Ambulatory Care Nurse, Dermatology

Location
North Carolina, United States
Posted
21 Apr 2019
End of advertisement period
21 Jun 2019
Ref
401582451
Contract Type
Permanent
Hours
Full Time

General Description

The Dermatology RN 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.

Job 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 Dermatology RN Care Team Lead will also assume responsibility for specialty services provided within the clinical location such as Contact Dermatitis Patch Testing, Biologic injection visits and Procedure Clinics.

These duties may include the following;

  • Supporting the Patch Testing clinic sessions
  • Coordinating Biologic injection clinic visits
  • Supporting Procedure Clinics (pre, intra and post-operative care)
  • Acting as a clinic resource for health care providers, CMAs
  • 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 in to 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.)
  • 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
  • Provides assistance for support staff when needed during procedures, suture removals 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 and documented: daily medication refrigerator temperature documentation, positive clearance of patient care area and weekly drench hose inspection, monthly fire extinguisher and emergency light inspection and documentation (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.

Knowledge, Skills, and Abilities

  • Mohs experience and/or surgical experience are strongly preferred, but not required
  • Knowledge of scope of the registered nurse, licensed practical nurse and all unlicensed assistive personnel
  • Knowledge of and appropriate application of the nursing process
  • Knowledge of professional theory, practice and procedures 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

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 in an 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 Requirements/Preferences

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.
  • Must be able to lift 15 lbs.
  • Must be able to push/pull 15lbs.
  • Must be able to carry 15 lbs.
  • Must be able to reach for objects by extending arms.

Location Durham

Duke Entity PRIVATE DIAGNOSTIC CLINICS

Job Family Level E1

Full Time / Part Time FULL TIME

Regular / Temporary Regular

Shift First/Day

Minimum Qualifications

Duke University 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 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.

Education

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 in an appropriate BSN program within two years of their start date and to complete the program within five years of their start date.

Experience

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.

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