Nursing Jobs in Durham, NC

Registered Nurse (RN) Home Health-Weekends

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. At Duke Home Health, you are able to meet patients where they are! By working as a home health nurse, you are able to help keep patients out of the hospital and in their homes where they are most comfortable. Duke HomeCare and Hospice provides innovative and thoughtful care by using an interdisciplinary team approach to achieve the best possible outcomes for patients, families and the communities for which they serve. In this role, you would have the opportunity to connect the patient with the right level of care at the right time. Duke HomeCare and Hospice differs from other home health companies in many amazing ways. Please see a list of some of those reasons below: No call Manageable territories Commitment to safety for both patients and employees Mileage reimbursement rate equal to the current federal rate Extensive orientation of 20 weeks based on individual needs Shifts: (4) 10 Hour Shifts Friday, Saturday, Sunday and Monday JOB SUMMARY: Performs professional nursing care for patients in a primary care setting (the home or alternate site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. MAJOR JOB RESPONSIBILITIES: Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient’s baseline needs and response to care. Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care. Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care. Develop and implement an effective discharge plan for patients to begin at the initiation of services. Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching. Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills. Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient. Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance. Assesse the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate. Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards. Complete documentation accurately, timely, concisely. Medication reconciliation and education to prevent adverse events and readmission to hospital Observe patient’s reactions to medications and reports significant incidents to the physicians. Communicate regularly with team members, caregivers, and physicians. Follow infection control standard precautions and uses personal protective equipment as required. Delegate and supervise care given by NCA’s/LPN’s. Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient’s care needs. Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness. Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Implement agency policy, procedures and objectives. Work closely and collaboratively with agency billing staff to ensure accuracy of billing. Maintain confidentiality of employee and patient information. Exhibit an attitude which promotes harmony and goodwill in the workplace. Display a clean, neat, professional appearance. Participate in Performance Improvement Program. Promote quality, comprehensive services through a team approach. Perform other duties as assigned. Home Health Case manage interdisciplinary team of clinicians caring for patients in the home. Complete required OASIS Comprehensive assessments at admission, recertification, Resumption of care and discharge. This assessment determines patient reimbursement for Medicare and other episodic payors and also results in publicly reported patient outcomes and additional payment impacts related to value based purchasing Work with interdisciplinary team and patient providers to prevent re-hospitalization of the patient. Be aware of patient insurance requirements and assures authorization for all services have been obtained. Appropriate utilization of resources for patient including visit and supply utilization. WORK ENVIRONMENT AND REQUIREMENTS: Perform Patient care primarily in the patient’s residence or skilled nursing facility (>50%) Travel to and from patient residence PREFERRED QUALIFICATIONS Education and Formal Training Associate Degree or Diploma, Nursing required Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service of their start date. Licensures, Certifications Must have a current RN license in NC or compact RN licensure from participating state. Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only) May renew during orientation Valid driver's license and current automobile insurance coverage. Professional Work Experience 1-2 years of med-surgical, critical care or home health/hospice/infusion preferred Valid driver’s license and current automobile insurance coverage Prior experience in Home Health, Hospice or Infusion preferred Prior OASIS and PDGM experience preferred for home health Knowledge, Skills & Abilities Working knowledge of Medicare and Medicaid regulations, including JCAHO and DFS standards, ICD-9 Coding. Knowledge of scope of the registered nurse, licensed practical nurse and NCA Knowledge of and appropriate application of the nursing process Ability to assess nursing needs of acute and chronically ill patients and their 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 Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up Ability to use fine motor skills Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status Ability to use computer and learn new software programs and technology Able to document and communicate pertinent information using computer and/or paper documentation tools Knowledge in wound identification and treatments, infusion and other advanced nursing skills Critical thinking skills and organization skills Working knowledge of infection control procedures and safety precautions Strong computer skills including MS Outlook, Word, Excel, preferred Excellent rapport, understanding, and communication with the patients and their family members Ability to work autonomously and independently in varying environments. Able to withstand driving long distances, stooping, bending, lifting 20 plus pounds, and climb stairs Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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.

Surgical Tech

Other

5 days ago

Surgical Technologist - Duke Raleigh Surgery Center (PRN)

Duke Health Raleigh, NC

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of the four Duke Health hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care. 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 (based on eligibility) Work Schedule: 6:30am - 3:00pm General Description of the Job Class Surgical Technologists (ST) are allied health professionals who assist in the preparation and care of surgical patients ranging from infancy to geriatrics under the general direction of a professional nurse. The ST possesses expertise in the theory and application of sterile aseptic technique and combines the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a surgeon's performance of invasive therapeutic and diagnostic procedures. The ST who has a dual function in the operating room and the ambulatory setting demonstrates competency in the care of surgical patients preoperatively and postoperatively in the ambulatory surgical clinic setting. Duties and Responsibilities of this Level Level I - New graduate with up to 18 months of full-time equivalent experience. Perform all responsibilities in a manner that demonstrates Service Excellence towards patients, physicians, peers and other departments. Assume responsibility for upholding the policies and procedures of the department and organization. Demonstrates eagerness to learn, takes direction, adapts to changes within unit, demonstrates consistent progress toward Level II. Establishes and maintains sterile field and assures team maintains sterile environment. Demonstrate and practice a good understanding of sterile technique. Has a basic knowledge of instrumentations. Prepare Operating Room with appropriate instrumentation, equipment and supplies. Demonstrates correct and safe instrumentation passing and performs sponge, needle and instrument counts in a safe and accurate manner. Maintain technical skills to serve a patient population comprised of infancy to geriatric clients. Take calls and rotate shifts as required under the direction of a registered nurse. For Surgical Technologists with a dual role in an ambulatory environment, additional responsibilities may include: prepare patients for examinations and procedures in the surgical clinic setting; assist the physician during patient examination and procedures in the clinic; collect and label laboratory specimens for processing; reinforce postoperative instructions under direction of physician or RN; assist with incoming and outgoing patient calls under supervision of physician or RN; remove sutures/ staples, change sterile and non-sterile dressings, following DUHS policies and procedures, under direction of RN or physician; perform other clinical functions as delegated and supervised by the RN or physician; schedule and post surgical cases; coordinate complex scheduling of cases which require additional surgical support; update and file patient medical records. Must advance to level II within 18 months. Perform other duties and responsibilities as required. Level II - Perform all the duties and responsibilities of Level I, plus the following: Assist with the teaching of newly hired technologists and student technologists. Serve as a role model to new employees and other staff members. Establish and maintain sterile field and assure team maintains sterile environment independently. Anticipate the needs of the surgical team. Apply basic knowledge of instrumentations to several cases. Demonstrate appropriate and correct case preparation. Competent at unit level. Corrects deficiencies at the case level. Communicate effectively with patients, staff members and physicians. Adherence to standards including but not limited to unit and hospital policies and procedures, regulatory standards, and patient safety goals. Assume responsibility for self and ensures that the policies, procedures and safety practices of the Operating Room and Hospital are reinforced. Perform other duties and responsibilities as required. Required Qualifications at this Level Education Graduate of an accredited Surgical Technology program or maintains an accredited Surgical Technologist certification (NCCT or NBSTSA). Or, provides evidence of the successful completion of an appropriate training program for Surgical Technology in the United States Military. Experience Level I- Entry level position for new graduates of Surgical Technology program or Surgical Technologists with 0 to 18 months experience. Level II- Requires 6 to 12 months of full-time equivalent Surgical Technology or relevant military experience. Degrees, Licensure, and/or Certification Level I- BLS required. Level II- BLS required. Knowledge, Skills, and Abilities Ability to adapt to changes within unit. Ability to work effectively and efficiently under pressure in a stressful environment, and often without relief. Ability to demonstrate knowledge of anatomy relating to the surgical procedure and the instrumentation required in order to effectively anticipate the needs of the surgeon. Ability to set priorities and respond appropriately to actual and/or potential life threatening situations. Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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.