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Advanced Clinical Nurse Specialist

2 months ago

Durham, North Carolina, United States Duke University Full time

At Duke Health, our mission is to provide exceptional care that positively impacts the lives of patients, their families, and the wider community.

About Duke University Hospital

Embrace your passion for healthcare at Duke University Hospital, located in Durham, North Carolina. This facility is consistently recognized among the top hospitals in the United States and holds the title of the leading hospital in North Carolina, as reported by U.S. News and World Report. Duke University Hospital is the largest of the three hospitals within Duke Health, boasting 1,048 patient beds and 65 operating rooms, alongside comprehensive diagnostic and therapeutic services, including a regional emergency/trauma center and an endo-surgery center.

Compensation and Benefits

- $7,500 Commitment Bonus (distributed in two equal payments of $3,750 each on the 6-month and 12-month anniversaries)

- $8,000 relocation budget for those moving 50 miles or more to be closer to Duke

Job Location

Infusion Centers throughout the Duke University Health System

Position Overview

The Infusion Clinical Nurse Specialist (CNS) at Duke Health collaborates with healthcare professionals to enhance patient care in the non-oncology outpatient infusion environment. This role serves as a knowledgeable resource and consultant to nursing staff, providing evidence-based clinical expertise to patients. The Infusion CNS embodies the roles of clinician, educator, investigator, consultant, role model, and leader. They utilize current research, concepts, principles, theories, and outcomes to address complex clinical challenges. The Infusion CNS is a proactive and inspiring role model for nursing staff, playing a vital part in a multidisciplinary team dedicated to excellence in patient care, research, education, and nursing leadership.

Key Responsibilities

  1. Direct Patient Care
  • Conduct thorough and precise patient assessments.
  • Integrate assessment data, advanced knowledge, and experience to address clinical issues suitable for CNS intervention.
  • Implement evidence-based clinical practice guidelines tailored to individual patient needs.
  • Support the development, execution, and evaluation of practice standards, guidelines, policies, procedures, and protocols.
  • Design and implement evidence-based clinical interventions to achieve targeted patient and system outcomes.
  • Prescribe nursing interventions, diagnostic measures, and treatments in accordance with professional standards and regulations.
  • Evaluate nursing practice outcomes for safety, effectiveness, efficiency, and patient-centered care.
  • Differentiate between individual patient care modifications and those requiring system-level changes.
  • Coordinate patient care utilizing system and community resources to ensure successful health transitions and optimal outcomes.
  1. Education and Mentorship
  • Assess the educational needs of nursing staff and implement relevant training opportunities.
  • Participate in the education of nurses and other healthcare providers across various educational levels.
  • Contribute to the advancement of the nursing profession by sharing expert knowledge through presentations and publications.
  • Mentor healthcare professionals in the application of evidence-based practices.
  • Utilize advanced communication skills to foster effective clinical teams.
  • Lead conflict resolution and negotiation efforts within the healthcare system.
  • Identify and address patient and family education needs.
  • Guide patients and families in navigating the healthcare system.
  • Develop and evaluate patient education resources and programs tailored to diverse learning needs.
  • Provide education to individuals and communities to enhance understanding and functioning across the wellness-illness spectrum.
  1. Collaboration and Communication
  • Assist staff in creating innovative, cost-effective care programs or protocols.
  • Evaluate the quality and effectiveness of interdisciplinary communication and collaboration.
  • Establish collaborative relationships across departments to promote patient safety and clinical excellence.
  • Facilitate communication within and between agencies.
  • Lead efforts to enhance collaborative relationships to meet clinical needs.
  • Work collegially with medical staff and other healthcare team members to improve health outcomes.
  1. Leadership and Systems Improvement
  • Support the delivery of competent care by staff through education and quality monitoring.
  • Exemplify advanced nursing practice through professional conduct and ethical decision-making.
  • Conduct assessments to identify factors influencing nursing practice and outcomes.
  • Determine interventions that promote safety for patients, families, and communities.
  • Implement strategies to encourage the adoption of evidence-based practices.
  • Foster a supportive and healthy work environment.
  • Promote interdisciplinary collaboration to enhance care through outcome-focused programs and clinical research.
  1. Quality Improvement and Research
  • Analyze research findings for their applicability to clinical practice.
  • Integrate evidence into patient management across various health statuses.
  • Apply quality improvement principles to all aspects of patient care.
  • Identify barriers to the adoption of evidence-based practices.
  • Design programs for effective implementation of research findings in clinical settings.
  • Encourage a culture of clinical inquiry.
  • Engage in quality improvement initiatives at various organizational levels.
  • Utilize quality monitoring data to assess clinical program effectiveness.
  • Lead the design and evaluation of process improvement initiatives.
  • Participate in research activities.
  1. Ethical Practice and Advocacy
  • Engage in self-evaluation and seek feedback on professional practice.
  • Promote accountability in oneself and others.
  • Facilitate the resolution of ethical dilemmas.
  • Assist patients and families in understanding healthcare options to support informed decision-making.
Qualifications

Education
  • Graduate of an accredited MSN or DNP Adult-Gerontology Clinical Nurse Specialist program.
Licensure
  • Current unrestricted RN license recognized by the NCBON with authorization to practice as a Clinical Nurse Specialist.
Certification
  • Clinical Nurse Specialist, Adult-Gerontology (AGCNS-BC or ACCNS-AG).
  • Note: NPs and PAs are not eligible; this position is exclusively for CNS educated/certified individuals.
Experience
  • A minimum of 3 years of RN clinical experience is required.
  • Infusion experience is preferred.
Physical and Mental Requirements:
  • Knowledge of nursing theory, clinical standards, and the role of a nurse clinician.
  • Able to independently seek resources and collaborate to solve complex issues.
  • Effective communication skills with diverse stakeholders.
  • Ability to process and prioritize information for health assessments and interventions.
  • Competence in using fine motor skills.
  • Proficient in documentation and report preparation.
  • Ability to learn new software programs.
  • Leadership capability in clinical expertise and organizational goals.
  • Capacity to navigate the healthcare system effectively.
  • Ability to withstand prolonged periods of standing and walking, with the capacity to lift at least fifty pounds.
  • Strong organizational skills.
  • Collaborative approach with all personnel levels.
Work Schedule

1.0 FTE position, Monday-Friday, 8am - 5pm, with additional hours as necessary to fulfill job responsibilities.

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunities without regard to 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 flourishes with the rich diversity of our perspectives, backgrounds, and experiences. To achieve this, it is essential that all community members feel secure and welcome, that contributions are respected, and that all voices are heard. Each member of our community has a responsibility to uphold these values.

Essential Physical Job Functions: Certain roles at Duke University and Duke University Health System may include essential job functions requiring specific physical and/or mental abilities. Additional information and provisions for reasonable accommodation will be provided by each hiring department.