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REGISTERED NURSE (EXPERIENCED RN) - BEHAVIORAL HEALTH ROUNDING NURSE - DUKE RALEIGH HOSPITAL

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Overview

At Duke Raleigh Hospital, we want to be the best place to give care and the best place to get care. We offer the unique opportunity of quality academic medicine in a friendly community setting. As a part of our nursing team, providing service will be your priority as you care for the whole person in a patient-centered atmosphere. You'll also have the opportunity to participate in the clinical ladder program, education and professional development activities, departmental committees and research projects and volunteer in the community. Our nursing team members are an integral part of our care team and ensure that we deliver the highest quality and safest care to our patients.

  • Job Type: Full-time, Part-time, PRN
  • Job Level: Entry, Mid, Senior
  • Setting: Inpatient and Ambulatory

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Success Profile

What makes a successful nurse at Duke Raleigh Hospital?

  • Compassionate
  • Flexible
  • Multi-Tasker
  • Positive
  • Socially Conscious
  • Clinically Inclined

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Career Path

We offer many career paths to support your immediate and future success.

  • Nurse Resident
    (New Grad)
    Nurse Resident job leads to Clinical Nurse II job
  • Clinical Nurse II The Clinical Nurse II job leads to Clinical Nurse III, Nurse Educator, or Clinical Team Lead
    Clinical Nurse III The Clinical Nurse III job leads to the Clinical Nurse IV job
  • Nurse Educator The Nurse Educator job is the top job in its path
    Clinical Team Lead The Clinical Team Lead job leads to the Nurse Manager job
    Clinical Nurse IV The Clinical Nurse IV job is the top job in its path
  • Nurse Manager The Nurse Manager job is the top job in its path

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A smiling nurse caring for a patient, who is also smiling A large hospital building Nurses having fun at a luau-themed party

"I feel like I am a walking piece of proof of the succession plan that Duke puts in place for you.
They took me in and groomed me to be in a place that I never could have imagined.
Now I have 80 plus team members that I supervise."

Kaliedra, Clinical Team Lead Surgical Oncology

“The benefits are definitely one of the reasons I came to work at Duke Raleigh Hospital. They are great. I was lucky enough to participate in the student loan forgiveness program.”

– Bryanna, RN in ICU

“It feels like a small-town hospital, but it’s not. It is Duke and it’s a great opportunity.”

– Laura, Clinical Nurse II on Neuroscience Unit

Rewards

  • Health Benefits

    Medical, dental, vision, disability, flex spending accounts, health and wellness programs

  • Retirement Plans

    Duke offers a generous pension plan and 403(b) retirement contributions

  • Continuing Education

    Tuition reimbursement and degree opportunities

  • Parental Leave

    Paid leave for eligible employees in addition to our Paid Time Off program

  • Location

    We’re located in the heart of Raleigh, close to shopping, great restaurants and entertainment

  • Recognition

    We're Magnet designated, a leader in Heath Care Equity and a CMS 5-star hospital

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Job Description

Job ID 195796 Date posted Jun. 10, 2022

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!

Duke Raleigh Hospital offers the latest in care and technology in a patient-friendly setting. It has been an important part of Duke Health since 1998 and has served Wake County for more than 35 years, employing more than 2,000 teammembers. The hospital provides 186 inpatient beds and a comprehensive array of services, including the Duke Raleigh Cancer Center, Duke Raleigh Orthopedic and Spine Center, cardiovascular services, neurosciences including the Duke Raleigh Skull Base and Cerebrovascular Center, advanced digestive care, disease management and prevention, wound healing, outpatient imaging, intensive and progressive care, pain clinic, same-day surgery, emergency department and community outreach and education programs. U.S.News & World Report ranked Duke Raleigh Hospital as high performing in orthopaedics and five adult procedures/conditions: chronic obstructive pulmonary disease (COPD), heart failure, kidney failure, lung cancer surgery, and stroke.

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!

Overview of Role

This is a behavioral health rounding nurse position that is embedded within the psychiatry consult liaison team. The premise of this role is support, resource and education medical-surgical nurses on the floors on how to care for patients with behavioral health needs. The BHRN will act as a liaison brining information from the behavioral health team to the nurses/providers and from the nurses/providers back to the behavioral health team. They will round on all IVCs, physician holds in the ED, patients on the psych consult list and the behavioral health RN consult list. BHRN will respond to all behavioral health emergencies in the hospital and assist the teams during these emergencies with de-escalation techniques, medication administration and following care plans that have been created. There are also daily chart audits that will be conducted regarding a variety of regulatory needs. The BHRN works closely with inpatient medical-surgical nursing, nursing leadership and interacts with disciplines throughout the hospital that may be caring for patients with behavioral health needs.

Shifts

3 - 12 hr. shifts per week.

DAYS - 7a to 7p.

Weekends and holidays as required per unit guidelines.

Occ Summary

Round on new or specific patients prior to AM huddle.

Provide handoff to Behavioral Health Tech and input on assignments, as indicated.

Serve as primary clinical resource and mentor as indicated for BHT in their capacity as PCA.

AM and PM huddles with BH team (may be replaced with PRN contact, as determined by MD).

Round with psychiatrist and/or psychologist on new consults.

Maintain shared BHRN list in EPIC and update as needed.

Complete new BHRN consults and follow-up rounding notes with a primary focus on documenting behavioral observations and non-pharmacologic recommendations to facilitate care.

Lead TCT response (refer to Disruptive Behavior Response policy).

Implement behavioral intervention plans on appropriate patients as developed and directed by psychologist.

Initiate Interdisciplinary Behavioral Rounds if needed for specific cases.

Provide informal teaching on behavioral health care in the context of supporting floor nurses, BHTs as well as non-BHT patient care attendants; help staff conceptualize challenging behaviors in a functional manner, learn to set appropriate and flexible limits and integrate principles of positive reinforcement into patient care.

When needed for specific IVC/PH patients overnight, collaborate with Charge Nurse to determine clinical appropriateness, and enter Nursing Communication orders for, phone call and visitor privileges.

Participate on Mental Health Committee to develop relevant policy and procedures impacting care of BH patients.

Other duties as determined by psychiatry/agreed upon by BH team.

Independently plan and provide professional nursing care for patients in accordance with physician orders 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.

Work Performed

Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures. Use professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care. Delegate tasks and supervise the activities of other licensed and unlicensed care providers. Assist other nursing personnel in the delivery of nursing care and act as team leader or charge nurse for a group of patients or an entire unit as assigned. Monitor and initiate corrective action to maintain the environment of care including equipment and material resources.Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Act as preceptor and support the development of other staff and formal learners.Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. Perform other related duties incidental to the work described herein.

Knowledge, Skills and Abilities

Knowledge of scope of the registered nurse, licensed practical nurse and NCA

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 andtheir families

Ability to independently seek out resources and work collaboratively

Ability to establish and maintain effective working relationships

Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others

Ability to teach patients and families in accordance with the nursing plan of care

Abil ity to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up

Ability to use fine motor skills

Competent in BLS and/or other specialized life support requirements designated by work area

Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status

Abilityto use computer and learn new software programs

Able to document and communicate pertinent information using computer and/or paper documentation tools

Ability to navigate the entity to provide clinical care for patients

Ability to withstand prolonged standing and walking

Ability to remain focused and organized

Working knowledge of procedures and techniques involved in administering routine and special treatments to patients

Working knowledge of infection control procedures and safety precautions

Working knowledge and completion of appropriate JCAHO and other regulatory requirements

Pre-employment Physical Capacity Testing Required

Level Characteristics

N/A

Minimum Qualifications

Education

Work requires graduation from an accredited BSN program.

Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are expected to enroll in an appropriate BSN program within two years of their start date but must complete the program within five years of their start date. Registered nurses hired before July 1, 2014 are not required to enroll in a BSN program to remain in this job classification.

Experience

Previous Behavioral Health experience PREFERRED, but not required.

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.

Degrees, Licensures, Certifications

Must have current or compact RN licensure in the state of North Carolina.

BLS required.

CPI training required (will provide training to those who do not possess 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.

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