Assistant Nurse Manager (RN) ED Adult Boarder Unit & Clinical Transport - Duke University Hospital
Duke University Health System
Location: Durham, North Carolina
Internal Number: 196277
Duke University Hospital
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!
The Emergency Department Adult Boarder Unit (EDABU) was developed to support the Emergency Department and Inpatient units that admit intermediate-level patients. The EDABU care team cares for 8-16 patients, Monday through Friday, which have been admitted and are awaiting an inpatient bed assignment. The team responsibilities include; providing nursing care that is inclusive of acting on admission orders, transporting and monitoring of patients facilitating treatment as ordered/directed, and other duties as assigned. Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience every time.
The Clinical Transport Team (CTT) at Duke is an intra-hospital transport team of nurses who strive to deliver exceptional care to ensure an excellent patient experience. Primary responsibilities include transporting and monitoring of patients to diagnostic or interventional tests when it is not feasible to perform procedures and tests at the bedside utilizing evidence-based mechanisms to reduce adverse events and maintain the level of care that the patient is receiving on the unit itself.
Work Hours & Shifts:
Full-Time - 40 hours per week (Monday – Friday)
The Assistant Nurse Manager, RN (ANM) is a role developed to work in coordination with the nursing leadership in an assigned unit, department or service to ensure the work is accomplished safely and effectively. The ANM serves as leadership support for staff, physicians and other related providers on service- specific clinical issues. The ANM requires demonstration of leadership, clinical, and interpersonal skills. The ANM collaborates with the manager on clinical and non-clinical operations related to the designated service area. The ANM serves as the leader support for the unit/department/service when the manager is unavailable. The ANM is responsible for supervising, directing, coaching and mentoring staff under the supervision of the nurse manager of operations (NMO).
Duties and Responsibilities
Duties and responsibilities include those required of the clinical nurse, preceptor, and charge nurse role. In conjunction with nurse manager, the assistant nurse manager will plan, coordinate clinical requirements for staff and ensure all CBO and CBE requirements for staff are current.
Plan and assist with coordination of unit staff schedules and submit for manager approval.
Coordinate clinical training requirements with staff regarding equipment and supplies.
Consult with preceptors and orientees on a regular basis to provide support and determine how orientation should proceed on an individual basis.
Assist NMO in preparation, oversight, maintenance and monitoring of budget utilization
Collaborate with the manager for issue resolutions and projects to improve work flow processes throughout the department utilizing a proactive approach.
Collaborate with different departments (pharmacy, radiology, lab, registration) to resolve issues and improve work flow processes throughout the department.
Participate with the nurse manager in the interview process and selection of new staff.
Oversee various personnel actions including, but not limited to, hiring, performance appraisals, disciplinary actions, terminations and other related activities.
Mentor/coach staff to enhance their professional development.
Assess the performance of assigned new hires and orientees including entry level nurses, nursing care assistants and health unit coordinators; provides ongoing feedback and coaching.
Understand and communicate potential clinical equipment or supply issues to appropriate support team members (Materials, Biomed, Sterile Processing, etc).
Mentor and monitor the preceptors for all new employees.
Facilitate provision of clinical/education updates and skill check-offs to entire staff on a regular basis.
Provide immediate support or education on policy, procedures, equipment and supplies as needed.
Responsible for learning, implementing and teaching new technology/procedures.
Provide clinical consultation and guidance as needed to facilitate patient care.
Round on patient and families to validate services are provided consistently within expected standards; provide service recovery as needed.
Model and support the value of diversity in the workplace
Give assistance and/or direction to staff to facilitate quality patient flow.
Supervise and coordinate delivery of patient care for assigned patient care area.
Provide oversight and support to charge nurse to ensure staffing needs/assignments are made according to workload, staff competency and scope of practice. Delegate responsibilities within the scope of practice and validated competencies in order to meet the workload demands of the shift.
Facilitate participation of unit based staff on department and organization wide councils/committees.
Facilitate assignments that support learning for the orientee or nurse learner.
Promote an atmosphere of open communication that facilitates staff input into decision-making, resolution of conflict, and collegiality among all health team members.
Communicate in an effective, professional manner.
Support activities needed to ensure adherence to regulatory standards and compliance with clinical patient care standards and established policies and procedures.
Review and provide appropriate follow up/communication on SRSs related to their team or patients in conjunction with NMO.
Facilitate and encourage staff participation in departmental and hospital committee and council meetings.
Attend departmental and hospital committee meetings as assigned.
Coordinate, facilitate, participate or direct departmental projects with follow-through and appropriate follow-up.
Other projects and duties as directed by the department manager.
Bachelor of Science degree in Nursing required.
Three years of experience in nursing practice
Degrees, Licensure, and/or Certification
Must have current or compact RN license in the State of North Carolina. BCLS certification is required.
Must obtain a nursing leadership certification within two years of hire of appointment.
Leadership experience (preferred)
Knowledge, Skills, and Abilities
Knowledge of scope of the registered nurse, licensed practical nurse and nursing care assistant
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
Able to independently seek out resources and work collaboratively
Ability to establish and maintain effective working relationships
Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others
Able to teach patients and families in accordance with the nursing plan of care
Able to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up
Able to use fine motor skills
Competent in BLS and/or other specialized life support requirements designated by work area
Able to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status
Able to use computer and learn new software programs
Able to navigate the entity to provide clinical care for patients
Able to withstand prolonged standing and walking
Able to remain focused and organized
Working knowledge of procedures and techniques involved in administering routine and special treatments to patients
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.
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.