AMBULATORY CARE NURSE II - Pediatric Dermatology Durham
Duke University Hospital System
February 26, 2018
Durham, North Carolina
AMBULATORY CARE NURSE II - Patterson Place Pediatric Dermatology - Durham
The Dermatology RN Care Team Lead independently and creatively implements the nursing care process for Dermatology ambulatory care patients in accordance with physician orders,established policies and procedures, and Ambulatory Care Nurse career ladder guidelines. 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: * Plan, provide and document professional nursing care in ambulatory settings, utilizing the nursing process, in accordance with physician orders and established policies and procedures. * The Pediatric Dermatology RN Care Team Lead will also assume responsibility for specialty services provided within the clinical location such as Procedure Clinics. These duties may include the following; * Supporting Procedure Clinics (pre, intra and post - operative care) * Acting as a clinic resource for health care providers, CMA's Providing nursing care to patients demonstrating a change in status * Plan and coordinate staffing support * 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. * Daily resource for the unlicensed care providers to triage and assess patient needs and requests that are received via telephone or electronic communication into the clinic.Delegate tasks and monitor the activities of other licensed and unlicensed care providers. * 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). * 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.) * Each morning, huddle with all staff to discuss daily operational goals, providers in clinic and any specific identified needs of the provider or patient population expected for the day * In conjunction with the Nurse Manager, facilitates assignments that support learning for the new orientee/learner * Gives assistance and/or direction to Certified Medical Assistants,Patient Service Associates, to facilitate quality patient flow. * Re - structure assignments in the event of staff call ins to maintain patient care and the daily clinic operation.Assist other nursing personnel in the delivery of patient care and serve as a team leader. * Ensures completion of delegated duties and performance of assigned clinic roles by support staff. * Monitors the In Basket results and incoming staff messages of all clinic support staff daily to ensure:o completion of results within 3 days, photo downloading within 7 days, timely follow up communication to patients and/or parents from incoming messages * Provides assistance for support staff when needed during procedures,biopsies and completion of indirect assigned duties. * Assist with new staff competencies and skills development as outlined in unit specific competency based orientation checklists and policies and procedures * Anticipates situations that may need action and acts accordingly, notifying the Nurse Manager/HCA. * Monitor and initiate corrective action to maintain the environment of care, including equipment and material resources. * Collaborates with the Nurse Manager and specific personnel to ensure equipment and supplies are readily available for patient care. * Monitor supply and medication inventory. Submit completed purchase requisitions of needed supplies/ medication to Nurse Manager for signature. * Performs and documents monthly medication inspection to remove any expired medications from inventory. * Ensures that clinic specific QC measures are completed anddocumented: daily medication refrigerator temperature documentation, positive clearanceof patient care area andweekly drench hose inspection, monthly fire extinguisher and emergencylight inspection anddocumentation (Patterson Place). * Assists in ensuring clinic operations are compliant with legal, JCAHO, Infection Control and professional standards. * 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, operational and safety related performance improvement opportunities. * Provides feedback and follow - up regarding patient/staff concerns,problems or unusual incidents to the Nurse Manager/HCA. * Participate in clinic or entity level performance improvement activities. * Implements communication of delay policy during prolonged patient waiting periods and communicates specific clinic back log to front desk staff KNOWLEDGE, SKILLS, AND ABILITIES * 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 * Ability 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 or organization * Ability to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds. * Knowledge of infection control procedures and safety precautions * Working knowledge and completion of appropriate TJC and other regulatory requirements. 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 inan 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. At a manager's discretion,employees with 6 months of experience who are exceptional performers may be eligible for this level.
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 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.
Work requires graduation from an accredited BSN or Associate's Degree inNursing or Nursing Diploma program.All registered nurses without a Bachelor's degree in Nursing (orhigher) will be required to enroll in an appropriate BSN program withintwo years of their start date and to complete the program within fiveyears of their start date.