Registered Nurse (RN) at Duke Health

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 Regional Hospital

Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina, which ranks as the number four hospital in the Raleigh-Durham, North Carolina area, according to U.S. News and World Report for 2023-2024. Duke Regional Hospital is the second largest of Duke Health's three hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.

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 the Job Class

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 Level

Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures. Use professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care.

Delegate tasks and supervise the activities of other licensed and unlicensed care providers.

Assist other nursing personnel in the delivery of nursing care and act as team leader or charge nurse for a group of patients or an entire unit as assigned.

Monitor and initiate corrective action to maintain the environment of care including equipment and material resources.

Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.

Act as preceptor and support the development of other staff and formal learners.

Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities.

Perform other related duties incidental to the work described herein.

Required Qualifications at this Level

Education

Work requires graduation from an accredited BSN program.

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

Twelve months of appropriate clinical experience is required. At a manager's discretion, employees with 6 months of experience who are exceptional performers may be eligible for this level.

Degrees, Licensure, and/or Certification

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.

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