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Duke University Hospital

Duke University Hospital is proud to be among the nation's elite hospitals which have earned Magnet Hospital status from the American Nurses Association (ANA).

Duke University Hospital

2301 Erwin Road

Durham, NC 27710

(919) 684-8111

Employees: 7,099

Physicians with admitting privileges: 1,437

Number of beds: 957

Patients admitted in fiscal 2010: 40,382

The hub facility of the Duke Nursing system, Duke University Hospital is a tertiary and quaternary-care facility that is consistently ranked among the top ten hospitals in the country.

With hundreds of board-certified specialists and sub-specialists, Duke University Hospital provides unmatched expertise in nearly every health care discipline, and features:

  • A regional ER/Level 1Trauma Center
  • Dedicated open-heart operating rooms
  • Comprehensive diagnostic and therapeutic facilities, including an endosurgery center and extensive diagnostic radiology area

Duke University Hospital also serves as a leading teaching facility and operates one of the country's largest clinical and biomedical research enterprises.

Area Info

Watch the Duke University Hospital Welcome Video and learn about our community – Play Video

A career as a Duke Nurse comes with many benefits, including enjoying life in and around North Carolina's Triangle; a beautiful metropolitan area incorporating the cities of Durham, Raleigh, Chapel Hill, and Cary.

Just 30 minutes from Raleigh-Durham International Airport, the city of Durham is within easy driving distance from North Carolina's majestic mountains to the west, and picturesque Atlantic coast to the east. And with its wealth of educational, recreational and cultural amenities, it's easy to see why the quality of life in Durham is consistently rated among the nation's best by leading publications such as Money magazine and U.S. News and World Report.

Unit Profiles

Nurses and health care professionals at Duke Clinic & Ambulatory Services can serve in several specialized units. Click on a unit below for more specific details:

Adult Bone Marrow Transplant Clinic

Adult Cath Lab/Cardiovascular Short-Stay Unit (CVSSU)

Ambulatory Surgery Center - OR

Ambulatory Surgery Center - PACU

Ambulatory Surgery Center – Pre-Op

Ambulatory Surgery Center - RCC

Birthing Center – Labor, Delivery, Recovery, Postpartum, Antepartum

Cardiac Diagnostic Unit

Cardiology Stepdown 7100

Cardiology Stepdown 7300

Cardiology Intensive Care

Cardiology Intermediate

Cardiothoracic Intensive Care

Cardiothoracic Stepdown

Children's Health Center – Level 4

Children's Health Center – Pediatric Procedure Unit

Children's Health Center – Levels 2 & 3

Clinical Research

Clinic: Cardiac Diagnostic Unit

Clinic: Cardiac MRI

Clinic: Hyperbaric Center

Clinic: Ortho Trauma Clinic

Clinic 3J Wound Management - Laser Dermatology- Plastic Reconstruction

Dialysis - Inpatient

Dialysis – Outpatient

Duke Health Center

Duke Hospital Operating Room

Duke Hospital Short Stay

Duke Outpatient Clinic

Duke University Hospital PACU/Pre-op

Electroconvulsive Therapy Program (ECT)

Electrophysiology Lab

Emergency Department

Endoscopy/Bronchoscopy

ENT Clinic

Eye Center Operating Room

Eye Center Post-Anesthesia Care

Eye Center Short-Term Surgery

Eye Center Transitional Care

General & Cardio-Thoracic Surgery, Solid Organ Transplant & Hematology Clinic

General Medicine - 8300

General Medicine - 8100

General Surgery

GI Endoscopy / Pulmonary Procedures and Clinic

Hyberbarics

Infectious Disease Clinic

Infusion Center

Intensive Care – Transitional Care Nursery

Intensive Medical Cardiac Care (CCU) - 7200

Internal Supplemental Resource Pool

IV Team

Lenox Baker

Life Flight – Durham/Burlington/Smithfield

Medical Intensive Care

Medical Specialties Clinic

Medicine Step-Down

Neuroscience - 4300

Neurosciences Clinic

Neuroscience Intensive Care - 4200

Neuroscience Stepdown - 4100

Oncology Adult Medicine - 9100

Oncology Medicine- 9300

Oncology Treatment Center

Oncology, Adult Bone Marrow Transplant - 9200

Operating Room/Perioperative Services

Orthopedics

Pediatric Bone Marrow Transplant

Pediatric Cardiac Intensive Care (PCICU)

Pediatric Intensive Care (PICU)

Pediatric Progressive Care Unit (PPCU)

Pediatric Radiology

Pediatric General Medicine/Hematology

Pediatric Medical/Surgical

Peri-Anesthesia (PACU)

Pickens Clinic

Pre-op screening

Psychiatry

Radiology

Rheumatology Gynecology Clinic

Specialty Surgery Services - 6300

Surgical – Trauma Intensive Care

Surgical ICU Stepdown - Transplant

Urology Clinic

Vascular Access Team

Wound Clinic

Adult Bone Marrow Transplant Clinic
Unit Location: North Pavilion
Specialty: Oncology
Beds: 36
Shift: 85
Nurse/Patient Ratio: 1:6
Patient Population:

The Adult Bone Marrow Transplant Program Outpatient Treatment Facility provides a continuum of care for patients who will undergo or have undergone comprehensive treatments for solid tumors, hematological malignancies and selected genetic disorders.

Nurse Manager: Jennifer Frith
Additional Information:

N/A

Adult Cath Lab/Cardiovascular Short-Stay Unit (CVSSU)
Unit Location: North Pavilion, 7th Floor
Specialty: Cardiac
Beds: 21
Shift: 12 hrs (CVSSU) 10 hrs with call (Cath Lab)
Nurse/Patient Ratio:
Patient Population: Patients undergoing coronary arteriograms, angioplasty and stent deployment, congenital and peripheral diagnostic and interventional procedures.
Nurse Manager: Michele Gillespie, COD
Additional Information:

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.

Ambulatory Surgery Center - OR
Unit Location: North Pavilion
Specialty: Surgical Services
Beds: 9 Operating Rooms
Shift: Full-time & part-time; no weekends; no holidays; no call
Nurse/Patient Ratio: Based on AORN standards
Patient Population: Pediatric & Adult
Nurse Manager: Sara Wall
Additional Information: Requires 2 years operating room experience
Ambulatory Surgery Center - PACU
Unit Location: North Pavilion
Specialty: Surgical Services
Beds: 26 peri-operative/recovery beds
Shift: Full-time & part-time; no weekends; no holidays; no call
Nurse/Patient Ratio:
Patient Population: Pediatric & Adult
Nurse Manager: Jennifer Massengill
Additional Information: Requires ACLS & PALS
Ambulatory Surgery Center – Pre-Op
Unit Location: North Pavilion
Specialty: Surgical Services
Beds: 9 operating rooms, 26 perioperative/recovery patients stations with 8 overnight or recovery care center beds
Shift:
Nurse/Patient Ratio:
Patient Population: 6 months or older
Nurse Manager:
Additional Information:
Ambulatory Surgery Center - RCC
Unit Location: North Pavilion
Specialty: Surgical Services
Beds: 8 overnight or recovery care center beds
Shift: Monday-Friday, Full-time; night shift; no weekends; no holidays; no call
Nurse/Patient Ratio: 1:3-4
Patient Population: Pediatric & Adult
Nurse Manager: Jennifer Massengill
Additional Information: Requires ACLS & PALS
Birthing Center – Labor, Delivery, Recovery, Postpartum, Antepartum
Unit Location: North, 5th Floor and 7th floor (5400/5700/5800/7700OB)
Specialty: Women's Health
Beds: 20 Birthing suites, 16 Postpartum rooms, 10 Antepartum rooms, 3 OB operating rooms, 2 PACU rooms, 6 OB triage rooms, 4 bed admission nursery
Shift: 12-hour shifts; Day/Night Rotation; 1-8hr on-call shift per 4 week schedule, 1 weekend per 4 week schedule
Nurse/Patient Ratio:
Patient Population: Low to high-risk obstetrical patients
Nurse Manager: Jo Ann Byrd, Jennifer Beltran and Rachelle VanWinkle
Additional Information:

The Duke Birthing Center is a Level 3 regional referral center with 3,000 births per year. On the fifth floor (5400/5700/5800), 20 Birthing suites provide care for Labor, Delivery, Recovery, Postpartum (LDRP), Mother/Baby, and antepartum patients. The area also includes 3 Operative Delivery Rooms, 2 Recovery rooms, 6 OB Triage rooms, 16 additional Mother-Baby rooms and a 4 bed well-baby admission nursery. On the seventh floor (7700OB), there are 10 antepartum rooms. Patient care needs range from low-risk to critically ill mothers. Average length of stay for all populations is 3.2 days.

Ages served:
13 years through 45 years
Newborn


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


Method of Care Delivery:
Multidisciplinary


The Duke Birthing Center Staff care for the following diagnoses:
  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

Cardiac Diagnostic Unit
Unit Location: Duke South 2K
Specialty:

Exercise testing procedures, ambulatory monitoring, transesophageal echocardiograms

Beds:  
Shift: Monday-Friday
8:00AM-6:00PM
Nurse/Patient Ratio:  
Patient Population:

Adults

Nurse Manager: Stephanie Kerr
Additional Information:
Cardiology Stepdown 7100
Unit Location: North, 7th floor - 7100
Specialty: Cardiology Stepdown
Beds: 31 per unit
Shift: 12-hour day/night rotations
Nurse/Patient Ratio: 1:4 days; 1:5 nights
Patient Population: Patients requiring care for post MI/USA, post cardiac cath/angioplasty/stent procedures, electrophysiology studies, radiofrequency ablations, pacemaker and internal cardioverter defibrillator implants, antiarrthythmic drug therapies, cardioversions and some congestive heart failure.
Nurse Manager: Lisa Duncan
Additional Information: BLS/Basic Dysrhythmia certification during orientation. ACLS within first year of employment.
Cardiology Stepdown 7300
Unit Location: North, 7th floor - 7300
Specialty: Cardiology Stepdown
Beds: 31 per unit
Shift: 12-hour day/evening/night rotations
Nurse/Patient Ratio: 1:4 Days 1:5 Nights
Patient Population: Patients requiring care for post MI/USA, post cardiac cath/angioplasty/stent procedures, electrophysiology studies, radiofrequency ablations, pacemaker and internal cardioverter defibrillator implants, antiarrthythmic drug therapies, cardioversions, ultrafiltration, and congestive heart failure.
Nurse Manager: Monica Harper
Additional Information: BLS/Basic Dysrhythmia certification during orientation. ACLS within first year of employment.
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Cardiology Intensive Care
Unit Location: North, 7th floor - 7100/7300
Specialty: Cardiothoracic/Cardiology
Beds: 31 per unit
Shift: 8 and 12-hour day/evening/night rotations
Nurse/Patient Ratio:
Patient Population: Patients requiring care for post MI/USA, post cardiac cath/angioplastry/stent procedures, electrophysiology (7100), chest pain.observation (7300), pacers, dysrhythmias, congestive heart failure.
Nurse Manager: Lisa Duncan and Monica Harper
Additional Information: BLS/Basic Dysrhtthmias recognition during orientation. ACLS within first year of employment.
Cardiology Intermediate
Unit Location: North, 7th floor - 7300
Specialty: Cardiothoracic/Cardiology
Beds: 31 per unit
Shift: 8 and 12-hour day/evening/night rotations
Nurse/Patient Ratio:
Patient Population: Patients requiring care for post MI/USA, post cardiac cath/angioplastry/stent procedures, electrophsyciology (7100), chest pain observation (7300), pacers, dysrhythmias, congestive he art failure.
Nurse Manager: Monica Harper
Cardiothoracic Intensive Care
Unit Location: North, 3rd Floor (3200)
Specialty: Cardiothoracic/Cardiology
Beds: 16 inpatient beds and 4 observation beds
Shift: 12-hour day/nights
Nurse/Patient Ratio:
Patient Population: Patients requiring care for post surgical CABG, valve, aortic, thoracic, ventricular assist devices, heart and lung transplants.
Nurse Manager: Lupino Washington
Additional Information:
Cardiothoracic Stepdown
Unit Location: North, 3rd Floor (3100/3300)
Specialty: Cardiothoracic/Cardiology
Beds: 31
Shift: 12-hour shifts, rotating day/night; one weekend/month
Nurse/Patient Ratio: Days - 3/4:1 / Nights - 4/5:1
Patient Population: 2800 pre- and post-operative adult patients/year on average. 60% coronary artery bypass grafting, 30% thoracic surgical procedures, 10% various other cardiac procedures.
Nurse Manager: Paul LeBlanc and Heather McKinney
Additional Information:

Basic dysrhythmia certification is a requirement fulfilled during orientation. ACLS is required within six months of employment. Orientation consists of 8 weeks. One week of classes through Hospital Education, and seven weeks of orientation to 3100 and 3300 with a primary preceptor.
Children's Health Center – Level 4
Unit Location: McGovern Davis Children's Health Center
Specialty: Ambulatory Services, Children's Services
Beds: 31
Shift: 8 & 12-hour day shifts
Nurse/Patient Ratio: Days - 3/4:1 / Nights - 4/5:1
Patient Population: The McGovern Davison Children's Health Center (CHC) is home to pediatric outpatient clinics for 23 subspecialty practices.
Nurse Manager: Erica Chambers RN, MSN
Additional Information:

Level four of the CHC has clinics for hematology-oncology, bone marrow transplant, neuro-oncology and allergy-immunology patients as well as the Valvano Day Hospital (VDH). The VDH is a pediatric infusion center providing outpatient care including intravenous infusions, chemotherapy and transfusion therapy. Registered nurses work closely with Duke Physicians and mid-level providers, administer infusions, direct clinic flow, perform patient teaching, perform procedures and coordinate care for our pediatric patients. Care provided ranges from minimal needs patients to comprehensive one to one nurse to patient care.
Children's Health Center – Pediatric Procedure Unit
Unit Location: McGovern Davis Children's Health Center
Specialty: Ambulatory Services, Children's Services
Beds:
Shift: 8-hour day shifts
Nurse/Patient Ratio:
Patient Population:

The Pediatric Procedure unit is located in the McGovern Davison Children's Health Center (CHC). Procedure unit staff work collaboratively with subspecialty providers, anesthesia and PACU to assist with various procedures including: endoscopy, bronchoscopy, lumbar punctures, bone marrow aspiration, circumcision and joint injections.

Nurse Manager: Erica Chambers RN, MSN
Additional Information:

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.

Children's Health Center – Levels 2 & 3
Unit Location: McGovern Davis Children's Health Center
Specialty: Ambulatory Services, Children's Services
Beds:
Shift: 8-hour day shifts, Monday – Friday, 8am – 5pm
Nurse/Patient Ratio:
Patient Population:

Specialty practices include Cardiology, Pulmonary, Endocrinology, ENT, Infectious Disease, Rheumatology, GI, Pre-Operative Screening, General and Plastic Surgery, Genetics, Speech & Audiology, Special Infant Care, Nephrology, Neurology, Neurosurgery and Urology.

Nurse Manager: Rayna Prewitt RN, BSN
Additional Information:

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

Clinical Research Unit Profile
Unit Location: South, 2nd Floor Blue Zone
Specialty: Clinical Research
Beds: 8 Phase I Research Beds; 10 licensed hospital beds including 2 infant rooms; Outpatient room with 3 infusion chairs, 1 bed space and 2 exam/procedure rooms. 30 confinement beds.
Shift: Combination of 8, 12 and 10 hour shifts. Nights and weekends as needed.
Nurse/Patient Ratio: 1:1, depending on the study, but can vary based on study needs.
Patient Population:

Pediatric and adult patients receiving care in the following therapeutic areas: Allergy/Immunology, Anesthesiology, Cardiac Surgery, Cardiology, Endocrinology, Gastroenterology, General Surgery, Geriatrics, Hematology, Hematology, Infectious Disease, Medical Genetics, Nephrology, Neurology, Neurosurgery, Oncology, Ophthalmology, Psychiatry, Psychology, Pulmonary Medicine, Radiation Oncology, Rheumatology and Urology.

Nurse Manager:
Additional Information:

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.

Clinic: Cardiac Diagnostic Unit
Clinic Location: Duke Clinic 2K, Duke Hospital 7th floor, Southpoint Clinic
Specialty: Cardiovascular Disease, Heart Services
Beds:
Shift: 1st shift; 8 hour
Nurse/Patient Ratio: N/A
Patient Population: Adult Cardiovascular Population. We perform Stress Echos, Treadmills, Bubble Studies, Contrast Administration and Trans-Esophageal Echos on patients with Congenital Heart Disease, Coronary Artery Disease, Peripheral Vascular Disease;, Electrophysiology Disorders, Pulmonary Hypertension, Lung Transplant Candidates
Nurse Manager: Annette Moore, RN, BSN
Clinical Lead: Linda Benedict, RN, BSN
Additional Information:

NC RN License, BLS and ACLS required, prefer Cardiology experience, IV skills, 12 lead EKG experience

Clinic: Cardiac MRI
Clinic Location: Duke Clinic Orange zone Sub-basement Room 00354 and Duke Hospital Room 761
Specialty: Cardiovascular Disease, Heart Services
Beds: 2 scanners
Shift: 1st shift; 10 hour
Nurse/Patient Ratio: NA
Patient Population: Adult and Pediatric Cardiovascular Population. We perform Cardiac MRI and stress CMRI on the following patients: Congenital Heart Disease, Coronary Artery Disease, Peripheral Vascular Disease; Cardiac Valve Disorders, Aortic, Thoracic and Abdominal Aneurysms, Electrophysiology Disorders, Connective Tissue Disorders, Pulmonary Hypertension, Lung Transplant Candidates, Amyloid, and Sarcoidosis
Nurse Manager: Annette Moore, RN, BSN
Additional Information:

NC RN License, BLS and ACLS required, prefer Cardiology experience, IV skills, 12 lead EKG experience.

Clinic: Hyperbaric Center
Clinic Location: Duke South, Building CR2, Room 0584, White Zone, Ground Level
Specialty: Hyperbaric Oxygen Treatment Services
Beds: 0 Beds
Shift: 08:00 am – 16:30 pm; Emergency Treatments 24/7/365
Nurse/Patient Ratio: Maximum 1 Nurse / 4 Patients
Patient Population: Entire age spectrum. Acuity ranges from relatively minor illnesses and wounds to critically ill ventilated patients. Patients may have any of a wide variety of conditions including air or gas embolism, certain arterial insufficiencies, carbon monoxide poisoning, clostridial myositis and myonecrosis (gas gangrene), crush injury and other acute traumatic ischemias, decompression sickness, diabetic ulcer, necrotizing soft tissue infection, osteoradionecrosis, refractory osteomyelitis, delayed radiation injury, compromised skin grafts and flaps, and pulmonary alveolar proteinosis treated with whole lung lavage
Nurse Manager: Clinical Lead Nurse: Eric Hexdall
Additional Information:

NC RN License and BLS required; hyperbaric and critical care experience preferred; ACLS, PALS and IV skills helpful. Nurses will act as inside chamber attendants and must undergo a dive physical.

Clinic: Ortho Trauma Clinic
Clinic Location: 30 Duke Medicine Circle, Clinic 1B/1C Duke South
Specialty: Ambulatory Services in the treatment of upper and lower extremity fractures.
Beds: 6 Examination rooms, and 1 cast room
Shift: 8 and 10 hour shifts
Nurse/Patient Ratio:
Patient Population: Ortho Trauma Clinic is an ambulatory hospital based clinic that treats both pediatric and adult patients with all types of upper and lower extremity fractures. On average we have about 40 patients under treatment daily and will see additional patients for casting from the Wound Clinic.
Nurse Manager: Charmaine Xina Charles-Hudson
Additional Information:

NC RN License, BLS required, prefer Ortho Trauma experience, wound care skills, suture and staple removal skills.

Clinic 3J Wound Management - Laser Dermatology- Plastic Reconstruction
Unit Location : A. Duke Clinic 3J Wound Management
B. 40 Duke Medicine Circle
C. Durham , NC 27710
Specialty: A. Chronic Wound Management with Vascular focus
B. Diabetic Foot Care with active Podiatrist/ Surgeon in clinic 3 days weekly
C. Laser Dermatology Treatments
D. Plastic Reconstruction Consult and Postop
E. In clinic procedures such as Tattoos, Mole Removals, Cyst Removals , Debridement, Multi-Layer Compression Wraps
Beds: A. 10 Exam Rooms
B. 2 Procedure Rooms
Shift: A. 8:00 am until 5:00 pm
B. Monday through Friday
Nurse Staffing: A. 3 ACNII
B. 1 CMA
C. 1 L.P.N.
D. 2 N.P. CWOCN
Patient Population: Clinic 3J sees patients of all ages for the specialty listed above, with average visits of 90 patients a day.
Clinic leadership :

This role is dual for Nurse Manager and Health Center Administrator.

Dialysis - Inpatient
Unit Location: Duke North
Specialty:
Beds: 12
Shift: 10-hour Day/Evening, Day/Night and/or Evening/Night rotations, as well as weekend options
Nurse/Patient Ratio: Inpatient – 1:2
Patient Population:

Primarily serves adult and pediatric patients from all inpatient units and specialties

Nurse Manager:
Additional Information:

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.

Dialysis – Outpatient
Unit Location: Moreene Road
Specialty: Dialysis
Beds: 12
Shift: 10-hour Day/Evening, Day/Night and/or Evening/Night rotations, as well as weekend options
Nurse/Patient Ratio: 1:4
Patient Population:

Primarily serves adult and pediatric patients from all inpatient units and specialties.

Nurse Manager:
Additional Information:

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.

Duke Health Center
Unit Location: Morreene Rd
Specialty:

Pain Management, Neurological Disorders, Neurosurgery, Psychology/Biofeedback, Memory Disorders, Palliative Care

Beds:  
Shift: Monday – Friday
8:00AM-6:00PM
Nurse/Patient Ratio:  
Patient Population:

Adults

Nurse Manager: Jennifer Asbell
Additional Information: Pain Management 50-180 patient visits/day, Neuroscience 75 patients visits per day
Duke Hospital Operating Room
Unit Location: Duke North 3rd Floor
Specialty:

Orthopedics
Neurosurgery
Plastics Cardiothoracic
General/Transplant/Vascular/Pediatrics
Urology
Gynecology
Head & Neck

Beds: 37 OR's
Shift: 10 & 12 hour shifts available. Evenings, Nights & Weekends available for experienced RN's & Surgical Techs. No call for main OR. Call required for CTOR team.
Nurse/Patient Ratio: Based on AORN Standards
Patient Population:

Neonates-Adults

Nurse Manager: Orthopedics & Plastic: Linda Taylor
Neurosurgery & Head & Neck: Tanya Carson
Urology & Gynecology: Melissa Polkinghorne
Cardiothoracic: Duchess Diard
General Surgery, Transplant, Vascular, Pediatric: Beverly King
Nights & Weekends:
Additional Information: Hybrid Room open. Expansion of Duke Medicine Pavilion will increase number of OR's to 52 by 2013. Transplant includes heart, lung, liver, kidney & pancreas.
Duke Hospital Short Stay
Unit Location: Duke North 9th floor
Specialty:

Recover surgical patients until ready for discharge

Beds:
Shift:

Days, Evenings & Nights

Nurse/Patient Ratio: Based on ASPAN standards
Patient Population:

Pediatric-Adult

Nurse Manager: Cindy Stanley
Additional Information:
Duke Outpatient Clinic
Unit Location: Roxboro Rd
Specialty:

Primary Care

Beds:  
Shift: Monday-Friday
8:00AM-5:30PM
Nurse/Patient Ratio:  
Patient Population:

Adults

Nurse Manager: Jessica Colquhoun
Additional Information:
Duke University Hospital PACU/Pre-op
Unit Location: Duke North 3rd Floor
Specialty:

Pre-op & Recover Surgical/Procedural Patients

Beds: 74
Shift:

10 & 12 hours shifts
Days, Evenings, Nights

Nurse/Patient Ratio: Based on ASPAN Standards
Patient Population:

Neonate-Adult
Intermediate- ICU

Nurse Manager: PACU: Cindy Stanley
Pre-op: Kathy Gattis
Additional Information: Expansion of Duke Medicine Pavilion in 2013 will add additional beds.
Electroconvulsive Therapy Program (ECT)
Unit Location: South, 4th Floor
Specialty: Psychiatry, Surgical Services
Beds:
Shift: Days
Nurse/Patient Ratio:
Patient Population: Patients who suffer from depression who may also have serious medical conditions.
Nurse Manager: Grace Gunderson-Falcone, RN, MSN, A/GNP-C, FNP
Additional Information:

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.

Electrophysiology Lab
Unit Location: North
Specialty: Cardiac
Beds:
Shift:
Nurse/Patient Ratio:
Patient Population:
Nurse Manager: Shayla Williams, Adm Director
Additional Information:

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.

Emergency Department
Unit Location: Duke North, 1st Floor
Specialty: Emergency Services
Beds:

81 Total: (4 Multifunctional resuscitation/trauma bays, 18 Dedicated pediatric emergency department monitored beds, 36 Adult emergency department monitored beds, 8 Dedicated Psychiatric emergency department beds. 11-Bed clinical evaluation unit, 3 Multifunctional consults rooms; 4 Mulitversatile triage bays, 1 Dedicated sexual assault nurse examiner room, 1 Dedicated central telemetry station)

Shift:

7:00 AM – 7:00 PM, 7:00 PM – 7:00 AM, 11AM-11PM. Self schedules are flexible. 1-2 weekends/month, depending on shift.

Nurse/Patient Ratio: 4:1 Ratio in main adult ED
Patient Population: Diverse patient population
Nurse Manager:

Arnie Boardwine

Additional Information:

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.

Endoscopy/Bronchoscopy
Unit Location: Duke South 2H
Specialty: GI Procedures
Beds:
Shift: Monday - Friday 8 hour & 10 hour shifts available; Duke North Satellite M-F 0730-1630. Evenings, nights, holidays and weekends are covered on an 'on-call' basis
Nurse/Patient Ratio:
Patient Population: The staff provides quality, state of the art care and technical assistance for all patients undergoing diagnostic and therapeutic endoscopy/bronchoscopy procedures.
Nurse Manager: Kelly Monsees
Additional Information:

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.

ENT Clinic
Unit Location: Duke South 1H
Specialty: Otolaryngology, Speech Pathology, Vestibular Lab, Fibro Optics, Signing Speech Pathology
Beds:  
Shift: Monday – Friday
7:45AM-5:00PM
Nurse/Patient Ratio:  
Patient Population:

Adult & Pediatric

Nurse Manager: Anita James
Additional Information: 80-100 patient visits a day
Eye Center Operating Room
Unit Location: Duke Eye Center, 3rd Floor
Specialty:

Ophthalmology/Surgery Services

Beds: Based on AORN standards
Shift:

7:00 AM - 3:30 PM; 8:30 AM - 5:00 PM (Monday-Friday); Required call

Nurse/Patient Ratio:
Patient Population: Neonatal to geriatric patients primary requiring ophthalmic procedures-retina-vitreous, anterior segment, corneal, glaucoma, oculo-plastic, pediatric, and trauma operations.
Nurse Manager: El'Marie Parker-Brodie
Additional Information:

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.

Eye Center Post-Anesthesia Care
Unit Location: Duke Eye Center, 3rd Floor
Specialty: Ophthalmology, Surgical Services
Beds: 6
Shift:

7:30 AM - 5:00 PM Monday, Tuesday & Friday; 8:00 AM - 5:00 PM Wednesday & Thursday; 24-hour on call coverage on weekends and holidays

Nurse/Patient Ratio: Based on ASPAN standards
Patient Population: Surgical population served: Adult and pediatric Ophthalmology Adult and pediatric Plastics; Adult and pediatric ENT; Adult and pediatric ORTHO
Nurse Manager: El'Marie Parker-Brodie
Additional Information:

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.

Eye Center Short-Term Surgery
Unit Location: Duke Eye Center, 3rd Floor
Specialty: Ophthalmology, Surgical Services
Beds: 16 Pre-op/recovery spaces
Shift:

6:00 AM - 2:30 PM; 10:00 AM - 6:30 PM

Nurse/Patient Ratio:
Patient Population:

Consists of neonatal of geriatric requiring treatment for surgical interventions for vitroretina disease, cataracts, corneal transplants, retinal detachments, glaucoma, muscle and oculoplastic ophthalmology procedures. Patients are outpatient, same-day admits, or 23 hr recoveries. Plastic surgery, maxillogacial, orthopedic, and pediatric otolaryngological patients are also treated.

Nurse Manager: El'Marie Parker-Brodie
Additional Information:

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

Eye Center Transitional Care
Unit Location: Duke Eye Center, 3rd Floor
Specialty: Ophthalmology, surgical Services
Beds: 15
Shift: Monday-Friday
Nurse/Patient Ratio:
Patient Population: The Transitional Care Unit provides transition for patients transferring to a designated facility and for inpatient Ophthalmology patients; and it also provides a discharge lounge.
Nurse Manager: ElMarie Brodie
Additional Information:

General & Cardio-Thoracic Surgery, Solid Organ Transplant & Hematology Clinic
Unit Location: Duke South 2B&2C
Specialty:

Lung Transplants, Cardio-Thoracic Surgery, Hematology Diseases

Beds:  
Shift: Monday – Friday
8:00AM-5:00PM
Nurse/Patient Ratio:  
Patient Population:

Adults

Nurse Manager: Rasheena Brown
Additional Information:  
General Medicine - 8300
Unit Location: North, 8th Floor (8300)
Specialty: General Medicine/Stepdown
Beds: 31 beds on each unit
Shift:

12-Hour Day/Night rotation;
1 - 2 Weekends every 4 weeks; Weekend option offered as available.

Nurse/Patient Ratio:
Patient Population: This unit is the primary recipient of patients from the emergency room. Patient age ranges from 19 to the elderly, including those with renal, liver, pulmonary, infectious disease, pain management, diabetic management, post transplant issues, cardiac and GI issues.
Nurse Manager:
Additional Information:

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.

General Medicine - 8100
Unit Location: North, 8th Floor
Specialty: General Medicine/Stepdown
Beds: 31 beds on each unit
Shift:

12-Hour Day/Night rotation;
1 - 2 Weekends every 4 weeks; Weekend option offered as available.

Nurse/Patient Ratio: 3-6 patients per nurse
Patient Population: This unit has primary recipients from the emergency room. Patient age ranges from 18 to the elderly, including those with renal, liver, pulmonary, infectious disease, pain management, diabetic management, post transplant issues, cardiac and GI issues.
Nurse Manager: Carol Buckner, RN, BSN
Additional Information:

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.

General Surgery
Unit Location: North, 2nd Floor (2100)
Specialty: General Surgery, Surgical Services - Stepdown
Beds: 32
Shift:

12 hours

Nurse/Patient Ratio: 1/ 4-5
Patient Population: Older adolescents to geriatric, medical/surgical patients
Nurse Manager: Jacque Hairfield, RN, BSN
Additional Information:
GI Endoscopy / Pulmonary Procedures and Clinic
Clinic Location: Duke South Clinic 2H&2J and Duke North
Specialty: Ambulatory Services, GI and Pulmonary
Beds: Pre and Post Procedure Bays, Procedure Rooms and Clinic Rooms
Shift:

Ten Hour Shifts Monday through Friday

Nurse/Patient Ratio: Established using SGNA and ASPAN Standards
Patient Population: Patients requiring General and Advanced GI and Pulmonary Procedure
Nurse Manager: Laura Osborne, RN, BSN 2H and 2J Clinics
Christa Allen, RN, BSN, CGRN Duke North
Additional Information:

NC RN License, BLS and ACLS required, GI/Pulmonary experience or Critical Care experience preferred, on call coverage required of team members

Hyberbarics
Unit Location: Duke South
Specialty:

Treatment of CO2 Poisoning, Bone Infection, Diabetics, Gangrene

Beds: 7
Shift:

Days, Evenings & Nights
Weekend call required

Nurse/Patient Ratio: 1:2-3
Patient Population:

Pediatric-Adult

Nurse Manager: Kevin Kraft
Additional Information:
Infectious Disease Clinic
Unit Location: Duke South 2J
Specialty:

Infectious Diseases, HIV, Pre-op Screening, Drug Addiction Management

Beds:  
Shift: Monday – Friday
8:00AM-5:00PM
Nurse/Patient Ratio:  
Patient Population:

Adults

Nurse Manager: Mary Denina
Additional Information: 60-90 patient visits/day
Infusion Center
Unit Location: Duke South 2N
Specialty:

Chemotherapy, Autoimmune Diseases

Beds:  
Shift: Monday – Friday
7:30AM-5:00PM
Nurse/Patient Ratio:  
Patient Population:

Adult

Nurse Manager: Eugenia Johnson
Additional Information:  
Intensive Care – Transitional Care Nursery
Unit Location: North, 5th floor - 5500
Specialty: Children's Services
Beds: 45 Intensive / 15 Transitional/7 Level II
Shift:

12-hour shifts; 6:45 AM - 7:15 PM and 6:45 PM – 7:15 AM

Nurse/Patient Ratio: 1:1 to 1:3
Patient Population: We provide care for extreme to late prematurity, acute and convalescing medical and surgical infants. Our admission rate is approximately 900 patients a year, both inborn and outborn.
Nurse Manager: Michelle Schott and Kaleigh Hessel
Additional Information:

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.

Intensive Medical Cardiac Care (CCU) - 7200
Unit Location: North, 7th floor - 7200
Specialty: Cardiac
Beds: 16
Shift:

12-hour Day/night rotations; One weekend per month

Nurse/Patient Ratio: 1:1 or 1:2
Patient Population: Patients that require intensive monitoring and treatment including, but not limited to Acute Myocardial Infarctions, cardiomyopathy, cardiogenic shock, unstable angina, life threatening dysrhythmias, post cardiac/respiratory arrest, patients needing the hypothermia protocol and Impella Circulatory support system.
Nurse Manager: Joyce Fullwood and Sheri Edwards
Additional Information:

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

Internal Supplemental Resource Pool
Unit Location: Parking Garage-II, RT Level, Suite 0049
Specialty: Supplemental Clinical Staffing for the Health System
Beds: N/A
Shift: All shifts – inpatient 7a-7p and 7p-7a. Procedural- varied 8, 10 and 12 hour shifts
Nurse/Patient Ratio: Varies depending on area worked
Patient Population: Variable
Nurse Manager: Vanhphenh Somsichack- Nurse Manager for Full Time RNs
Additional Information:

The Clinical Staffing Department is comprised of several divisions of staff that float to a multitude of areas within the health system-primarily Duke Hospital and the hospital based clinics and procedural areas at the current time.


Med/Surg Division – floats to all the inpatient units taking care of a variety of intermediate and stepdown patients in specialities including orthopedics, neurology, cardiology, medical/surgical, trauma.

Intensive Care Division – floats primarily within the ICU environment.


Procedural- float to at least 4 specialty areas including but not limited to radiology, endoscopy, cancer center, infusion and other procedural, cardiac MRI and other procedural areas.


Children's Resource Unit (CRU) – provides care within the pediatric areas including intermediate,stepdown and critical care.


Requirements: Current North Carolina Licensure


Preferred: For experience nurse positions - 2 years experience in area of interest (med/surg, procedural, pediatrics or intensive care

For new graduate positions – focused experience during school in area of interest. Additional health care experience in other arenas (nursing assistant, EMT, PNA etc)

IV Team
Unit Location: North, 7th Floor
Specialty:
Beds: Support Duke Hospital North and Duke clinic areas at South.
Shift:

12-hour shifts; 7:00 AM – 7:00 PM & 7:00 PM – 7:00 AM,
8 –hr evening shifts.

Nurse/Patient Ratio:
Patient Population: Patients of all ages requiring IV and PICC lines placements
Nurse Manager: Michelle Frey
Additional Information:

Requires one year of IV experience

Lenox Baker
Unit Location: Erwin Road
Specialty: Ambulatory Service, Children's Services
Beds:
Shift:

Days, 8 hours, M-F

Nurse/Patient Ratio:
Patient Population: Lenox Baker Children's Hospital is a specialty outpatient practice site for the following pediatric practices: Orthopaedic Surgery, Endocrinology, Neurology, Developmental Medicine, Pediatric Surgery, Neonatology, Metabolics/Genetics, Chromosome Specialty Clinics, and Multi-Disciplinary Clinics such as Spina Bifida and Cerebral Palsy.
Nurse Manager: Sharon Zimmerman, R.N., B.S.N.
Additional Information:

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


Current North Carolina Registered Nurse license. Pediatric experience preferred.

Requirements: Current North Carolina Registered Nurse license. Pediatric experience preferred.
Life Flight – Durham/Burlington/Smithfield
Unit Location: North, Level 0
Specialty: Emergency Services
Beds: N/A
Shift:

7:00 AM - 7:30 AM; 7:00 PM - 7:30 AM; 10:00 AM - 10:30 PM.

Nurse/Patient Ratio:
Patient Population: Unlimited
Nurse Manager: Karen Johnson, Christina Shelton, Barbara Willis
Additional Information:

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

Medical Intensive Care
Unit Location: North, 8th Floor (8200)
Specialty: Critical Care, General Medicine
Beds: 16
Shift:

12-hour Day/night rotation.

Nurse/Patient Ratio: 1:1 or 1:2
Patient Population: Patients with acute respiratory failure requiring mechanical ventilation, ARDS, sepsis, multisystem organ failure, acute renal failure requiring emergent dialysis, drug overdose, acute hepatic failure, gastrointestinal bleeding with hemodynamic instability, and neurological emergencies.
Nurse Manager: Miranda Mathis-Harris
Additional Information:

Medical Specialties Clinic
Unit Location: Duke South 2F&2G
Specialty:

GI, Endocrinology, Nephrology, Pulmonary Lung Transplant

Beds:  
Shift: Monday – Friday
7:30AM-5:00PM
Nurse/Patient Ratio:  
Patient Population:

Adult

Nurse Manager: Coretta Smith
Additional Information: 200-250 patient visits/day
Medicine Step-Down
Unit Location: North, 7th floor - 7800
Specialty: Adult Medical Stepdown with General Pulmonary and Pulmonary Transplant.
Beds: 28-bed adult unit with a 6-bed ventilator stepdown.
Shift: There are positions available with 12-hour day/night rotation as well as weekend options.
Nurse/Patient Ratio: Stepdown – 1:3;
Intermediate -1:4-5
Patient Population:

Primarily pulmonary patients age 19 and older. Pulmonary Transplant patients age 14 and older. Patient populations include: respiratory failure, pulmonary hypertension, interstitial lung diseases, cystic fibrosis and pulmonary transplant.

Nurse Manager: Jill Hanson
Additional Information:
Neuroscience - 4300
Unit Location: North, 4th floor - 4300
Specialty: Neuroscience
Beds: 31
Shift:

12-hour Day/night rotation; 1 - 2 Weekends every 4 weeks. Weekend option offered as available.

Nurse/Patient Ratio: Day shift – 4-5 patients on routine care, 3 patients in stepdown. Nightshift – 5-6 patients on routine care, 3 patients in stepdown
Patient Population: The primary patient populations are neuromedicine including stroke, chronic headaches, seizures, as well as the spine surgery center
Nurse Manager: Jennifer McKay
Additional Information:

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.

Neurosciences Clinic
Unit Location: Duke South 1L
Specialty:

Neurological Diseases including MS, MDA & epilepsy

Beds:  
Shift: Monday-Friday
7:00AM-5:00PM
Nurse/Patient Ratio:  
Patient Population:

Adults and MDA pediatric patients

Nurse Manager: Kim Thacker
Additional Information:
Neuroscience Intensive Care - 4200
Unit Location: North, 4th floor
Specialty: Neurology/Neurosurgery
Beds: 16 Intensive care beds
Shift:

12-hour Day/night rotation

Nurse/Patient Ratio: 2:1, 1:1
Patient Population: Neurology/neurosurgery patients, including those with brain and spinal cord tumors, stroke, SAH, traumatic brain injuries, acute spinal cord injuries, Multiple Sclerosis, Myasthenia Gravis, Guillain-Barr'e and seizures.
Nurse Manager: Sara Sullivan
Additional Information:

Neuroscience Stepdown - 4100
Unit Location: North, 4th floor
Specialty: Neuroscience
Beds: 15 Intermediate, 16 Stepdown
Shift:

12-hour Day/night rotation; 1 - 2 Weekends every 4 weeks; Weekend option offered as available.

Nurse/Patient Ratio: Intermediate – 1:5-6 Stepdown – 1:3
Patient Population: Intermediate Care is comprised of patients who have undergone spinal or cranial surgeries, require seizure monitoring and individuals requiring care and treatment related to brain tumors. The Neuroscience Step-down Unit cares for complex stable patients with diagnoses such as stroke, traumatic brain and /or spinal cord injuries. Patient age ranges from 19 to the elderly.
Nurse Manager: Edwina McCray
Additional Information:

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.

Oncology Adult Medicine - 9100
Unit Location: North, 9th floor - 9100
Specialty: Oncology
Beds: 31
Shift:

12-hour Day/night rotation

Nurse/Patient Ratio: 1:4
Patient Population:
Nurse Manager: Joey Misuraca
Additional Information:

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.

Oncology Medicine- 9300
Unit Location: North, 9th floor - 9300
Specialty: Oncology
Beds:
Shift:

12-hour Day/night rotations

Nurse/Patient Ratio:
Patient Population: An adult medical oncology unit specializing in solid tumors, dealing mostly with symptom management and end-of-life care. We care for patients at all stages in their disease process.
Nurse Manager: Michelle Kasprzak
Additional Information:

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.

Oncology Treatment Center
Unit Location: Duke South, Clinic 2A, Oncology Treatment Center
Specialty: Oncology
Beds: 27 recliners, 11 beds
Shift: Day shift of 8 or 10 hour shifts; full or part time
Nurse/Patient Ratio: 1:6
Patient Population:

The Oncology Treatment Clinic (OTC) is an outpatient, hospital-based infusion center that provides cancer therapies to adults with many different types of cancer or infusion services for non-oncology patients. Patients may receive standard chemotherapy, investigational chemotherapy, blood product transfusions, and a variety of other infusions and injections. Our staff is composed of registered nurses who have specialized knowledge in oncology nursing. Our commitment is to provide the highest quality of care that is safe, compassionate, and patient-focused.

Nurse Manager: Clinical Operations Director: Amy S. Boswell, RN, MSN, OCN
Additional Information:

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

Oncology, Adult Bone Marrow Transplant - 9200
Unit Location: North, 9th floor - 9200
Specialty: Oncology
Beds: 16 Acute and intermediate care beds
Shift: 12-hour day/night rotation; one weekend every 4 weeks
Nurse/Patient Ratio:
Patient Population:

Patients ages 18-65+, across all stages of the transplant continuum of care. Our patients have received or will receive transplants for diseases, such as leukemia, lymphoma, multiple myeloma and some autoimmune disorders.

Nurse Manager: Debra Russell
Additional Information:
Operating Room/Perioperative Services
Unit Location: North, 3rd floor
Specialty: Surgical Services
Beds: 132 suites
Shift:

Primarily 10 and 12 hours, with limited 8-hour shifts available. Evening, night and weekend shifts available for experienced nurses and surgical technicians. No on-call for main OR. Call required for Cardiothoracic nursing service.

Nurse/Patient Ratio:
Patient Population:

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

Nurse Manager:

Melissa Polkinghorne, Linda Taylor, Betsy Stewart, Judy Saunders Marsha Porter.

Additional Information:

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

Orthopedics
Unit Location: North, 6th floor - 6100
Specialty: Orthopedics
Beds: 31
Shift:

12-hour Day/night rotations. If unit staffing allows, preferred shift with minimal rotation by turn is usually granted after probationary period. Unit expectations are to work 1-2 weekends out of 4.

Nurse/Patient Ratio: Day shift 1/5 Night shift 1/5-6
Patient Population:

The orthopedic patient population consists of both trauma and elective surgeries.

Nurse Manager: Vacant
Additional Information:

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.

Pediatric Bone Marrow Transplant
Unit Location: North, 5th floor - 5200
Specialty: Surgical Services, Oncology
Beds: 16
Shift:

12-hour Day/night rotation

Nurse/Patient Ratio: Typically 1:2
Patient Population:

Patients may be diagnosed with a malignant, a serious hematologic or immunologic disease, or a disabling metabolic disease. Average length of stay is between 30-60 days. Each patient has marrow ablative and/or radiation therapy prior to transplant. Medication therapy is dependent on the type of transplant the patient receives as the PBMTU performs several types of cellular transplants including umbilical cord, matched sibling bone marrow, autologous, and matched unrelated donor. PBMTU nursing practice represents the front line of new medication trials and research studies.

Nurse Manager: Laura Danku
Additional Information:

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.

Pediatric Cardiac Intensive Care (PCICU)
Unit Location: North, 5th floor - 5400
Specialty: Children's services
Beds: 13 (pediatric critical care)
Shift:

12-hour rotations; 0645-1915 & 1845-0715

Nurse/Patient Ratio: 1:1 or 1:2
Patient Population:

The PCICU provides comprehensive care for patients with congenital heart defects in all age groups. For newborns, we emphasize neonatal correction of complex congenital heart defects, with results that rival those of the country's largest centers.

For our patients with severely impaired cardiac function, Duke's pediatric critical care boasts the Southeast's largest and most successful ECMO program. The PCICU also has experience in cardiac transplantation for children, including experience with ventricular assist devices (VADs) to support children awaiting transplant.

Nurse Manager: Kelly Ellington
Additional Information:

Pediatric Intensive Care (PICU)
Unit Location: North, 5th floor - 5500
Specialty: Children's services
Beds: 16 (pediatric critical care)
Shift:

12-hour rotations; 0645-1915 & 1845-0715

Nurse/Patient Ratio: 1:1 or 1:2
Patient Population:

The PICU, with an admission rate of 1200 patients a year, provides care for a wide variety of critically ill medical and surgical patients. Specific patient populations include infants and children ages 0-18 years with neurosurgical defects, bone marrow transplants, solid organ transplants, general surgery and trauma.

Nurse Manager: Karla Abela
Additional Information:

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.

Pediatric Progressive Care Unit (PPCU)
Unit Location: Duke North, 5th floor - 5300
Specialty: Critical Care, Children's Services
Beds: 11 PPCU beds
Shift: 12-hour rotations; 7:00 AM - 7:00 PM & 7:00 PM - 7:00 AM
Nurse/Patient Ratio: 1:3
Patient Population: The Pediatric Progressive Care Unit (PPCU) serves patients ages 0-35 who are transitioning from an intensive level of care who require more complex monitoring than the routine patient care area. The multidisciplinary care team serve the patients and their families with complex medical and nursing needs including: home ventilators, inotropic medication infusions, tracheostomies, external ventricle drains, cardiac pre/post surgery, VADs, transplants, orthopedic procedures, Doppler monitoring, etc.
Nurse Manager: Tracy Frisbee
Clinical Lead Kim Graham
Additional Information:

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. PALS is required within one year of hire.

Pediatric Radiology
Unit Location: Duke North
Specialty: Pediatrics, Radiology
Beds:
Shift:
Nurse/Patient Ratio:
Patient Population:

The Radiology Department provides a large number of CT and MR procedures to pediatric patients who receive moderate sedation for the procedure. Post procedure, the pediatric patient is monitored in the Radiology pediatric holding area until the child is awake, alert, and back to baseline status prior to discharge.

Nurse Manager:
Additional Information:
Pediatric General Medicine/Hematology
Unit Location: North, 5th floor - 5100
Specialty: Children's Services
Beds: 30
Shift: 12-hour Day/night rotation
Nurse/Patient Ratio:
Patient Population:

Patient Population: Infants, children and adolescents with hematologic, oncologic and immulogic disorders. Also general pediatrics, neurology and renal and plastic patients and their families are admitted to this unit. Our average length of stay is 8 days; with some patients and families staying 30 + days. We commonly see patient/families return frequently especially among our hematology/oncology population.

Nurse Manager: Sharlotte West
Additional Information:

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.

Pediatric Medical/Surgical
Unit Location: North, 5th floor - 5300 and 7th floor - 7700
Specialty: Pediatrics
Beds: 20 beds on 5th floor and 12 beds on 7th floor
Shift: 7:00 AM - 7:00 PM; 7:00 PM - 7:00 AM
Nurse/Patient Ratio: 1:4 - 5
Patient Population:

All ages of pediatric patients admitted under the following specialties: Cardiology, Cardiothoracic, Pulmonary, GI, ENT, Neurosurgery, Urology. Orthopedic, Short Gut Transplantation and General Surgery.

Nurse Manager: Jennifer Quinn
Additional Information:

5300 practices the team concept of nursing, collaborating with multiple members of the health care team. We do have NCAs on each shift as well. Family centered care is strongly supported. We encourage our staff to participate in unit-based and hospital based committees, empowering them to impact clinical practice issues, improve patient and staff satisfaction, and promote staff education.

Peri-Anesthesia (PACU)
Unit Location: North, 3rd floor and CHC
Specialty: Surgical Services
Beds: 22
Shift: 8 & 12-hour shifts, day/night rotation
Nurse/Patient Ratio:
Patient Population:

All Surgery Recovery Patients, Adults and Pediatrics.

Nurse Manager: Cynthia Stanley
Additional Information:

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.

Pickens Clinic
Unit Location: Erwin Rd
Specialty:

Primary Care

Beds:  
Shift: Monday – Friday
8:00AM-5:00PM
Nurse/Patient Ratio:  
Patient Population:

Prenatal-Geriatric

Nurse Manager:
Additional Information:  
Pre-op screening
Unit Location: Duke South 2D
Specialty:

Pre-op screening & testing

Beds:
Shift:

Monday-Friday
Days

Nurse/Patient Ratio:
Patient Population:

Adult

Nurse Manager: Pam Pennigar
Additional Information:
Psychiatry
Unit Location: South 3rd floor & 4th floor
Specialty: Psychology
Beds: 17 beds on Williams (4 adolescent beds)
Shift: 8-hours
Nurse/Patient Ratio:
Patient Population:

Patients suffer from a variety of psychological disorders, including: schizophrenia, manic-depressive illness, dually diagnosed, substance abuse and/or mental illness or mental retardation, personality disorders and depression. The average length of stay on our unit is seven days.

Nurse Manager: Karen Poole-Dawkins
Additional Information:

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

Radiology
Unit Location: Duke North, 1st floor
Specialty: Radiology
Beds: 17 beds on Williams (4 adolescent beds)
Shift: 8 hours; 10-hour shifts in Interventional Radiology
Nurse/Patient Ratio:
Patient Population:

A variety of patients undergoing MR, Interventional (tube placements, myelography, biopsy procedures, and arteriograms of any region of the body) and Diagnostic Radiology treatments.

Nurse Manager: Sonja Shotwell, R. N.
Additional Information:

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

Rheumatology Gynecology Clinic
Unit Location: Duke South 1J
Specialty:

Rheumatology & Gynecology

Beds:  
Shift: Monday-Friday
8:00AM-5:00PM
Nurse/Patient Ratio:  
Patient Population:

Adult

Nurse Manager: Jessica King
Additional Information:
Specialty Surgery Services - 6300
Unit Location: North, 6th floor - 6300
Specialty: Otolaryngology, Opthalmology, Plastics, Urology, GYN Oncology & GYN Specialities
Beds: 31
Shift: 12-hour Day/night rotating shifts. If unit staffing allows, preferred shift with minimal rotation by turn is usually granted after probationary period. Unit expectations are to work 1-2 weekends out of 4.
Nurse/Patient Ratio: 4-5 on days ; 5-6 on nights
Patient Population:

Our Urology services include the Robotic Prostatectomy and Urology Oncology. Our Plastic services provide care to large wounds and utilize Duke's Hyperbaric chamber. Otolaryngology services include trachs and radical neck dissections. Our Ophthalmology service has few inpatients and is limited to those who need specialized ophthalmic care. Our GYN population includes patients with ovarian and cervical cancer, also benign diseases such fibroid tumors.

Nurse Manager:
Additional Information:

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.

Surgical – Trauma Intensive Care
Unit Location: North, 2nd floor - 2200
Specialty:
Beds: 16
Shift: 12-hour Day/night rotations; 1-2 weekends per 4 week schedule
Nurse/Patient Ratio: 1:2; 1:1
Patient Population:

Adult: multi-system trauma; vascular surgery; kidney, kidney-pancreas, liver transplants, complex GI surgeries.

Nurse Manager: Julie Dikos, COD
Additional Information:
Surgical ICU Stepdown - Transplant
Unit Location: North, 2nd floor - 2300
Specialty: Stepdown/Transplant
Beds: 32
Shift: 12-hour Day/night rotations; 1 weekend per 4 week schedule
Nurse/Patient Ratio: Stepdown/Transplant 1:3-4; Intermediate - 1:4-5
Patient Population:

Adult through geriatric general and vascular surgery: AAA; Flaps; fem-pops; endarterectomy; kidney, liver, kidney-pancreas transplant, small bowel transplant; post-ICU; trauma

Nurse Manager: Fred Sullivan
Urology Clinic
Unit Location: Duke South 1G
Specialty: Urology
Beds:  
Shift: Monday – Friday
7:45AM-5:00PM
Nurse/Patient Ratio:  
Patient Population:

Adults

Nurse Manager: Penny Wruck
Additional Information: Team Care Model
Vascular Access Team
Unit Location: North, 7th Floor
Specialty: Infusion Nursing
Beds:
Shift:

12-hour shifts; 7:00 AM – 7:00 PM & 7:00 PM – 7:00 AM,
8 –hr evening shifts.

Nurse/Patient Ratio: 1:1 or 1:2
Patient Population:

Adults and Pediatrics

Nurse Manager: Britt Meyer
Additional Information:

Requires one year of current peripheral IV insertion experience. Successful candidates will have the ability to assess, insert and provide maintenance for peripheral IV cannulas and demonstrate knowledge of current infusion processes and related complications. Skill in PICC and other CVAD insertion and troubleshooting techniques is desired.

Wound Clinic
Unit Location: Duke South 3J
Specialty:

Wound Management Treatment

Beds:  
Shift: Monday-Friday
8:00AM-5:00PM
Nurse/Patient Ratio:  
Patient Population:

Adult & Pediatric

Nurse Manager: Linda Dorman
Additional Information:

Specialties

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