Registered Nurse / CSNII / Pediatric Transplant and Cellular Therapy

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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.

Job Location
Duke University Hospital

Job Summary
The Pediatric Transplant and Cellular Therapy (PTCT) Clinical Service Nurse provides clinical expertise and care coordination to children ages 0-21 years referred for bone marrow or stem cell transplantation. In addition, s/he actively participates in the professional development of nursing staff. The PTCT Clinical Service Nurse is an integral member of the PTCT interdisciplinary team and of the Center of Advance Practice, collaborating with his/her colleagues to improve outcomes in the physical, psychosocial, emotional, spiritual, and educational domains of the pediatric bone marrow transplant patient and family. The PTCT Clinical Service Nurse contributes to excellence in patient care and teaching in providing leadership to the organization.

Job Duties and Responsibilities
Clinical Expert
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Coordinate the evaluation of new patients and donors entering the Duke Pediatric Stem Cell Transplant system and serve as an ongoing clinical expert to patients and families
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Screen all patient referrals for appropriateness of PSCT/PTCT (in collaboration with the MD); assess availability of donors and screen as applicable.
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Schedule new patients for initial consultation with PTCT attending physicians and team members.
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Schedule and coordinate all necessary diagnostic and laboratory tests for pre-transplant work-up; obtain results and document appropriately; schedule work-ups specific to disease entity.
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Assess, schedule and coordinate patient/donor home health needs.
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Utilize comprehensive assessment skills to evaluate patient/donor results; collaborate findings with healthcare team.
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Arrange necessary pre-transplant surgical, interventional and diagnostic procedures including central line placement; coordinate other procedures with nurse practitioner and healthcare team.
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Complete all pre-transplant teaching prior to admission for transplantation (including but not limited to:

pediatric unit policies and guidelines, bone marrow function, blood counts, nutrition, chemotherapy, radiation therapy, side effects, risks, GVHD, supportive care, and prophylaxis medications).
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Participate in discharge plan of care at time of work-up.
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Telephone triage including, but not limited to: new patient referrals, general inquiries and long-term follow-up.
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Role model competence in advanced nursing skills

Coaching / Educator

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Identify PSCT/PTCT patient/family education needs and priorities.
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Coach patients and families to help them navigate the healthcare system.
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Participate 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.
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Provide education to individuals, families, groups and communities to promote knowledge, understanding and optimal functioning across the wellness-illness continuum.
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Assess learning needs of nursing staff; plan and implement appropriate educational forums and opportunities to address critical learning needs and skills.
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Participate in education of nurses and other health care providers.

Collaboration
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Assist staff in the development of innovative, cost effective programs or protocols of care
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Assess the quality and effectiveness of interdisciplinary, intra- agency, and inter-agency communication and collaboration.
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Establish collaborative relationships within and across departments that promote patient safety, culturally competent care, and clinical excellence
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Facilitate intra-agency and inter-agency communication.
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Provide leadership for establishing, improving, and sustaining collaborative relationships to meet clinical needs.
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Practice collegially with medical staff and other members of the healthcare team so that all providers’ unique contributions to health outcomes will be enhanced.

Professional Leadership and Development
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Facilitate the provision of clinically competent care by staff/team through education, role modeling, teambuilding, and quality monitoring.
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Role model advanced practice professional nursing through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, continuous learning and problem-solving skills
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Uses effective strategies for changing clinician and team behavior to encourage adoption of evidence-based practices and innovations in care delivery.
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Provide leadership in maintaining a supportive and healthy work environment.
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Assume responsibility for professional self-development.

Quality of work reflects high professional and ethical standards
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Demonstrate responsibility for professional practice through active participation in professional organization(s) and obtain a minimum of required Board of Nursing continuing education hours/year.

Research Utilization and Investigation and Quality Improvement
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Cultivate a climate of clinical inquiry within clinical team
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Integrate evidence into the health, illness, and wellness management of patients, families, communities and groups
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Foster an interdisciplinary approach to quality improvement, evidence-based practice, research, and translation of research into practice
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Promote evidence-based practice through staff education and participation in developing, implementing, and evaluating process standards such as plans of care, protocols, and guidelines.
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Participate in establishing quality improvement agenda for unit, department, program, system, or population
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Use quality monitoring data to assess the quality and effectiveness of clinical programs in meeting outcomes.
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Educate patient and family about clinical trials, risks/benefits, protocols, and informed consent for PSCT/PTCT.
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Facilitate patient and family understanding of the risks, benefits, and outcomes of proposed healthcare regimen to promote informed decision making.

Job Eligibility Requirements

Education
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Graduate of an accredited BSN program

License
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Current unrestricted RN license issued by or recognized by the NCBON

Certification
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CPHON® and/or BMTCN® Certification preferred

Experience
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Minimum 1-year applicable RN clinical experience is required

OR equivalent combination of relevant education and/ or experience

Physical and mental requirements:
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Knowledge of professional nursing theory and clinical practice standards.
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Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others.
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Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up.
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Able to use fine motor skills
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Able to record activities, document assessments & interventions; prepare reports and presentations
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Able to use computer and learn new software programs
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Able to provide leadership in clinical area of expertise and in meeting organizational goals
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Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations
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Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds
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Able to remain focused and organized

Job Hours
1.0 FTE position, Monday-Friday, 10-hour day shift. Occasional weekend and holiday coverage may be 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.