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Registered Nurse

2 months ago

Mebane NC United States Duke Health Full time

Registered Nurse - Behavioral Health Rounding Nurse - Duke Regional Hospital

Shift Information

Full-time; 36 hours per week.
Day Shift 10:00AM-10:00PM


Hospital Overview

Duke Regional Hospital Duke Regional Hospital offers the personal touch and hometown feel of a community hospital while serving as an essential arm of internationally recognized Duke University Health System. Duke Regional has served Durham, Orange, Person, Granville and Alamance counties for more than 45 years. To be successful at caring for our community and have a strong reputation among patients who seek our care, we have 3,500 team members who work together to provide exceptional, compassionate and equitable healthcare 24/7. We are a place of learning and acceptance for team members just starting their careers, as well as an institution of family culture and professional development for employees who have served for decades in our hospital units.Duke Regional has 388 inpatient beds and offers a comprehensive range of medical, surgical and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. We also offer care at our Duke Rehabilitation Institute, Davis Ambulatory Surgical Center, Duke Ambulatory Surgery Center Arringdon, Health Services Center, and Duke Behavioral Health Center North Durham. In fiscal year 2021, Duke Regional Hospital admitted 16,422 patients, performed 18,152 surgeries and welcomed 2,673 babies into the world. U.S. News & World Report ranked Duke Regional Hospital as #9 in North Carolina and #4 in the Raleigh-Durham area for 2021-22. The Human Rights Campaign consistently names us a Healthcare Equality Leader, and we are a Joint Commission-accredited and Magnet-designated hospital.


Duke Nursing Highlights:

* Duke University Health System is designated as a Magnet organization
* Nurses from each hospital areconsistently recognized each year as North Carolina's Great 100 Nurses.
* Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
* Duke University Health System has 6000 + registered nurses
* Quality of Life: Living in the Triangle
* Relocation Assistance (based on eligibility)

General Description of this Role

The Behavioral Health Rounding Nurse (BHRN) provides support and education to nursing staff to optimize care for patients with a wide variety of behavioral needs in non-Behavioral Health locations, including the medical and surgical floors, Clinical Decision Unit (CDU), Obstetrics (L&D, 4-3), Critical Care Unit (CCU), and the Duke Rehabilitation Institute (DRI, 7-3). They are considered the first-line respondent for behavioral concerns in non-behavioral health settings for both emergent and routine issues. One way to think of the BHRN is as an adaptation of the ENIT (Early Nurse Intervention Team) Nurse. While the ENIT provides bedside access to staff specializing in managing medical emergencies and proactively intervening in patients with changes in medical conditions, the BHRN has an analogous role in behavioral emergencies and changes in behaviors.

The BHRN is both a member of the Nursing staff, as well as a member of the Psychiatry Consultation-Liaison team (alongside the Psychiatrist and Behavioral Health Case Manager), and functions as a liaison between the two. The support and education they provide is through various interventions, including proactively rounding on certain at-risk patient populations; responding to consultation requests from nursing through a Behavioral Health Nurse consult order; leading Behavioral Emergency Responses; and offering spontaneous education and support during rounding. The BHRN may recommend Interdisciplinary Behavioral Rounds for optimizing care on specific patients with behavioral needs. Some additional, non-clinical responsibilities of the BHRN include completing suicide screening, restraint audits as well as restraints education


Duties and Responsibilities of this Role

* Plan, provide, and document professional nursing care, utilizing the nursing process, by physician orders and established policies and procedures under the supervision of the team leader or charge nurse.
* Delegate tasks and supervise the activities of other licensed and unlicensed care providers.
* Assist other healthcare personnel in the delivery of patient care. Participate in maintaining the environment of care including equipment and material resources.
* Prioritize work organization and identify resources available to assist in completing components of care promptly.
* Participate in 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 or operational performance improvement opportunities and assist in performance improvement activities.
* Perform other related duties incidental to the work described herein.

Minimum Qualifications

Education

* Work requires graduation from an accredited BSN program.
* Registered Nurses who do not have a Bachelor's degree in Nursing (BSN) or higher will be required to enroll in an appropriate BSN program within two years of their start date, and to complete that program within five years of their start date in this role.
* Exception: Registered nurses hired between July 1, 2014, and April 11, 2021, without a Bachelor's degree in Nursing (or higher) are encouraged to enroll in an appropriate BSN program within two years of their start date but must complete the program within five years of their start date. Registered nurses hired before July 1, 2014, are not required to enroll in a BSN program to remain in this job classification.

Experience

* No previous RN experience is required for New Graduate Registered Nurses
* One year of RN experience is required for Level II Registered Nurses

Degrees, Licensures, Certifications

* Must have current or compact RN licensure in the state of North Carolina.
* BLS required.

Knowledge, Skills, and Abilities

* Knowledge of scope of the registered nurse, licensed practical nurse and NCA
* Knowledge of and appropriate application of the nursing process
* Knowledge of professional theory, practice and procedure
* Ability to assess nursing needs of acute and chronically ill patients and their families
* Ability to independently seek out resources and work collaboratively
* Ability to establish and maintain effective working relationships
* Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others
* Ability to teach patients and families in accordance with the nursing plan of care
* Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up
* Ability to use fine motor skills
* Competent in BLS and/or other specialized life support requirements designated by work area
* Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status
* Ability to use computer and learn new software programs
* Able to document and communicate pertinent information using computer and/or paper documentation tools
* Ability to navigate the entity to provide clinical care for patients
* Ability to withstand prolonged standing and walking.
* Ability to remain focused and organized
* Working knowledge of procedures and techniques involved in administering routine and special treatments to patients
* Working knowledge of infection control procedures and safety precautions
* Working knowledge and completion of appropriate JCAHO and other regulatory requirements
* Pre-employment Physical Capacity Testing Required

Duke 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 essentialjob 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.