Clinical Nurse II- Mohs Surgery

Duke University Health System; Durham (NC); On-site; USD 75,000 - 95,000; Full time

Job summary

Duke Health Integrated Practice is seeking a dedicated Clinical Nurse for the Mohs Ambulatory Clinic in Durham. The role plans and provides professional nursing care aligned with physician plans and clinic policies for Mohs procedures and post-operative care.

You will educate patients and families, coordinate pre-op readiness, assist in surgeries, and participate in ongoing professional development and team communication to ensure safe, efficient patient flow and care quality.

Qualifications

• Graduation from an accredited BSN or RN program or Nursing Diploma.
• All RN without a BSN must enroll in a BSN program within two years and complete within five years.
• Twelve months of clinical experience required, exceptional performers may qualify with six months.
• Current NC RN licensure; BLS required.

Responsibilities

• Provide direct patient care for Mohs patients, prep for Mohs layers and reconstructive surgery, assist with surgeries, and provide post-op care.
• Assess environment for patient safety and regulatory compliance (OSHA, JCAHO).
• Complete daily indirect care tasks: messaging, instrument processing, room stocking, photo uploads, charts, orders.
• Serve as nurse preceptor for new hires and assist with competency development.
• Maintain competencies, complete required trainings, and attend Mohs and nursing meetings.
• Promote exemplary customer service and effective communication within the team.
• Monitor clinic flow and address delays; inform leadership of prolonged queues.
• Collaborate to restructure assignments during staff shortages to maintain care.
• Ensure supplies and medications are available and not expired.
• Respect patients and families, minimizing disruption to their care.
• Perform related duties as needed.

Skills

Registered Nurse

Nursing

Patient education

Precepting

Education

BSN or RN diploma

Tools

Photo database

Instrument processing

Job description

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.

Duke Health Integrated Practice

https://careers.dukehealth.org/us/en/dhip

Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.

Job Location

5324 McFarland Dr #400, Durham, NC 27707

Job Summary

The Mohs Surgery Clinical Nurse independently plans and provides professional nursing care for patients in the Mohs Ambulatory Clinic setting in accordance with the medical and nursing plans of care along with established policies and procedures. He/She provides nursing services to patient and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.

Job Duties And Responsibilities

• Provide direct patient care for Mohs patients; intake & prep patients for Mohs layers and reconstructive surgery, assist providor with surgeries, provide patient education to patients and family members, post-op care to return patients, instrument processing, patient notification, tray prep, nurse triage.
• Assess the environment and make recommendations to ensure optimal patient comfort, safety and compliance with various regulatory bodies; OSHA, JCAHO, etc.
• Complete daily assignments for the completion of indirect patient care tasks required to support direct patient care activities. These tasks include but are not limited to; telephone messaging, cleaning and packaging instruments, room supply stocking/cleaning, uploading photographs in the photo database, upcoming surgery charts, and place orders as needed.
• Able and ready to act as a nurse preceptor for new hires. Assist with new staff competencies and skills development as outlined in the unit specific competency based orientation checklists and policies & procedures.
• Participate in your own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. These items include; OESO/LMS trainings due in September, BLS, Nursing Licensure. This also includes attendance in the mandatory monthly Mohs staff meetings and nursing meetings.
• Cultivate exemplary customer service throughout the organization; promote effective communication skills to include, but not limited to problem solving, assertiveness, and support for team members, feedback, active listening and conflict resolution.
• Monitor clinic flow and identify measures to facilitate the movement of patients through all aspects of their visit. Inform HCA, NM or Nurse Team Lead of prolonged delay.
• Collaborate together and with the NM or Team lead to restructure assignments in the event of staff “call-out’s” to maintain patient care and daily clinic operation.
• Collaborate with clinic leadership to ensure equipment and supplies are readily available for patient care. Monitor supply and medication inventory. Ensure no medications or supplies are expired. Report and discard expired per policy. Alert specific personnel mentioned above when supplies are needed.
• Recognize that our patients, families and coworkers have a sense of urgency and show them that we value their time, ensuring they never feel they are an interruption of our work, but rather the reason we are here.
• Perform other related duties incidental to the work described herein.

Job Eligibility Requirements

• Work requires graduation from an accredited BSN or Associate's Degree in Nursing or Nursing Diploma program.
• 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.
• Twelve months of appropriate clinical experience is required. At a managers discretion employees with 6 months of experience who are exceptional performers may be eligible for this level.
• Must have current or compact RN licensure in the state of North Carolina. BLS required.

Job Schedule

The schedule for this position is day shifts, Monday-Friday, with no weekends or holidays. Shifts will be scheduled as 4-10 hour shifts.

Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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 essential job 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.