Nurse Manager - Emergency Department - CEU and Clinical Transport Team

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Clinical Transport Team and Clinical Evaluation Unit Profiles:

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.

The Emergency Department Clinical Evaluation Unit (CEU) is a 16 bed acute care unit which provides care to patients across multiple service lines and levels of care, excluding pediatrics and ICU, with our collective goal being to decompress the emergency department. This care team, consisting of RNs and ED Techs, will care for a population of emergency department observation patients, with a stay of 24 hours-or-less, by following a variety of standard protocols in collaboration with an ED provider.

Duties and Responsibilities of this Level

Manage and supervise functions of assigned patient care area on a 24 hour basis.  

Ensure effective delivery of clinical patient care and compliance with administrative and clinical policies and procedures.

• Participate in the development of the clinical areas' strategic and operational plans
• Actively support and promote a professional practice model that encourages staff participation in the development of clinical standards that is collaborative, collegial and utilizes current trends and data in professional practice (clinical and administrative).
• Openly support and consistently communicate mission of the unit/department and the organization.
• Serve as the collective voice for unit(s) staff to communicate with administration.
• Serve as the staff and patient advocate to ensure optimal patient care.
• Interface with patients and families to ensure that care is consistent with their expectations.
• Ensure active use of the nursing process for patients from pre-admission/admission to discharge and beyond (based on the clinical setting).
• Serve as a professional role model and mentor to staff by responding positively to change while supporting colleagues through the change process.
• Serve as a change agent to facilitate communication and transition that supports the mission of the organization.
• Ensure a unit-based work force that is diverse and cognizant of the value diversity brings to the workplace.
• Assure coordination/participation of unit based staff on department and organization wide councils/committees.
• Manage, supervise and coordinate delivery of patient care for assigned patient care area on a 24 hour basis. Ensure compliance with clinical patient care standards and established policies and procedures.
• Maintain clinical competencies for assigned clinical area and provides bedside care as needed. Assess/coach and evaluate staff level of practice.
• Develop programs that foster continued clinical development from novice to expert to positively impact on patient care and career satisfaction of staff.
• Maintain required unit records, reports and statistics for administrative purposes, ensures compliance with established hospital policies, procedures, objectives, quality control (POCT); PI, safety, environmental and infection control.
• Communicate requirements to staff, and hold staff accountable to established requirements. Coordinate the development, implementation and evaluation of policies and procedures designed to improve operational efficiency. Coordinate QC/PI activities with appropriate staff.
• Oversee various personnel actions including, but not limited to, hiring, performance appraisals, disciplinary actions, terminations and other related activities.
• Plan, schedule and organize work for group ensuring proper distribution and delegation of assignments and efficient utilization of personnel, space and facilities; overall accountability for the requisition, care and maintenance of unit inventory, equipment and supplies.
• Coordinate the activities of nursing staff with other hospital personnel; accountable for the effective and efficient operation of the unit and staff including ensuring that orders, treatments, plans of care, clinical pathways are being carried out in a manner supportive of patient care and recovery.
• Ensure documentation of patient care is complete and accurate in accordance with hospital and unit policies and procedures.
• Collaborate with the Director of Clinical Operations to determine fiscal requirements of assigned unit(s), and prepare budgetary recommendations.
• Monitor the level of resources utilized in service delivery and determines the appropriateness of resource consumption in the service. Develop action plans in conjunction with the Director of Clinical Operations to ensure budget and resource efficiency, and satisfaction with patient care delivery.
• Perform other related duties incidental to the work described herein.

Education:

• Bachelor's degree in Nursing is required.
• Master's degree in Nursing strongly preferred.

Experience:

• Three years of experience in outpatient nursing is required
• 1 or more years of leadership experience (as a clinical supervisor or manager in nursing) preferred.
• 1 or more years of experience in an Emergency Department

Degrees, Licensure, and/or Certification:

• Must have current or compact RN licensure in the state of North Carolina.
• BLS certification required.
• Nurses hired into leadership positions must obtain a nursing leadership certification within one year of hire.
• New nurse leaders who are ineligible to sit for an exam because they have not been working in a leadership role for the minimum amount of time required must complete their certification within three months of becoming eligible.

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.