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

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.

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.

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.

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

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

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.

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

Requires one year of IV experience

Days, 8 hours, M-F

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.

12-hour Day/night rotation

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

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.

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

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.

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.

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

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

12-hour rotations; 7:00 AM - 7:00 PM & 7:00 PM - 7:00 AM

The Stepdown unit is designed to provide care for those who need less monitoring than those in the Critical Care or Intensive Care units, but still require more monitoring than those on the medical or surgical units. This area cares for complex patients with diagnoses such as Pre/Post surgical cardiothoracic, liver ,bowel and heart transplant, traumatic brain and /or spinal cord injuries, respiratory failure, and chronic ventilator patients. Patient age ranges from birth to 18 years of age.

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 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.

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.

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.

All ages of pediatric patients - admitted with the following diagnosis: Cardiac Disorders, Pulmonary, any Post-op Surgery, patient with ENT, Neurosurgery, Urology, Orthopedic Surgery, or Pediatric GI.

5300 Practices the "team" concept with primary nursing. We do have LPN's & NCA's on each shift.