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 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.

U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.

Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.

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 recognizedeach 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!

The Life Flight Code Team Nurse will perform a variety of activities within their scope of practice to include the delivery of high quality emergency care as a rapid response team tending to ill or injured persons of all ages in designated areas of the DUH campus. This rapid response utilizes an advanced life support (ALS) care delivery model to stabilize, resuscitate or administer care needed within the scope of the ALS Emergency Nurse.

Job Summary:
As an Experience RN/Clinical Nurse with Duke University Health System, you will make providing service your priority while caring for the whole person in a patient-centered atmosphere. The Experience RN/Clinical Nurse (RN) is responsible for providing and supervising direct and indirect total nursing care responsibilities. Utilizing the nursing process (assessing, planning, implementing and evaluating) in achieving the goals of the nursing department. Plan and provide advanced and/or specialized nursing care for patients in guided by DUHS Professional Practice model participate in the clinical ladder program, educational activities, departmental committees, research projects or other health related projects as assigned. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Adheres to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

Responsibilities & Duties:

• Obtain pertinent history and perform a physical examination based on comprehensive knowledge, advanced skills and sound professional judgement.
• Obtain historical data from an environmental survey, attending medical personnel, patient or significant other, and existing documentation.
• Complete a systematic, rapid primary assessment and a prioritized secondary survey.
• Analyze and assess available diagnostic data.
• Revise plan of care as new information becomes available.
• Provide an emergency level of care environment with qualified personnel capable of initiating advanced skills in order to stabilize and resuscitate ill or injured adult and pediatric patient populations. Initiate appropriate, timely interventions, per program protocols, in a priority sequence.
• Utilize Advanced Skills prioritizing the patient's needs based on potential or actual needs. (i.e. needle decompression of tension pneumothoraces and intraosseous line insertion).
• Proficient and competent use of advanced and basic life support equipment.  i.e. noninvasive blood pressure monitor, pulse oximetry, EKG monitor / defibrillator, external pacemaker, portable suction and airway adjuncts. Communicate essential information to all appropriate members of the healthcare team. Evaluate patient progress, analyze data, and modify the planning and implementation of care based on patient response throughout the transfer process. Maintain contact with and utilize Medical Control to deviate from established protocols.
• Provide comfort and optimal physiological and psychological support in a changing environment.
• Provide protection and adapt patient care in response to changing environmental conditions. (i.e. noise, precipitation, wind, heat, cold and humidity). Assess the immediate emotional status of the patient and anticipate changes needed in the plan of care. Provide patient and family with information regarding transport process.                             
• Communicate between referring unit staff and receiving healthcare professionals to ensure continuity of care where applicable. Obtain report from referring unit personnel where applicable. Document patient assessment, re-assessment and care provided on the electronic medical record system utilized by Duke Life Flight (Zoll - emsCHARTS). Utilize appropriate radio procedures to communicate during movement of patient or team.
• Act as a liaison between patients, families, referring healthcare professionals and DUHS staff.
• Plan, organize and maintain equipment and supplies for use before, during and after emergency response calls. Perform inventory of code team supplies / equipment every shift with restocking after each call is complete. Maintain equipment repair as needed.
• Provide and maintain a safe environment for fellow code team members, the patients, assisting agencies, and ancillary personnel.

• Usage of all safety equipment (i.e. fire extinguishers)
• General DUH campus procedures, emergency codes and announcements
• Environmental survival
• Keep proficient with managing crowds, critical thinking and decision making
• Preparation and loading of the patient where applicable
• All persons and equipment are secured at all times

• Stay proficient in use of all Code Team emergency equipment (i.e. Stryker stretchers and LUCAS device, response packs, portable suction, monitor/defibrillator, glucometer, medications)

Work Hours & Shifts:
Full Time:  3 – 12 hour shifts (36 hrs/week)

Rotating Shifts: 7a – 7p or 7p - 7a
Location: Duke University Hospital Campus

Knowledge, Skills, Education, and Experience Preferred:

• A minimum of two years current Emergency Department nursing experience as a registered nurse (RN). Additional pre-hospital experience in a Paramedic or EMT role preferred
• Physically fit to allow for functional movement in confined spaces encountered on DUH campus when responding to emergency calls
• Current certification in BLS, ACLS, PALS
• Successful completion of Code Team Response nurse orientation
• CBO to be completed within 1 year of hire date
•  Demonstrated excellent communication and interpersonal skills.
• Ability to work in a diverse, autonomous environment.

Licensure, Certification or Registration Required:

• Graduation from an accredited Bachelor's Degree in Nursing (or higher), Associate's Degree in Nursing or Nursing Diploma program is required.
• All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within five years of their start date

• Current registration with North Carolina State Board of Nursing as a registered professional nurse OR current compact RN licensure to practice in the state of North Carolina required.
• BLS (or higher) certification required.
• Professional specialty certification (preferred) –NRP, ITLS, PHTLS, BTLS, TNCC or TPATC.

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.