tuition Assistance and Nurse Loan Forgiveness
• Relocation Grant and Sign On Bonus
• Nursing Specialty Certification Bonus: CNN Certification
• Employee Referral Bonus
• Performance Increases
• Comprehensive Benefits: Medical, Dental, Vision, Employee Pension plan and much more.

What you will need:

• Graduation from an accredited Bachelor's Degree in Nursing (or higher) OR Associate's Degree in Nursing OR Nursing Diploma program.

***All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within five years of their start date.

Licensure and Certification Required:

• Current registration with North Carolina State Board of Nursing as a registered professional nurse OR current compact RN licensure to practice in the state of North Carolina required.

• BLS Certification

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.