Job description

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Duke Entity
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Job Description
Duke University Health System
 Department of Advanced Clinical Practice  
  Clinical Nurse Specialist – Neuro 
 Position summary The Neuro Clinical Nurse Specialist (CNS) improves the care provided to neuro patients through contributions in the patient/family, nurse/healthcare team, and systems spheres of influence.   The CNS provides direct patient care services. He/She contributes to quality of care through education, mentoring, monitoring outcomes and providing feedback, and promoting evidence based practice. The CNS improves institutional performance by collaborating and/or providing leadership in the development and implementation of systems resources including health system policies, procedures, and protocols, education initiatives, and other Champion Program.  The Neuro CNS contributes to excellence in patient care, research, teaching, and provides leadership in the organization.
 Position requirements 
Education:    Work requires completion of a minimum of a Master’s degree in Nursing
Licensure:     Current licensure as a Registered Nurse in the state of NC and CNS recognition by the NCBON
Certification: CNS certification strongly preferred,                     
Experience:   Work requires three years of nursing
Life support:  BLS
Specific Job Responsibilities and Standards

  • Direct Care
  • Accepts consults from RNs, the interdisciplinary team
  • Collaborate with the Neuro Advanced Practice Providers and the Attending’s on the team to manage a caseload of patients referred to Neurosciences.
  • Provides education to referred patients with diabetes
  • Support nursing staff in providing evidence-based Neuro Nursing Practice education Collaborate with the patients, staff nurses, physicians, dietitians, pharmacists, case managers, social workers and others to plan and implement Plans.
  • Serve as resource for staff nurses in the provision of care or interpretation of the plan of care.
  • Supports the development, implementation, and evaluation of standards of practice, guidelines, policies, procedures, and protocols.
  • Assesses educational needs of patients/families and provides culturally-sensitive patient/family interventions. Uses non-technical language when educating patients/families. Documents educational interventions in the patient’s medical record.
  • Develops and maintain written patient education curriculum that reflects evidence and practice guidelines.  Ensures all appropriate institutional reviews and approvals are obtained.
  • Documents patient assessment and education as required by TJC.
  • Assesses educational needs of the Duke nursing staff and healthcare team members and provide one-on-one as well as formal education as needed
  • Implements and evaluate appropriate educational programs for nursing staff, MDs, and other healthcare providers as appropriate.
  • Role models and precepts healthcare learners through contractual agreements.
  • Contributes to the advancement of the profession as a whole by disseminating expert knowledge and outcomes of CNS practice through presentations and publications.
  • Uses coaching and advanced communication skills to facilitate the development of effective clinical teams.
  • Provides leadership in conflict management and negotiation to address problems in the healthcare system.
  • Assists staff in the development of innovative, cost effective programs or protocols of care
  • Establishes collaborative relationships within and across departments that promote patient safety, culturally competent care, and clinical excellence
  • Provides leadership for establishing, improving, and sustaining collaborative relationships to meet clinical needs.
  • Practices collegially with medical staff and other members of the healthcare team so that all providers’ unique contributions to health outcomes will be enhanced.
     Systems Leadership
  • Facilitates the provision of clinically competent care by staff/team through education, role modeling, teambuilding, and quality monitoring.
  • Role models advanced practice professional nursing through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, continuous learning and problem-solving skills
  • Performs system level assessments to identify variables that influence nursing practice and outcomes
  • Determines nursing practice and system interventions that will promote patient, family and community safety.
  • Uses effective strategies for changing clinician and team behavior to encourage adoption of evidence-based practices and innovations in care delivery.
     Evidence based practice, Quality Improvement and Research
  • Utilizes current research and evidence-based decision-making in all clinical practice.
  • Promotes evidence-based practice through staff education and leadership in developing, implementing, and evaluating process standards such as plans of care, protocols, and guidelines.
  • Identifies and tracks indicators of institutional performance in diabetes care
  • Participates in establishing quality improvement agenda for unit, department, program, system, or population
  • Uses quality monitoring data to assess the quality and effectiveness of clinical programs in meeting outcomes.
  • Cultivates a climate of clinical inquiry across spheres of influence
  • Fosters an interdisciplinary approach to quality improvement, evidence-based practice, research, and translation of research into practice
  • Provides leadership in the design, implementation and evaluation of process improvement initiatives.
  • Provides leadership in the system-wide implementation of quality improvements and innovations.
  • Participates in and supports accreditation and regulatory activities.
  • Participates in the conduct or implementation of research.
     Ethical Decision-Making, Moral Agency and Advocacy Competency
  • Engages in a formal self-evaluation process, seeking feedback regarding own practice, from patients, peers, professional colleagues and others
  • Fosters professional accountability in self or others.
  • Facilitates resolution of ethical conflicts
  • Facilitates patient and family understanding of the risks, benefits, and outcomes of proposed healthcare regimen to promote informed decision making.
     Working conditions: 
    The work environment involves risk discomforts that are typical of an acute care setting to include working with patients under isolation and universal precautions. It requires safety precautions, ongoing education and health risk monitoring.  Contact with specimens, chemicals, sharps, radiation, technical equipment and fumes are possible.  Employees are required to wear personal protective attire according to hospital policies and OSHA guidelines.  The work activity and patient acuity levels can create a stressful atmosphere. 
    Requisition Number
    Position Title
    Job Family Level
    Full Time / Part Time
    Regular / Temporary
    Department Name
    Minimum Qualifications
    Duke University is an Affirmative Action/Equal Opportunity Employercommitted to providing employment opportunity without regard to anindividual's age, color, disability, gender, gender expression, genderidentity, 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 robustexchange of ideas—an exchange that is best when the rich diversity ofour perspectives, backgrounds, and experiences flourishes. To achievethis exchange, it is essential that all members of the community feelsecure and welcome, that the contributions of all individuals arerespected, and that all voices are heard. All members of our communityhave a responsibility to uphold these values.
    Essential Physical Job Functions:Certain jobs at Duke University and Duke University Health System mayinclude essential job functions that require specific physical and/ormental abilities. Additional information and provision for requests forreasonable accommodation will be provided by each hiring department.


    MSN required


    3 years of nursing experience

    Degrees, Licensures, Certifications

    Must have current or compact RN licensure in the state of NorthCarolina. BLS required. Certification as a Clinical Nurse Specialist(CCNS) is strongly preferred.




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    Job No:
    Posted: 4/24/2019
    Application Due: 6/23/2019
    Work Type: