Duke University Hospital

N/A

Adult Cardiac Cath Labs has six procedural rooms for patients undergoing coronary arteriograms, angioplasty and stent deployment, congenital and peripheral diagnostic and interventional procedures; 24/7 coverage for acute MI management. RN will be assisting during the procedure with scrubbing circulating and monitoring.

Ages served:
13 years through 45 years
Newborn

Hours of Operation:
24 hours a day 7 days a week

Method of Care Delivery:
Multidisciplinary

1. Normal spontaneous vaginal delivery(NSVD) with/without complications
2. C-section with/without complications
3. Normal newborn
4. PIH/HELLP
5. Preterm labor with/without complications
6. Multiple gestation
7. Diabetes
8. Cardiac disease
9. Placenta previa with/without complication
10. Intrauterine fetal demise (IUFD)
11. Premature rupture membranes
12. Fetal anomalies/syndromes
13. Metabolic complications of pregnany

The Registered Nurse staff has an average seniority of seven years. The OB Technician provides surgical scrub support, as well being a NAII. Non-licensed unit support staff include: Health Unit Coordinators, Dietary Technicians, Spanish Interpreters and Environmental Services personnel. Additional support includes three (3) Nurse Managers and a Staff Education liaison. OB Social Work and Lactation Consultant team also provides coverage for these units. Patient Resource Managers assist with the management of all obstetrical patients.

There is one OB/GYN practice affiliated with the Duke Birthing Center. The hospital also has a division of Maternal Fetal Medicine. In addition, Duke Family Practice physicians have delivery privileges. Certified Nurse Midwifes provide supervision and patient care in OB triage and LDRP and assist with Intern orientation and education. Dedicated obstetrical Women's Anesthesia services are also provided. There is 24/7 in-house attending and resident MD coverage and OB Women's Anesthesia medical providers.

Requirements: North Carolina nursing license.
Familiarity with OB TraceVue bedside monitoring a plus

Moderate sedation and general anesthesia cases are performed on the procedure unit. Registered nurses provide patient and family education, assist with care during procedures and coordinate patient care. The CHC offers the unique opportunity to utilize specialized nursing skills and knowledge in an outpatient setting.

MDiagnostic services, including echocardiography, pulmonary function testing, sleep studies and a full service audiology lab are on site, as are pharmacy and laboratory services.

Types of studies performed on DCRU include: Phase I – II, proof-of-concept, special populations, bioavailability, bioequivalence, PK/PD, rising dose tolerance, drug metabolism, functional imaging, molecular imaging medical imaging, complex experimental medications, first-in-human, healthy volunteers, drug-drug interactions, drug-food interactions, biomarkers, QTC prolongation, long-term confinement studies, bio-nutritional studies and complex PD endpoints.

DCRU will be adding a 17, 000-square foot, 30-bed confinement unit with five exam/procedure rooms in the fall 2009, which will be located in South 3rd Floor Red Zone.

The unit focuses on patient and family education, and delivers care using a collaborative and multidisciplinary care model. Staff members acquire and maintain excellent assessment skills and gain exposure to a wide variety of patient populations. Staff members are encouraged and supported to advance their practice professionally and academically. Our unit consistently achieves high scores in nursing and patient satisfaction.

The unit focuses on patient and family education, and delivers care using a collaborative and multidisciplinary care model. Staff members acquire and maintain excellent assessment skills and gain exposure to a wide variety of patient populations. Staff members are encouraged and supported to advance their practice professionally and academically. Our unit consistently achieves high scores in nursing and patient satisfaction.

ECT involves the use of a brief, controlled electrical current to produce a seizure within the brain. This seizure is believed to bring about certain biochemical changes which may cause patients who suffer from depression to diminish or to disappear. A series of seizures, generally 6-12 (although sometimes a smaller or larger number may be necessary), given at a rate of 3 per week) is a required to produce such a therapeutic effect. These treatments can be done on an inpatient or outpatient basis. An increasing awareness that patients can be stabilized on ECT has led to the development of outpatient ECT programs. Nurses working in this area do not necessarily need experience in psychiatry, but must have an interest in this area. Nurses should have a strong background in medical-surgical and or perioperative nursing, because many patients have a high acuity in medical co-morbidity. ACLS is required.

Current North Carolina RN License and BLS / ACLS certification is required. Prefer acute Cardiac Care and/or Cath Lab experience with knowledge of cardiac arrhythmias. Must satisfactorily complete the Clinical Electrophysiology Laboratory orientation.

The Emergency Department at Duke University Medical Center is an urban academic, Level One Trauma Center and regional tertiary care facility located on the campus of Duke University in Durham, North Carolina. We are an 81-bed department which includes treatment areas dedicated to Adult, Pediatric, Trauma, Psychiatry, and an 11 bed Clinical Observation Unit. The Emergency Department at Duke University has an average annual census of 71,000 visits.

Comprehensive New Graduate Nurse Orientation: Six month program consisting of clinical and didactic work. Upon successful completion of the orientation program the new graduate nurse has completed ACLS, PALS, TNCC, ENPC and ED core courses.

Requirements: Unit based certification requirements include: BLS, ACLS, PALS. (ACLS and PALS certifications must be acquired within the first year of employment.) The team concept in the ED is well developed and imperative to the overall efforts to provide quality emergency care and services in an efficient and timely manner. Staff recruited must be committed to the role of patient advocate and must be patient focused. The nursing staff has a great deal of responsibility for activating standing orders and coordinating the care provided patients; so Nurses must maintain a high index of suspicion and be prepared to intervene in life-threatening situations. A premise in maintaining quality patient care and efficiency is the flexibility of the unit and the flexibility of each member of the staff within the team to work toward a common goal. Security in the ED is excellent. There is a zero tolerance for violent behavior and the security systems include staff education in de-escalation techniques, facility lockdown and restricted access, metal detectors, and Duke Police Officers on duty at all times in the ED.

The Endoscopy/Bronchoscopy Units mission is to meet our patient's needs through quality health care. The staff provide quality, state of the art patient care and technical assistance for all patients undergoing diagnostic and therapeutic endoscopy/bronchoscopy procedures. We are seeking motivated and energetic candidates.

The Eye Center OR handles approximately 2,600 surgeries per year, including outpatient, inpatient and same-day admits. A small amount of maxillo-facial, plastic surgery, orthopedic, and otolaryngological - pediatric procedures are also performed. The operating room staff is comprised of registered nurses, operating room technicians, surgical attendants, and clinic coordinator.

The PACU-EC is designed to provide highly skilled nursing care and treatment to the post-anesthesia patient utilizing the nursing process and specialized equipment.

Staff consists of registered nurses, licensed practical nurses, health unit coordinators, messengers.

Inter-collaborative teamwork is an important part of the success of this unit. The diversity of the patient population provides a strong foundation to the new graduate, while offering continuous challenges for the more experienced nurse as well.

Inter-collaborative teamwork is an important part of the success of this unit. The diversity of the patient population provides a strong foundation to the new graduate, while offering continuous challenges for the more experienced nurse as well.

Major medical diagnoses treated include, but are not limited to, prematurity, respiratory distress syndrome, persistent pulmonary hypertension, transient tachypnea of the newborn, pneumonia, pneumothorax, sepsis, surgical abnormalities, metabolic derangements, and chromosomal or genetic abnormalities.

Requires North Carolina Nursing license and a BSN Associates degree of diploma from an accredited school.

Requires one year of IV experience

Registered nurses collaborate with providers, direct clinic flow, perform patient care and teaching functions, and perform procedures.

Physical Requirements * Height/Weight Restrictions * Minimum 3 years (preferred 4 years) Critical Care/ED experience ICU * 2 years commitment to program (minimum)

This unit also supports the neurosurgical patient by providing preoperative care and postoperative care of the stable neurosurgical patient. The diversity of the patient population provides a strong foundation to the new graduate, while offering continuous challenges for the more experienced nurse as well.

Currently, unit staff participate in self scheduling. All new staff work 12-hour shifts with a day/night rotation for the first year. During this time, we try to keep the schedule such that you work two weeks of nights and two weeks of days in rotation. You are expected to work one to two weekends out of four. Staff who have been here a year and completed all of their requirements may request to be placed on a preferred shift with minimal rotation by turn, based on unit needs. Orientation: For new graduates we offer 8 weeks of a comprehensive orientation with designated preceptors that work with you to identify your learning needs. You will have weekly orientation reviews and a final end of orientation session with your primary preceptor. Granted, you will not know everything after orientation, but you will be provided the opportunity to continuously learn! A supportive leadership/orientation staff views your success as their own.

Adult hematology/oncology patients 18 years of age and older. Our patients are experiencing any stage of the disease process from diagnosis to end-of-life situations. They receive aggressive treatment including chemotherapy, symptom management and end-of-life care for leukemia, lymphoma, and solid tumors.

9300 is a comprehensive oncology unit dedicated to delivering high quality patient care in an efficient manner. We are advocates of collaborative practice, open communication and individual/team responsibility.

NC RN license & BLS required; prefer oncology infusion experience, IV skills, OCN certification, & ONS Chemotherapy/Biotherapy Provider card

A transplantation program is available for needs including: heart, lung, liver, kidney and pancreas.

Duke's orthopedic services are ranked 6th in the nation, and the nurses on 6100 play an integral part of that recognition. We have several nurses who are Nationally Certified in Orthopedics. Annual Orthopedic core classes are available to all staff. This unit offers full-time/part-time, as well as permanent or casual positions.

The mission of the Pediatric Blood and Marrow Transplant (PBMTU) is to give children with life threatening illnesses the chance for a new beginning through transplant and cell therapy. Patients may be diagnosed with a malignant disease, a serious hematologic or immunologic disease, or a disabling metabolic disease.

We support the primary care nursing model allowing patient and families to have the opportunity to have consistent care and great advocacy if required. Our nursing orientation is 8-10 weeks allowing the RNs to have a strong orientation entailing critical skills assessment, medication review, and attending important core classes. Our unit has computerized physician order entry and charting system.

Available advanced treatment modalities include negative pressure ventilation, nitric oxide, and ECLS (ECMO). The Pediatric Intensive Care Unit (PICU) at Duke University Medical Center is an exciting, fast pace 16- bed Level I Trauma Center and regional referral facility.

Telemetry is used to monitor patients' heart rhythms at the Stepdown Unit nurses' station, 24 hours a day, by an arrhythmia technician. We also have NCA's on each shift. The stepdown unit has a small group of nurses ( 21) and teamwork is very evident.

The care needs of our patient population include: careful assessment for change in patient condition, antibiotic therapy, blood transfusion, pain management, patient/family teaching and psychosocial support as well as many other nursing activities.

5300 practices the team concept of nursing. We do have NCAs on each shift. Family centered care is strongly supported.

The PACU facilitates the safe recovery of neonate to geriatric patients undergoing operative or invasive procedures. The PACU recovers all patient acuities ranging from intermediate to stepdown to ICU.

Our mission is to provide admitted adults or adolescents and their families/caretakers acute stabilization and comprehensive assessment of multiple psychiatric illnesses. Our multidisciplinary team includes:

* Attending Physician
* Resident Physician
* Psychiatric Social Worker
* Psychiatric Nurses
* Psychologist
* Psychology Interns
* Recreational Therapist
* Hospital School Teacher
* Psychiatric Case Manager
* Substance Abuse Counselor

Qualifications include (1) BLS and ACLS certification, (2) Good IV skills, (3) Previous nursing experience preferably in a Recovery or PACU type setting.

Because of the variety of patient populations, 6300 is a site for many nursing school rotations. According to a recent Work Culture survey, 6300 is among the Top Ten places at Duke Medicine to work. Offers full-time/part-time as well as permanent or casual positions.