Lead Registered Nurse (RN) - Behavioral Health - Emergency Department - Duke Regional Hospital
Duke University Health System
Location: Durham, North Carolina
Internal Number: 144631
Duke Regional Hospital has served Durham, Orange, Person, Granville and Alamance counties and the surrounding communities for nearly 40 years. With more than 1,900 employees, its focus is on providing outstanding medical care with compassionate, personalized service in a comfortable community hospital setting. Duke Regional Hospital has 369 inpatient beds and offers a comprehensive range of medical, surgical and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services, and also offers care at the Duke Rehabilitation Institute and Davis Ambulatory Surgical Center. In fiscal year 2018, Duke Regional Hospital admitted 16,299 patients and had 165,953 outpatient visits in fiscal year 2017.
U.S. News & World Report ranked Duke Regional Hospital as #10 in North Carolina and #4 in the Raleigh-Durham area for 2018-19.
Duke Nursing Highlights:
Duke University Health System is designated as a MagnetÂ® organization
Nurses from each hospital are consistently recognized each year as North Carolinaâ€™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!
The Behavioral Health Emergency Department at Duke Regional Hospital is comprised of 18 outpatient private rooms, 3 high-acuity rooms, 2 day rooms and a lovely secure courtyard all within the new unit scheduled to open in April, 2021. This is all part of an expansion of the Behavioral Health Services at Duke Regional Hospital, which brings together inpatient, outpatient and emergency behavioral health services as part of a 112,000-square-foot centralized behavioral health center.
Work Hours & Shifts:
Full-Time - 40 hours per week with opportunity for shift differential and overtime.
(5) - 8 Hour shifts or (4) - 10 hour day shifts per week (Monday- Sunday)
Job Summary: The Clinical Lead RN is a role developed to work in coordination with the nursing leadership in an assigned unit or department to ensure the work is accomplished effectively. The Clinical Lead RN is the first line support for staff, physicians and other related providers on service- specific clinical issues. The Clinical Lead RN is generally a long-term role, requiring clinical and interpersonal skills. The Clinical Lead RN collaborates with the manager on clinical and non-clinical issues (employee relations, individual behaviors, physician relationships, etc.). The Clinical Lead RN is the support for the unit/department/service when the manager is unavailable. The Clinical Team Leader is responsible for supervising, directing, coaching and mentoring their assigned core group of staff.
Duties and Responsibilities of this Level
Duties and responsibilities include all those required of the CNIII as well as:
Plan and coordinate clinical requirements for staff and ensure that all CBO and CBE requirements for staff are current.
Plan and assist with coordination of unit staff schedules and submit for manager approval.
Coordinate clinical requirements with staff regarding equipment and supplies.
Consult with preceptors and orientees on a regular basis to provide support and determine how orientation should proceed on an individual basis.
Collaborate with the manager for issue resolutions and projects to improve work flow processes throughout the department utilizing a proactive approach.
Collaborate with different departments (pharmacy, radiology, lab, registration) to resolve issues and improve work flow processes throughout the department.
Collaborate with the nurse managers in the interview process for new applicants.
Mentor/coach staff to enhance their professional development.
Assesses the performance of assigned new hires and orientees including entry level nurses, nursing care assistants and health unit coordinators; provides ongoing feedback and coaching.
Understand and communicate potential clinical equipment or supply issues to appropriate team members (Materials, Biomed, Sterile Processing, etc).
Mentor and monitor the preceptors for all new employees.
Provide clinical/education updates and skill check-offs to entire staff on a regular basis.
Provides immediate support and education on policy, procedures, equipment and supplies.
Responsible for learning, implementing and teaching new technology/procedures.
Demonstrates awareness of current problems and basic plan for all patients within assigned area.
Provides clinical consultation and guidance as needed to facilitate patient care.
Gives assistance and/or direction to staff to facilitate quality patient flow.
Assess staffing needs according to workload and staff competency; Re- assigns and adjusts staffing based upon patient care needs.
Delegates responsibilities within the scope of practice and validated competencies in order to meet the workload demands of the shift.
Facilitates assignments that support learning for the orientee or nurse learner.
Promotes an atmosphere of open communication that facilitates staff input into decision-making, resolution of conflict, and collegiality among all health team members.
Communicates in an effective, professional manner.
Facilitates staff performance audits related to attitude, team performance, The Joint Commission, DFS Standards and SCIP initiatives.
Reviews and comments on forwarded SRSs related to their team or shift.
Facilitates and encourages staff participation in departmental and hospital committee and council meetings.
Attends departmental and hospital committee meetings as assigned.
Coordinates, facilitates, participates and directs departmental projects with follow-through and appropriate follow-up.
Other projects and duties as directed by the department managers.
Knowledge, Skills, Education, and Experience Required:
Bachelor of Science degree in Nursing required
Three years of experience in nursing practice required.
Behavioral Health or Emergency Department experience strongly preferred.
Selected candidate must meet the Clinical Ladder requirements for CN III within one year of appointment.
Knowledge of scope of the registered nurse, licensed practical nurse and nursing care assistant
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
Able to independently seek out resources and work collaboratively
Ability to establish and maintain effective working relationships
Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others
Able to teach patients and families in accordance with the nursing plan of care
Able to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up
Able to use fine motor skills
Competent in BLS and/or other specialized life support requirements designated by work area
Able to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status
Able to use computer and learn new software programs
Able to navigate the entity to provide clinical care for patients
Able to withstand prolonged standing and walking
Able to remain focused and organized
Working knowledge of procedures and techniques involved in administering routine and special treatments to patients
Licensure, Certification or Registration 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, ACLS and PALS certification required.
Professional specialty certifications (preferred).
Leadership experience (preferred)
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.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.