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Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently 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)

Clinical Services Nurse II - Wound Ostomy Continence

Job Summary

The Wound, Ostomy, and Continence Clinical Service Nurse (WOC CSN) provides care to patients with stomas, draining wounds, or incontinence, throughout the organization.  This includes utilization of clinical expertise to provide preoperative and postoperative care, counseling, and teaching to patients 0-99 years of age in need of wound, ostomy, and / or continence management.  The WOC CSN's primary responsibility is to educate nurses to ensure knowledge and competency in basic wound, ostomy and continence management; and works collaboratively with the interdisciplinary team in a variety of specialties in planning and coordinating the care.  The WOC CSN is an integral part of multiple teams, as a clinician, educator and consultant.

Job Responsibilities and Standards

Plan and provide professional nursing care for patients in accordance with physician orders and established policies and procedures (Direct Care):

• Identifies patient caseload through referrals and active case finding.
• Conducts complete and accurate patient assessment
• Provides specialized nursing treatment, care and education to patients with wounds.
• Provides specialized nursing treatment, care, stomal siting, and education to patients undergoing urinary or stool diversion in accordance with physician/nursing orders and established policies and procedures.
• Provides specialized nursing treatment, care, and education to patients with draining wounds or requiring continence management or other specialized urologic interventions (such as clean intermittent self-catheterization or continuous bladder irrigation)
• Selects, develops and/or implements evidence-based clinical interventions and systems to achieve defined patient and system outcomes. 
• Serves as a resource to patients and families, providing preoperative counseling and follow-up problem solving after discharge from the hospital.
• Utilizes comprehensive assessment skills in the evaluation of stoma and wound care products and supplies in an effort to provide quality, cost-effective care

Assist patients and families with the understanding of their diagnosis and the management thereof (Coaching):

• Identifies patient/family education needs and priorities.  
• Coaches patients and families to help them navigate the healthcare system.
• Utilizes teaching and learning theories to assist patients and families with physical and emotional impact of body changes and chronic illness.  Provides additional information/community resources to enhance the patient's quality of life as it relates to the alterations in body image and life style.
• Participates in developing, implementing and evaluating patient education resources and programs appropriate to the patient's developmental level, health literacy level, learning needs, readiness to learn, and cultural values and beliefs.
• Assesses learning needs of nursing staff; participate in planning and implementing appropriate educational forums and opportunities to address critical learning needs and skills.

Assist nursing personnel in the delivery of nursing care functioning as an integral member of the multidisciplinary team (Consultation, Collaboration and Leadership):

• Establishes collaborative relationships within and across departments that promote patient safety, culturally competent care, and clinical excellence
• Serves as a resource and consultant to nursing members of the healthcare community and to the larger community in areas of wound, ostomy, and continence management strategies.
• Practices collegially with medical staff and other members of the healthcare team
• Participates in and supports accreditation and regulatory activities of Duke Hospital.
• Facilitates the provision of clinically competent care by staff/team through education, role modeling, teambuilding, and quality monitoring.
• Role models advanced practice professional nursing through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, continuous learning and problem-solving skills
• Uses effective strategies for changing clinician and team behavior to encourage adoption of evidence-based practices and innovations in care delivery.

Assist in the development and implementation of general policies and procedures and quality improvement designed to effect efficiency of operations (Evidence-Based Practice and Quality Improvement):

• Participates in nursing and interdisciplinary process improvement projects, product evaluation, outcome evaluation studies, and / or clinical research
• Uses quality-monitoring data to assess the quality and effectiveness of clinical programs in meeting outcomes.
• Promotes evidence-based practice through participation in developing, implementing, and evaluating process standards such as plans of care, protocols, and guidelines.
• Applies principles of evidence-based practice and quality improvement to all patient care.

Requirements to apply

Education     

• Graduate of an accredited BSN program

          Exception - RNs hired after July 1, 2014 without a BSN (or higher) are expected to enroll in an appropriate BSN program within 2 years of their start date and must complete the program within 5 years of their start date.  RNs hired before July 1, 2014 are not required to enroll in a BSN program to remain in this job classification.

Licensure      

• Current licensure as a Registered Nurse issued by the NCBON

Experience

• Minimum 1-year applicable RN clinical experience is required. 

          At a manager's discretion, high performing Duke RNs with 6 months experience may be considered.

Certification  

• Nationally recognized certification in Wound and Ostomy management is required.
• Continence certification preferred

Job Schedule            

• Monday-Friday, 8am - 5pm, Occasional weekend and holiday coverage

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.

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About Duke University Health System

As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.

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