Auto req ID
108817BR
Duke Entity
PRIVATE DIAGNOSTIC CLINICS
Job Code
4180 AMBULATORY CARE NURSE II
Job Description
Duke Dermatology 3K

GENERAL DESCRIPTION

The Dermatology RN independently plans and provides professional nursing care for patients in the Dermatology ambulatory clinic setting in accordance with the medical and nursing plans of care and established policies and procedures. He/she provides nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.

Duties

1. Plan, provide and document professional nursing care in ambulatory settings, utilizing the nursing process, in accordance with physician orders and established policies and procedures, under the supervision of the nurse manager.

2. Acts as a clinic resource for health care providers, CMAs

3. Demonstrates awareness of changes in patient status

4. Able to coordinate nurse only visits for biologics and other injectable

5. Collect and analyze patient data, make recommendations for nursing care plans, evaluate nursing care provided, document and communicate appropriately nursing actions taken and patient responses.

6. Daily resource for the unlicensed care providers to triage and assess patient needs and requests that are received via telephone or electronic communication in to the clinic.

7. Delegate tasks and supervise the activities of other licensed and unlicensed care providers.

8. Completes daily/weekly assignments (direct and indirect patient care tasks) of self and clinic staff to ensure physician and patient care is maintained at all times, (first daily appointments, lunch breaks and end of day patients).

9. Completes daily assignments for the completion of indirect patient care tasks required to support direct patient care activities within staff’s scope of practice. (Telephone messaging, cleaning and packing instruments for sterilization, room supply stocking, maintaining patient photographs within the photo database, etc.)

10. In conjunction with the Nurse Manager, facilitates assignments that support learning for the new orientee/learner

11. Gives assistance and/or direction to Certified Medical Assistants, Patient Service Associates, to facilitate quality patient flow.

12. Re-structure assignments in the event of staff “call ins” to maintain patient care and the daily clinic operation.

13. Assist other nursing personnel in the delivery of patient care and serve as a team leader.

14. Ensures completion of delegated duties and performance of assigned clinic roles by support staff. Provides assistance for support staff when needed during procedures, suture removals and completion of assigned duties.

15. Assist with new staff competencies and skills development as outlined in unit specific competency based orientation checklists and policies and procedures

16. Anticipates situations that may need action and acts accordingly, notifying the Nurse Manager/HCA.

17. Monitor and initiate corrective action to maintain the environment of care, including equipment and material resources.

18. Collaborates with the Nurse Manager and specific personnel to ensure equipment and supplies are readily available for patient care.

19. Monitor supply and medication inventory. Submit completed purchase requisitions of needed supplies/ medication to Nurse Manager for signature.

20. Performs and documents monthly medication inspection to remove any expired medications from inventory

21. Ensures that clinic specific QC measures are completed and documented: daily medication refrigerator temperature documentation, positive clearance of patient care area and weekly drench hose inspection, monthly fire extinguisherand emergency light inspection and documentation (Patterson Place).

22. Assists in ensuring clinic operations are compliant with legal, JCAHO, Infection Control and professional standards.

23. Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.

24. Support the development of other staff and formal learners. Participate in the identification of clinical, operational and safety related performance improvement opportunities.

25. Collaborate with nurse manager in identifying overall learning needs of team members and assist with initiatives that meet identified learning needs of the team.

26. Provides feedback and follow-up regarding patient/staff concerns, problems or unusual incidents to the Nurse Manager/HCA.

27. Ensures staff are compliant with PPE requirements during daily operations

28. Participate in clinic or entity level performance improvement activities.

29. Implements communication of delay policy during prolonged patient waiting periods and communicates specific clinic back log to front desk staff

30. Monitor clinic flow and identify measures to facilitate the movement of patients through all aspects of their visit. Inform Nurse Manager of periods of prolonged delay.

KNOWLEDGE, SKILLS, AND ABILITIES
• Previous healthcare experience
• Previous experience working with customers/clients in a service capacity

EDUCATION REQUIREMENTS/ PREFERENCES
• Work requires graduation from an accredited BSN 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.

EXPERIENCE REQUIREMENTS/ PREFERENCES
• Twelve months of appropriate clinical experience is required.

LICENSURE/ CERTIFICATION REQUIREMENTS
• Must have current or compact RN licensure in the state of North Carolina. BLS required.

Working Conditions
Must be able to work under time pressures in a busy clinic/office environment.
Must be present on site for 8 hour shifts during standard business hours.
Must participate in group activities requiring interpersonal skills & cooperation.
Must work as late person when scheduled or according to business needs
Must be able to react quickly and immediately respond to emergencies.
Must travel between locations on needed basis.
Must be able to handle multiple assignments, conflicting demands & priorities.
Must maintain attention to detail over extended period of time.
Must be continually aware of variations in changing situations.
Must be able to move throughout office environment throughout day.
Must be able to lift 40 lbs.
Must be able to push/pull 50 lbs.
Must be able to carry 40 lbs.
Must be able to reach for objects by extending arms.
Location
Durham
Requisition Number
401544638
Position Title
AMBULATORY CARE NURSE II
Shift
First/Day
Job Family Level
E1
Full Time / Part Time
FULL TIME
Regular / Temporary
Regular
Department Name
Dermatology - 3K - Phototherapy
Minimum Qualifications
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 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 essential job 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.Education

Work requires graduation from an accredited BSN 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.Experience

Twelve months of appropriate clinical experience is required. At a manager's discretion, employees with 6 months of experience who are exceptional performers may be eligible for this level.