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Trusted is seeking an experienced allied health professional for this exciting travel assignment. Trusted has streamlined the travel experience by enabling clinicians to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the thousands of nurses and allied health professionals across the country who have already made the switch to a more modern way to work. Shift: 7:00 PM - 7:30 AM Experience: • 12 months of experience with 3 months worked in the last 12 months., • 24 months of Neonatal Intensive Care Unit experience., • Experience with Epic is required., • Trauma Level 2 experience is preferred. Requirements: • Candidates must have a license (required after submission)., • Local & travel allowed. Candidates living <75 miles from facility will be processed as local., • 6 months gap required between for Staff at Program: Vaya Workforce Solutions - Duke Health and no current placement allowed at Program: Vaya Workforce Solutions - Duke Health. Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process. Additional Details: You must be able to complete labs within 48 hours of signing. Required Skills/Experience: - PEDS RRT w. NICU Experience. - Must have at least 2 years experience in NICU, pediatric critical care, and pediatrics along with ED. 2 years PICU experience. - Hard Stop Requirements: Level IV NICU Experience, Experience with High frequency jet ventilator. - Oscillating Ventilator pediatric cardiac anomalies. Preferred Skills/Experience: Teaching Hospital Experience. Trauma Level I Experience. Shift & Scheduling: Targeted start date - 6/1, 6/15, or 6/29. Weekend REQ: Yes, 6 weekend shifts per schedule. The schedule is published in 6 week blocks. 7 days maximum time off 1 Manager/Supervisor reference required from within the last 12 months 1 reference required from within the last 12 months Proof of identification required Certifications: • BLS (Basic Life Support), • NRP (Neonatal Resuscitation Program – 8th Edition), • ACLS (Advanced Cardiovascular Life Support), • PALS (Pediatric Advanced Life Support), • RRT (Registered Respiratory Therapist), • CRT (Certified Respiratory Therapist) • Skills Checklist: Yes, • References: Yes, • Job Type: Travel, • Nurse/Patient: – –, • Shift Type: Night, • Contract Date: 2026-06-01, • Expected Length: 13 weeks, • Hours per Shift: 12, • Shifts per Week: 3

Trusted is seeking an experienced allied health professional for this exciting travel assignment. Trusted has streamlined the travel experience by enabling clinicians to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the thousands of nurses and allied health professionals across the country who have already made the switch to a more modern way to work. Shift: 6:15 AM - 7:15 PM Experience: • 12 months of experience with 3 months worked in the last 12 months., • 24 months of Pediatric Respiratory Unit experience., • Experience with Epic is required., • Trauma Level 2 experience is preferred. Requirements: • Candidates must have a license (required after submission)., • Local & travel allowed. Candidates living <75 miles from facility will be processed as local., • 6 months gap required between for Staff at Program: Vaya Workforce Solutions - Duke Health and no current placement allowed at Program: Vaya Workforce Solutions - Duke Health. Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process. Additional Details: You must be able to complete labs within 48 hours of signing. Required Skills/Experience: • Must have at least 2 years experience in NICU, pediatric critical care, and pediatrics along with ED, • Level IV NICU Experience, Experience with High frequency jet ventilator, Oscillating Ventilator, pediatric cardiac anomalies, • Must also have documented PICU experience. 2 years peds experience min. Preferred Skills/Experience: Teaching Hospital Experience Shift & Scheduling: • Targeted start date - 6/1, 6/15, or 6/29, • Weekend Required: Yes, 6 weekend shifts per schedule. The schedule is published in 6 week blocks., • On call: N/A 7 days maximum time off 1 Manager/Supervisor reference required from within the last 12 months 1 reference required from within the last 12 months Proof of identification required Certifications: • BLS (Basic Life Support), • ACLS (Advanced Cardiovascular Life Support), • PALS (Pediatric Advanced Life Support), • NRP (Neonatal Resuscitation Program – 8th Edition), • CRT (Certified Respiratory Therapist) or the alternative certification RRT (National Board for Respiratory Care (NBRC)) • Skills Checklist: Yes, • References: Yes, • Job Type: Travel, • Nurse/Patient: – –, • Shift Type: Day, • Contract Date: 2026-06-01, • Expected Length: 13 weeks, • Hours per Shift: 12, • Shifts per Week: 3

Trusted is seeking an experienced allied health professional for this exciting travel assignment. Trusted has streamlined the travel experience by enabling clinicians to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the thousands of nurses and allied health professionals across the country who have already made the switch to a more modern way to work. Shift: 7:00 PM - 7:30 AM Experience: • 24 months of experience with 3 months worked in the last 12 months., • Experience with Epic is required., • Trauma Level 2 experience is preferred. Requirements: • Candidates must have a license (required for submission)., • Local & travel allowed. Candidates living <75 miles from facility will be processed as local., • 6 months gap required between for Staff at Program: Vaya Workforce Solutions - Duke Health and no current placement allowed at Program: Vaya Workforce Solutions - Duke Health. Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process. Additional Details: You must be able to complete labs within 48 hours of signing. Preferred Skills/Experience: Teaching hospital experience preferred. Community hospital experience preferred. Trauma Level I Experience. Unit Details: Infant, pediatric, and adult patient population. Shift & Scheduling: 4 weekend shifts per schedule (self-schedule is preference, not absolute). 7 days maximum time off 1 Manager/Supervisor reference required from within the last 12 months 1 reference required from within the last 12 months Proof of identification required Certifications: • BLS (Basic Life Support), • ACLS (Advanced Cardiovascular Life Support), • PALS (Pediatric Advanced Life Support), • RRT (Registered Respiratory Therapist) • Skills Checklist: Yes, • References: Yes, • Job Type: Travel, • Nurse/Patient: – –, • Shift Type: Night, • Contract Date: 2026-06-01, • Expected Length: 13 weeks, • Hours per Shift: 12, • Shifts per Week: 3

Trusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the thousands of nurses across the country who have already made the switch to a more modern way to work. Shift: 7:00 AM - 7:30 PM Experience: • 12 months of experience with 3 months worked in the last 12 months., • 24 months of Medical Surgical Unit experience., • Experience with Epic is preferred. Requirements: • Candidates must have a North Carolina license or compact license (required for submission)., • This role will require floating to multiple units, • Local & travel allowed. Candidates living <75 miles from facility will be processed as local., • 6 months gap required between for Staff at Program: Vaya Workforce Solutions - Duke Health and no current placement allowed at Program: Vaya Workforce Solutions - Duke Health. Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process. Additional Details: You must be able to complete labs within 48 hours of signing. Preferred Skills/Experience: Previous Charge Experience Teaching Hospital Experience Community Hospital Experience Unit Details: Adult and geriatric patient population. Wide variety of medical diagnoses including diabetic complications, respiratory diagnoses, rectal bleeding, altered mental status, abdominal pain, cellulitis, seizures, hypothermia, and non-cardiac diagnoses requiring telemetry monitoring. Stepdown patients are in the general mix, including insulin drips, rescue BiPAP, and phenobarbital loads for alcohol withdrawal; these patients are assigned 4:1 staffing. Shift & Scheduling: Every other weekend. 4 weekend shifts per contract. 7 days maximum time off 1 Manager/Supervisor reference required from within the last 12 months 1 reference required from within the last 12 months Proof of identification required Certifications: • BLS (Basic Life Support) • Skills Checklist: Yes, • References: Yes, • License Type: registered, • License State: NC, • Job Type: Travel, • Nurse/Patient: 1/5, • Shift Type: Day, • Contract Date: 2026-06-01, • Expected Length: 13 weeks, • Hours per Shift: 12, • Shifts per Week: 3

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 HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. At Duke Home Health, you are able to meet patients where they are! By working as a home health nurse, you are able to help keep patients out of the hospital and in their homes where they are most comfortable. Duke HomeCare and Hospice provides innovative and thoughtful care by using an interdisciplinary team approach to achieve the best possible outcomes for patients, families and the communities for which they serve. In this role, you would have the opportunity to connect the patient with the right level of care at the right time. Duke HomeCare and Hospice differs from other home health companies in many amazing ways. Please see a list of some of those reasons below: • No call, • Manageable territories, • Commitment to safety for both patients and employees, • Mileage reimbursement rate equal to the current federal rate, • Extensive orientation of 20 weeks based on individual needs Shifts: (4) 10 Hour Shifts Friday, Saturday, Sunday and Monday JOB SUMMARY: Performs professional nursing care for patients in a primary care setting (the home or alternate site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. MAJOR JOB RESPONSIBILITIES: • Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient’s baseline needs and response to care., • Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care., • Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care., • Develop and implement an effective discharge plan for patients to begin at the initiation of services., • Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching., • Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills., • Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient., • Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance., • Assesse the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate., • Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards., • Complete documentation accurately, timely, concisely., • Medication reconciliation and education to prevent adverse events and readmission to hospital, • Observe patient’s reactions to medications and reports significant incidents to the physicians., • Communicate regularly with team members, caregivers, and physicians., • Follow infection control standard precautions and uses personal protective equipment as required., • Delegate and supervise care given by NCA’s/LPN’s., • Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient’s care needs., • Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness., • Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings., • Implement agency policy, procedures and objectives., • Work closely and collaboratively with agency billing staff to ensure accuracy of billing., • Maintain confidentiality of employee and patient information., • Exhibit an attitude which promotes harmony and goodwill in the workplace., • Display a clean, neat, professional appearance., • Participate in Performance Improvement Program., • Promote quality, comprehensive services through a team approach., • Perform other duties as assigned. Home Health • Case manage interdisciplinary team of clinicians caring for patients in the home., • Complete required OASIS Comprehensive assessments at admission, recertification, Resumption of care and discharge. This assessment determines patient reimbursement for Medicare and other episodic payors and also results in publicly reported patient outcomes and additional payment impacts related to value based purchasing, • Work with interdisciplinary team and patient providers to prevent re-hospitalization of the patient., • Be aware of patient insurance requirements and assures authorization for all services have been obtained., • Appropriate utilization of resources for patient including visit and supply utilization. WORK ENVIRONMENT AND REQUIREMENTS: Perform Patient care primarily in the patient’s residence or skilled nursing facility (>50%) Travel to and from patient residence PREFERRED QUALIFICATIONS Education and Formal Training • Associate Degree or Diploma, Nursing required, • Must have a current RN license in NC or compact RN licensure from participating state., • Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only) May renew during orientation, • Valid driver's license and current automobile insurance coverage. Professional Work Experience • 1-2 years of med-surgical, critical care or home health/hospice/infusion preferred, • Valid driver’s license and current automobile insurance coverage, • Prior experience in Home Health, Hospice or Infusion preferred, • Prior OASIS and PDGM experience preferred for home health Knowledge, Skills & Abilities • Working knowledge of Medicare and Medicaid regulations, including JCAHO and DFS standards, ICD-9 Coding., • Knowledge of scope of the registered nurse, licensed practical nurse and NCA, • Knowledge of and appropriate application of the nursing process, • 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, • 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 and technology, • Able to document and communicate pertinent information using computer and/or paper documentation tools, • Knowledge in wound identification and treatments, infusion and other advanced nursing skills, • Critical thinking skills and organization skills, • Working knowledge of infection control procedures and safety precautions, • Strong computer skills including MS Outlook, Word, Excel, preferred, • Excellent rapport, understanding, and communication with the patients and their family members, • Ability to work autonomously and independently in varying environments., • Able to withstand driving long distances, stooping, bending, lifting 20 plus pounds, and climb stairs 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.

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 HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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, • Qualityof Life: Living in the Triangle!, • Relocation Assistance (based on eligibility) At Duke Home Health, you are able to meet patients where they are! By working as a home health nurse, you are able to help keep patients out of the hospital and in their homes where they are most comfortable. Duke HomeCare and Hospice provides innovative and thoughtful care by using an interdisciplinary team approach to achieve the best possible outcomes for patients, families and the communities for which they serve. In this role, you would have the opportunity to connect the patient with the right level of care at the right time. Duke HomeCare and Hospice differs from other home health companies in many amazing ways. Please see a list of some of those reasons below: • No call or weekend requirements, • Manageable territories, • Commitment to safety for both patients and employees, • Mileage reimbursement rate equal to the current federal rate, • Extensive orientation of 20 weeks based on individual needs Shifts: Monday-Friday- 8 hour days JOB SUMMARY: Performs professional nursing care for patients in a primary care setting (the home or alternate site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. MAJOR JOB RESPONSIBILITIES: • Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient’s baseline needs and response to care., • Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care., • Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care., • Develop and implement an effective discharge plan for patients to begin at the initiation of services., • Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching., • Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills., • Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient., • Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance., • Assesse the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate., • Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards., • Complete documentation accurately, timely, concisely., • Medication reconciliation and education to prevent adverse events and readmission to hospital, • Observe patient’s reactions to medications and reports significant incidents to the physicians., • Communicate regularly with team members, caregivers, and physicians., • Follow infection control standard precautions and uses personal protective equipment as required., • Delegate and supervise care given by NCA’s/LPN’s., • Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient’s care needs., • Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness., • Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings., • Implement agency policy, procedures and objectives., • Work closely and collaboratively with agency billing staff to ensure accuracy of billing., • Maintain confidentiality of employee and patient information., • Exhibit an attitude which promotes harmony and goodwill in the workplace., • Display a clean, neat, professional appearance., • Participate in Performance Improvement Program., • Promote quality, comprehensive services through a team approach., • Perform other duties as assigned. Home Health • Case manage interdisciplinary team of clinicians caring for patients in the home., • Complete required OASIS Comprehensive assessments at admission, recertification, Resumption of care and discharge. This assessment determines patient reimbursement for Medicare and other episodic payors and also results in publicly reported patient outcomes and additional payment impacts related to value based purchasing, • Work with interdisciplinary team and patient providers to prevent re-hospitalization of the patient., • Be aware of patient insurance requirements and assures authorization for all services have been obtained., • Appropriate utilization of resources for patient including visit and supply utilization. WORK ENVIRONMENT AND REQUIREMENTS: Perform Patient care primarily in the patient’s residence or skilled nursing facility (>50%) Travel to and from patient residence PREFERRED QUALIFICATIONS Education and Formal Training • Associate Degree or Diploma, Nursing required, • Must have a current RN license in NC or compact RN licensure from participating state., • Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only) May renew during orientation, • Valid driver's license and current automobile insurance coverage. Professional Work Experience • 1-2 years of med-surgical, critical care or home health/hospice/infusion preferred, • Valid driver’s license and current automobile insurance coverage, • Prior experience in Home Health, Hospice or Infusion preferred, • Prior OASIS and PDGM experience preferred for home health Knowledge, Skills & Abilities • Working knowledge of Medicare and Medicaid regulations, including JCAHO and DFS standards, ICD-9 Coding., • Knowledge of scope of the registered nurse, licensed practical nurse and NCA, • Knowledge of and appropriate application of the nursing process, • 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, • 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 and technology, • Able to document and communicate pertinent information using computer and/or paper documentation tools, • Knowledge in wound identification and treatments, infusion and other advanced nursing skills, • Critical thinking skills and organization skills, • Working knowledge of infection control procedures and safety precautions, • Strong computer skills including MS Outlook, Word, Excel, preferred, • Excellent rapport, understanding, and communication with the patients and their family members, • Ability to work autonomously and independently in varying environments., • Able to withstand driving long distances, stooping, bending, lifting 20 plus pounds, and climb stairs 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.

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 HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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, • Qualityof Life: Living in the Triangle!, • Relocation Assistance (based on eligibility) At Duke Home Health, you are able to meet patients where they are! By working as a home health nurse, you are able to help keep patients out of the hospital and in their homes where they are most comfortable. Duke HomeCare and Hospice provides innovative and thoughtful care by using an interdisciplinary team approach to achieve the best possible outcomes for patients, families and the communities for which they serve. In this role, you would have the opportunity to connect the patient with the right level of care at the right time. Duke HomeCare and Hospice differs from other home health companies in many amazing ways. Please see a list of some of those reasons below: • No call or weekend requirements, • Manageable territories, • Commitment to safety for both patients and employees, • Mileage reimbursement rate equal to the current federal rate, • Extensive orientation of 20 weeks based on individual needs Shifts: Monday-Friday- 8 hour days JOB SUMMARY: Performs professional nursing care for patients in a primary care setting (the home or alternate site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. MAJOR JOB RESPONSIBILITIES: • Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient’s baseline needs and response to care., • Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care., • Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care., • Develop and implement an effective discharge plan for patients to begin at the initiation of services., • Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching., • Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills., • Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient., • Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance., • Assesse the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate., • Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards., • Complete documentation accurately, timely, concisely., • Medication reconciliation and education to prevent adverse events and readmission to hospital, • Observe patient’s reactions to medications and reports significant incidents to the physicians., • Communicate regularly with team members, caregivers, and physicians., • Follow infection control standard precautions and uses personal protective equipment as required., • Delegate and supervise care given by NCA’s/LPN’s., • Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient’s care needs., • Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness., • Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings., • Implement agency policy, procedures and objectives., • Work closely and collaboratively with agency billing staff to ensure accuracy of billing., • Maintain confidentiality of employee and patient information., • Exhibit an attitude which promotes harmony and goodwill in the workplace., • Display a clean, neat, professional appearance., • Participate in Performance Improvement Program., • Promote quality, comprehensive services through a team approach., • Perform other duties as assigned. Home Health • Case manage interdisciplinary team of clinicians caring for patients in the home., • Complete required OASIS Comprehensive assessments at admission, recertification, Resumption of care and discharge. This assessment determines patient reimbursement for Medicare and other episodic payors and also results in publicly reported patient outcomes and additional payment impacts related to value based purchasing, • Work with interdisciplinary team and patient providers to prevent re-hospitalization of the patient., • Be aware of patient insurance requirements and assures authorization for all services have been obtained., • Appropriate utilization of resources for patient including visit and supply utilization. WORK ENVIRONMENT AND REQUIREMENTS: Perform Patient care primarily in the patient’s residence or skilled nursing facility (>50%) Travel to and from patient residence PREFERRED QUALIFICATIONS Education and Formal Training • Associate Degree or Diploma, Nursing required, • Must have a current RN license in NC or compact RN licensure from participating state., • Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only) May renew during orientation, • Valid driver's license and current automobile insurance coverage. Professional Work Experience • 1-2 years of med-surgical, critical care or home health/hospice/infusion preferred, • Valid driver’s license and current automobile insurance coverage, • Prior experience in Home Health, Hospice or Infusion preferred, • Prior OASIS and PDGM experience preferred for home health Knowledge, Skills & Abilities • Working knowledge of Medicare and Medicaid regulations, including JCAHO and DFS standards, ICD-9 Coding., • Knowledge of scope of the registered nurse, licensed practical nurse and NCA, • Knowledge of and appropriate application of the nursing process, • 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, • 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 and technology, • Able to document and communicate pertinent information using computer and/or paper documentation tools, • Knowledge in wound identification and treatments, infusion and other advanced nursing skills, • Critical thinking skills and organization skills, • Working knowledge of infection control procedures and safety precautions, • Strong computer skills including MS Outlook, Word, Excel, preferred, • Excellent rapport, understanding, and communication with the patients and their family members, • Ability to work autonomously and independently in varying environments., • Able to withstand driving long distances, stooping, bending, lifting 20 plus pounds, and climb stairs 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.

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 HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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, • Qualityof Life: Living in the Triangle!, • Relocation Assistance (based on eligibility) Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. As a nurse with Hospice Home and Partners at Duke you will get to live out Duke's mission of caring for our patients, their loved ones, and each other in a very precious way. While working with our Hospice department, you will have the opportunity to truly care for people at their most vulnerable state of being as well as help them and their loved ones learn to let go in peace and comfort. Shifts/Hours: (5) 8 hour day shifts Duke HomeCare and Hospice differs from other home health companies in many amazing ways. Please see a list of some of those reasons below: • Manageable caseloads and territories, • Commitment to safety for both patients and employees, • Mileage reimbursement rate equal to the current federal rate, • Extensive orientation of 16+ weeks based on individual needs JOB SUMMARY: Performs professional nursing care for patients in a primary care setting (the home or alternate-site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. MAJOR JOB RESPONSIBILITIES: • Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient’s baseline needs and response to care., • Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care., • Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care., • Develop and implement an effective discharge plan for patients to begin at the initiation of services., • Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching., • Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills., • Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient., • Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance., • Assesses the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate., • Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards., • Complete documentation accurately, timely, concisely., • Medication reconciliation and education to prevent adverse events and readmission to hospital, • Observe patient’s reactions to medications and reports significant incidents to the physicians., • Communicate regularly with team members, caregivers, and physicians., • Follow infection control standard precautions and uses personal protective equipment as required., • Delegate and supervise care given by NCA’s/LPN’s., • Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient’s care needs., • Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness., • Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings., • Implement agency policy, procedures and objectives., • Work closely and collaboratively with agency billing staff to ensure accuracy of billing., • Maintain confidentiality of employee and patient information., • Exhibit an attitude which promotes harmony and goodwill in the workplace., • Display a clean, neat, professional appearance., • Participate in Performance Improvement Program., • Promote quality, comprehensive services through a team approach., • Perform other duties as assigned. WORK ENVIRONMENT AND REQUIREMENTS: Perform Patient care primarily in the patient’s residence or skilled nursing facility (>50%) Travel to and from patient residence PREFERRED QUALIFICATIONS Education and Formal Training • Associate Degree or Diploma, Nursing required, • Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service of their start date. Licensures, Certifications • Must have a current North Carolina RN Licensure or compact RN licensure in participating state, • Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR/BLS) (American Heart Association only) which may be renewed during orientation Valid driver’s license and current automobile insurance coverage 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.

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 HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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, • Qualityof Life: Living in the Triangle!, • Relocation Assistance (based on eligibility) The Duke HomeCare, Hospice and Infusion Services team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. Must have home-based, hospice care experience for this PRN RN role. Shifts: PRN 8 hour shifts JOB SUMMARY: Performs professional nursing care for patients in a primary care setting (the home or alternate site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. MAJOR JOB RESPONSIBILITIES: • Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient’s baseline needs and response to care., • Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care., • Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care., • Develop and implement an effective discharge plan for patients to begin at the initiation of services., • Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching., • Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills., • Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient., • Maintain up-to-date knowledge of Medicare/Medicaid/JCAHO standards thru in-services and workshop attendance., • Assess the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate., • Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards., • Complete documentation accurately, timely, concisely., • Medication reconciliation and education to prevent adverse events and readmission to hospital, • Observe patients’ reactions to medications and reports significant incidents to the physicians., • Communicate regularly with team members, caregivers, and physicians., • Follow infection control standard precautions and uses personal protective equipment as required., • Delegate and supervise care given by NCA’s/LPN’s., • Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient’s care needs., • Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness., • Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings., • Implement agency policy, procedures and objectives., • Work closely and collaboratively with agency billing staff to ensure accuracy of billing., • Maintain confidentiality of employee and patient information., • Exhibit an attitude which promotes harmony and goodwill in the workplace., • Display a clean, neat, professional appearance., • Participate in Performance Improvement Program., • Promote quality, comprehensive services through a team approach., • Perform other duties as assigned. WORK ENVIRONMENT AND REQUIREMENTS: Perform Patient care primarily in the patient’s residence or skilled nursing facility (>50%) Travel to and from patient's residence PREFERRED QUALIFICATIONS Education and Formal Training • Associate Degree or Diploma, Nursing required, • Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service of their start date. Licensures, Certifications • Must have a current or compact RN licensure in the state of North Carolina, or Compact license with participating state., • Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only)-May update during orientation Professional Work Experience & Requirements • Two years of med-surgical, critical care or home health/hospice/infusion, • Valid driver’s license and current automobile insurance coverage, • Prior experience in Hospice required 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.

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. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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) Surgical Technologists are eligible for a $10,000 Commitment Bonus! Relocation Assistance also available! General Description of the Job Class • Surgical Technologists (ST) are allied health professionals who assist in the preparation and care of surgical patients ranging from infancy to geriatrics under the general direction of a professional nurse. The ST possesses expertise in the theory and application of sterile aseptic technique and combines the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a surgeon's performance of invasive therapeutic and diagnostic procedures., • The ST who has a dual function in the operating room and the ambulatory setting demonstrates competency in the care of surgical patients preoperatively and postoperatively in the ambulatory surgical clinic setting. Duties and Responsibilities of this Level Level I - New graduate with up to 18 months of full-time equivalent experience. • Perform all responsibilities in a manner that demonstrates Service Excellence towards patients, physicians, peers and other departments., • Assume responsibility for upholding the policies and procedures of the department and organization., • Demonstrates eagerness to learn, takes direction, adapts to changes within unit, demonstrates consistent progress toward Level II., • Establishes and maintains sterile field and assures team maintains sterile environment., • Demonstrate and practice a good understanding of sterile technique. Has a basic knowledge of instrumentations., • Prepare Operating Room with appropriate instrumentation, equipment and supplies., • Demonstrates correct and safe instrumentation passing and performs sponge, needle and instrument counts in a safe and accurate manner., • Maintain technical skills to serve a patient population comprised of infancy to geriatric clients., • Take calls and rotate shifts as required under the direction of a registered nurse., • For Surgical Technologists with a dual role in an ambulatory environment, additional responsibilities may include: prepare patients for examinations and procedures in the surgical clinic setting; assist the physician during patient examination and procedures in the clinic; collect and label laboratory specimens for processing; reinforce postoperative instructions under direction of physician or RN; assist with incoming and outgoing patient calls under supervision of physician or RN; remove sutures/ staples, change sterile and non-sterile dressings, following DUHS policies and procedures, under direction of RN or physician; perform other clinical functions as delegated and supervised by the RN or physician; schedule and post surgical cases; coordinate complex scheduling of cases which require additional surgical support; update and file patient medical records., • Must advance to level II within 18 months., • Perform other duties and responsibilities as required. Level II - Perform all the duties and responsibilities of Level I, plus the following: • Assist with the teaching of newly hired technologists and student technologists., • Serve as a role model to new employees and other staff members., • Establish and maintain sterile field and assure team maintains sterile environment independently., • Anticipate the needs of the surgical team., • Apply basic knowledge of instrumentations to several cases., • Demonstrate appropriate and correct case preparation., • Competent at unit level., • Corrects deficiencies at the case level., • Communicate effectively with patients, staff members and physicians., • Adherence to standards including but not limited to unit and hospital policies and procedures, regulatory standards, and patient safety goals., • Assume responsibility for self and ensures that the policies, procedures and safety practices of the Operating Room and Hospital are reinforced., • Perform other duties and responsibilities as required. Required Qualifications at this Level Education • Graduate of an accredited Surgical Technology program or maintains an accredited Surgical Technologist certification (NCCT or NBSTSA)., • Or, provides evidence of the successful completion of an appropriate training program for Surgical Technology in the United States Military. Experience • Level I- Entry level position for new graduates of Surgical Technology program or Surgical Technologists with 0 to 18 months experience., • Level II- Requires 6 to 12 months of full-time equivalent Surgical Technology or relevant military experience. Degrees, Licensure, and/or Certification • Level I- BLS required., • Level II- BLS required. Knowledge, Skills, and Abilities • Ability to adapt to changes within unit., • Ability to work effectively and efficiently under pressure in a stressful environment, and often without relief., • Ability to demonstrate knowledge of anatomy relating to the surgical procedure and the instrumentation required in order to effectively anticipate the needs of the surgeon., • Ability to set priorities and respond appropriately to actual and/or potential life threatening situations. 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.

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. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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) Surgical Technologists are eligible for a $10,000 Commitment Bonus! Relocation Assistance also available! Work Schedule: Full time; Weekends; 36 hours per week: 7am - 7:30pm. General Description of the Job Class • Surgical Technologists (ST) are allied health professionals who assist in the preparation and care of surgical patients ranging from infancy to geriatrics under the general direction of a professional nurse. The ST possesses expertise in the theory and application of sterile aseptic technique and combines the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a surgeon's performance of invasive therapeutic and diagnostic procedures., • The ST who has a dual function in the operating room and the ambulatory setting demonstrates competency in the care of surgical patients preoperatively and postoperatively in the ambulatory surgical clinic setting. Duties and Responsibilities of this Level Level I - New graduate with up to 18 months of full-time equivalent experience. • Perform all responsibilities in a manner that demonstrates Service Excellence towards patients, physicians, peers and other departments. Assume responsibility for upholding the policies and procedures of the department and organization., • Demonstrates eagerness to learn, takes direction, adapts to changes within unit, demonstrates consistent progress toward Level II., • Establishes and maintains sterile field and assures team maintains sterile environment. Demonstrate and practice a good understanding of sterile technique., • Has a basic knowledge of instrumentations. Prepare Operating Room with appropriate instrumentation, equipment and supplies., • Demonstrates correct and safe instrumentation passing and performs sponge, needle and instrument counts in a safe and accurate manner., • Maintain technical skills to serve a patient population comprised of infancy to geriatric clients., • Take calls and rotate shifts as required under the direction of a registered nurse., • For Surgical Technologists with a dual role in an ambulatory environment, additional responsibilities may include: prepare patients for examinations and procedures in the surgical clinic setting; assist the physician during patient examination and procedures in the clinic; collect and label laboratory specimens for processing; reinforce postoperative instructions under direction of physician or RN; assist with incoming and outgoing patient calls under supervision of physician or RN; remove sutures/ staples, change sterile and non-sterile dressings, following DUHS policies and procedures, under direction of RN or physician; perform other clinical functions as delegated and supervised by the RN or physician; schedule and post surgical cases; coordinate complex scheduling of cases which require additional surgical support; update and file patient medical records., • Must advance to level II within 18 months., • Perform other duties and responsibilities as required. Level II - Perform all the duties and responsibilities of Level I, plus the following: • Assist with the teaching of newly hired technologists and student technologists., • Serve as a role model to new employees and other staff members., • Establish and maintain sterile field and assure team maintains sterile environment independently., • Anticipate the needs of the surgical team., • Apply basic knowledge of instrumentations to several cases., • Demonstrate appropriate and correct case preparation., • Competent at unit level., • Corrects deficiencies at the case level., • Communicate effectively with patients, staff members and physicians., • Adherence to standards including but not limited to unit and hospital policies and procedures, regulatory standards, and patient safety goals., • Assume responsibility for self and ensures that the policies, procedures and safety practices of the Operating Room and Hospital are reinforced., • Perform other duties and responsibilities as required. Required Qualifications at this Level Education • Graduate of an accredited Surgical Technology program or maintains an accredited Surgical Technologist certification (NCCT or NBSTSA)., • Or, provides evidence of the successful completion of an appropriate training program for Surgical Technology in the United States Military. Experience • Level I- Entry level position for new graduates of Surgical Technology program or Surgical Technologists with 0 to 18 months experience., • Level II- Requires 6 to 12 months of full-time equivalent Surgical Technology or relevant military experience. Degrees, Licensure, and/or Certification • Level I- BLS required., • Level II- BLS required. Knowledge, Skills, and Abilities • Ability to adapt to changes within unit., • Ability to work effectively and efficiently under pressure in a stressful environment, and often without relief., • Ability to demonstrate knowledge of anatomy relating to the surgical procedure and the instrumentation required in order to effectively anticipate the needs of the surgeon., • Ability to set priorities and respond appropriately to actual and/or potential life threatening situations. 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.

Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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) Surgical Technologists are eligible for a $10,000 Commitment Bonus! Relocation Assistance also available! General Description of the Job Class • Surgical Technologists (ST) are allied health professionals who assist in the preparation and care of surgical patients ranging from infancy to geriatrics under the general direction of a professional nurse. The ST possesses expertise in the theory and application of sterile aseptic technique and combines the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a surgeon's performance of invasive therapeutic and diagnostic procedures., • The ST who has a dual function in the operating room and the ambulatory setting demonstrates competency in the care of surgical patients preoperatively and postoperatively in the ambulatory surgical clinic setting. Duties and Responsibilities of this Level Level I - New graduate with up to 18 months of full-time equivalent experience. • Perform all responsibilities in a manner that demonstrates Service Excellence towards patients, physicians, peers and other departments. Assume responsibility for upholding the policies and procedures of the department and organization., • Demonstrates eagerness to learn, takes direction, adapts to changes within unit, demonstrates consistent progress toward Level II., • Establishes and maintains sterile field and assures team maintains sterile environment. Demonstrate and practice a good understanding of sterile technique., • Has a basic knowledge of instrumentations. Prepare Operating Room with appropriate instrumentation, equipment and supplies., • Demonstrates correct and safe instrumentation passing and performs sponge, needle and instrument counts in a safe and accurate manner., • Maintain technical skills to serve a patient population comprised of infancy to geriatric clients., • Take calls and rotate shifts as required under the direction of a registered nurse., • For Surgical Technologists with a dual role in an ambulatory environment, additional responsibilities may include: prepare patients for examinations and procedures in the surgical clinic setting; assist the physician during patient examination and procedures in the clinic; collect and label laboratory specimens for processing; reinforce postoperative instructions under direction of physician or RN; assist with incoming and outgoing patient calls under supervision of physician or RN; remove sutures/ staples, change sterile and non-sterile dressings, following DUHS policies and procedures, under direction of RN or physician; perform other clinical functions as delegated and supervised by the RN or physician; schedule and post surgical cases; coordinate complex scheduling of cases which require additional surgical support; update and file patient medical records., • Must advance to level II within 18 months., • Perform other duties and responsibilities as required. Level II - Perform all the duties and responsibilities of Level I, plus the following: • Assist with the teaching of newly hired technologists and student technologists., • Serve as a role model to new employees and other staff members., • Establish and maintain sterile field and assure team maintains sterile environment independently., • Anticipate the needs of the surgical team., • Apply basic knowledge of instrumentations to several cases., • Demonstrate appropriate and correct case preparation., • Competent at unit level., • Corrects deficiencies at the case level., • Communicate effectively with patients, staff members and physicians., • Adherence to standards including but not limited to unit and hospital policies and procedures, regulatory standards, and patient safety goals., • Assume responsibility for self and ensures that the policies, procedures and safety practices of the Operating Room and Hospital are reinforced., • Perform other duties and responsibilities as required. Required Qualifications at this Level Education • Graduate of an accredited Surgical Technology program or maintains an accredited Surgical Technologist certification (NCCT or NBSTSA)., • Or, provides evidence of the successful completion of an appropriate training program for Surgical Technology in the United States Military. Experience • Level I- Entry level position for new graduates of Surgical Technology program or Surgical Technologists with 0 to 18 months experience., • Level II- Requires 6 to 12 months of full-time equivalent Surgical Technology or relevant military experience. Degrees, Licensure, and/or Certification • Level I- BLS required., • Level II- BLS required. Knowledge, Skills, and Abilities • Ability to adapt to changes within unit., • Ability to work effectively and efficiently under pressure in a stressful environment, and often without relief., • Ability to demonstrate knowledge of anatomy relating to the surgical procedure and the instrumentation required in order to effectively anticipate the needs of the surgeon., • Ability to set priorities and respond appropriately to actual and/or potential life threatening situations. 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.

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. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, 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 are consistently 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) Work Schedule: • PRN; Dayshift: 1 x 12 hour shift. General Description of the Job Class • Surgical Technologists (ST) are allied health professionals who assist in the preparation and care of surgical patients ranging from infancy to geriatrics under the general direction of a professional nurse. The ST possesses expertise in the theory and application of sterile aseptic technique and combines the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a surgeon's performance of invasive therapeutic and diagnostic procedures., • The ST who has a dual function in the operating room and the ambulatory setting demonstrates competency in the care of surgical patients preoperatively and postoperatively in the ambulatory surgical clinic setting. Duties and Responsibilities of this Level Level I - New graduate with up to 18 months of full-time equivalent experience: • Perform all responsibilities in a manner that demonstrates Service Excellence towards patients, physicians, peers and other departments. Assume responsibility for upholding the policies and procedures of the department and organization., • Demonstrates eagerness to learn, takes direction, adapts to changes within unit, demonstrates consistent progress toward Level II., • Establishes and maintains sterile field and assures team maintains sterile environment. Demonstrate and practice a good understanding of sterile technique., • Has a basic knowledge of instrumentations. Prepare Operating Room with appropriate instrumentation, equipment and supplies., • Demonstrates correct and safe instrumentation passing and performs sponge, needle and instrument counts in a safe and accurate manner., • Maintain technical skills to serve a patient population comprised of infancy to geriatric clients., • Take calls and rotate shifts as required under the direction of a registered nurse., • For Surgical Technologists with a dual role in an ambulatory environment, additional responsibilities may include: prepare patients for examinations and procedures in the surgical clinic setting; assist the physician during patient examination and procedures in the clinic; collect and label laboratory specimens for processing; reinforce postoperative instructions under direction of physician or RN; assist with incoming and outgoing patient calls under supervision of physician or RN; remove sutures/ staples, change sterile and non-sterile dressings, following DUHS policies and procedures, under direction of RN or physician; perform other clinical functions as delegated and supervised by the RN or physician; schedule and post surgical cases; coordinate complex scheduling of cases which require additional surgical support; update and file patient medical records., • Must advance to level II within 18 months., • Perform other duties and responsibilities as required. Level II - Perform all the duties and responsibilities of Level I, plus the following: • Assist with the teaching of newly hired technologists and student technologists., • Serve as a role model to new employees and other staff members., • Establish and maintain sterile field and assure team maintains sterile environment independently., • Anticipate the needs of the surgical team., • Apply basic knowledge of instrumentations to several cases., • Demonstrate appropriate and correct case preparation., • Competent at unit level., • Corrects deficiencies at the case level., • Communicate effectively with patients, staff members and physicians., • Adherence to standards including but not limited to unit and hospital policies and procedures, regulatory standards, and patient safety goals., • Assume responsibility for self and ensures that the policies, procedures and safety practices of the Operating Room and Hospital are reinforced., • Perform other duties and responsibilities as required. Required Qualifications at this Level Education • Graduate of an accredited Surgical Technology program or maintains an accredited Surgical Technologist certification (NCCT or NBSTSA)., • Or, provides evidence of the successful completion of an appropriate training program for Surgical Technology in the United States Military. Experience • Level I- Entry level position for new graduates of Surgical Technology program or Surgical Technologists with 0 to 18 months experience., • Level II- Requires 6 to 12 months of full-time equivalent Surgical Technology or relevant military experience. Degrees, Licensure, and/or Certification • Level I- N/A, • Level II- N/A Knowledge, Skills, and Abilities • Ability to adapt to changes within unit., • Ability to work effectively and efficiently under pressure in a stressful environment, and often without relief., • Ability to demonstrate knowledge of anatomy relating to the surgical procedure and the instrumentation required in order to effectively anticipate the needs of the surgeon., • Ability to set priorities and respond appropriately to actual and/or potential life threatening situations. 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.

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. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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) Nursing Care Assistant I CNA- Duke University Hospital Neuro Stepdown 8 DCT $5000 Commitment Bonus Paid in two equal installments 37 Beds Stroke, Brain Tumor and Surgery Patients 3-12 hour Shifts per week, Rotating Shifts 7:00am-7:30pm and 7:00p-7:30am The Nursing Assistant (NA) is a patient care support partner with the Registered Nurse (RN) and/or Licensed Practical Nurse (LPN) and performs work as delegated by the RN or LPN. The NA provides direct care to patients and assists with non-direct patient care unit coordination. The individual in this position is expected to perform basic care and comfort standards as well as have knowledge of the patient population needs in the assigned work area. In addition, the NA is expected to assist the RN/LPN in the care of acutely ill patients. This individual is expected to practice medical asepsis, respect the dignity and privacy of every patient and family, and to respect cultural differences during patient care. They are expected to know and adhere to all basic policies and procedures and respond appropriately during emergency situations. They are expected to maintain the patient/family environment, perform general unit upkeep, order and maintain unit equipment, and order supplies as needed, with or without direct supervision. The NA is expected to use accurate verbal and written communication and to document patient care appropriately in the electronic health record. Prepare patients, equipment and supplies for specific procedures and provide manual assistance as required. Obtain and record patient data for medical records noting and informing RN/LPN of information collected. Administer treatment and personal care procedures to patients including, but not limited to, feeding, bathing, hair care, changing clothing, nail care, bed-making, assisting with ambulation, enemas, skin care, and bowel and bladder elimination; provide such additional care as required to meet the personal needs and comfort of assigned patients. Participate in teaching activities by reinforcing teaching instructed by RN and/or providers as needed. Assist providers and nurses with physical examinations by helping position patients, changing non-sterile dressing and weighing patients. Take and record vital signs, record I&O, and apply ice bags. Note and report any changes in patient's condition. Turn and position patients, set up and feed patients as necessary, provide patients with fresh drinking water. Perform fingersticks for blood glucose testing, with appropriate training, document and notify RN/LPN. Assist with admission, discharge, and transportation of patients. Follow standard precautions and use personal protective equipment as required. Collect, deliver and conduct routine tests on patient specimens. Clean assigned area; stock and replenish supplies and equipment as required. Participate in own professional development by maintaining required skills validation and attending educational offerings. Support the development of other staff and formal learners. May also perform clean dressing change for wounds over 48 hours old. Perform other related duties incidental to work described herein. Education N/A Experience N/A Degrees, Licensure, and/or Certification Currently listed as a Nursing Assistant I (NA I) with the N.C. Department of Health and Human Services, Division of Health Service Regulation with no substantiated findings of abuse, fraud, neglect or misappropriation of property. BCLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment. Knowledge, Skills, and Abilities Working knowledge of procedures and techniques involved in administering routine and special treatments to patients. Working knowledge of sanitation, personal hygiene and basic health and safety precautions applicable to work in a hospital. Working knowledge of the organization and physical layout of the hospital. Working knowledge of infection control procedures and safety precautions. Ability to withstand prolonged standing and walking. This position is very active and requires standing, walking, bending, kneeling, stooping, crouching, crawling and climbing all day. The employee must frequently lift or move objects and patients weighing over 35 pounds with assistance or appropriate lift equipment. Ability to understand and follow oral and written instructions. Ability to document and communicate pertinent information using computer and/or paper documentation tools. Ability to establish and maintain effective working relationships with patients and hospital staff. Working knowledge of principles and practices of providing non- professional bedside patient care. Pre-employment Physical Capacity Testing may be required. 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.

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. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, 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 are consistently 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) Surgical Technologists are eligible for a $10,000 Commitment Bonus! Relocation Bonuses also available! The Duke Regional Hospital Operating Room is a dynamic and growing perioperative environment staffed by a dedicated team of 50 highly skilled Nurses, supported by expert Surgical Technologists and Surgical Attendants. Together, this cohesive team delivers exceptional surgical care across 13 Operating Rooms, 2 Procedure Rooms, and 1 Cystoscopy Room, offering broad exposure to a wide range of surgical specialties. About Our Surgical ServicesOur interdisciplinary OR team provides comprehensive surgical care, including: • General surgery – open and laparoscopic, • Vascular, • Orthopedics, • Plastic surgery, • Neurosurgery, • Ophthalmology & Head/Neck (OHN), • Gynecology, • Robotic surgery, • Urology This specialty mix creates an excellent opportunity for team members to expand skills, cross‑train, and grow within a supportive environment. Join Our TeamBecome part of a unit where:, • Collaboration is strong, • Professional development is encouraged, • Every team member contributes to safe, exceptional patient care, • During orientation: 5 x 8 hour shift - Monday - Friday (6:30am - 3:00pm) After orientation: 3 x 12 hour shift - Monday - Friday (6:30am - 7:00pm) with rotating day off, on-call 2-3 times per month, weekend, and holiday coverage. Shift changes may occur to meet the needs of the unit and in coordination with the Nurse Manager. General Description of the Job Class • Surgical Technologists (ST) are allied health professionals who assist in the preparation and care of surgical patients ranging from infancy to geriatrics under the general direction of a professional nurse., • The ST possesses expertise in the theory and application of sterile aseptic technique and combines the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a surgeon's performance of invasive therapeutic and diagnostic procedures. Level I - New graduate with up to 18 months of full-time equivalent experience. • Perform all responsibilities in a manner that demonstrates Service Excellence towards patients, physicians, peers and other departments., • Assume responsibility for upholding the policies and procedures of the department and organization., • Demonstrates eagerness to learn, takes direction, adapts to changes within unit, demonstrates consistent progress toward Level II., • Establishes and maintains sterile field and assures team maintains sterile environment., • Demonstrate and practice a good understanding of sterile technique., • Has a basic knowledge of instrumentations., • Prepare Operating Room with appropriate instrumentation, equipment and supplies., • Demonstrates correct and safe instrumentation passing and performs sponge, needle and instrument counts in a safe and accurate manner., • Maintain technical skills to serve a patient population comprised of infancy to geriatric clients., • Take calls and rotate shifts as required under the direction of a registered nurse., • For Surgical Technologists with a dual role in an ambulatory environment, additional responsibilities may include: prepare patients for examinations and procedures in the surgical clinic setting; assist the physician during patient examination and procedures in the clinic; collect and label laboratory specimens for processing; reinforce postoperative instructions under direction of physician or RN; assist with incoming and outgoing patient calls under supervision of physician or RN; remove sutures/ staples, change sterile and non-sterile dressings, following DUHS policies and procedures, under direction of RN or physician; perform other clinical functions as delegated and supervised by the RN or physician; schedule and post surgical cases; coordinate complex scheduling of cases which require additional surgical support; update and file patient medical records., • Must advance to level II within 18 months., • Perform other duties and responsibilities as required. Level II - Perform all the duties and responsibilities of Level I, plus the following: • Assist with the teaching of newly hired technologists and student technologists., • Serve as a role model to new employees and other staff members., • Establish and maintain sterile field and assure team maintains sterile environment independently., • Anticipate the needs of the surgical team., • Apply basic knowledge of instrumentations to several cases., • Demonstrate appropriate and correct case preparation., • Competent at unit level., • Corrects deficiencies at the case level., • Communicate effectively with patients, staff members and physicians., • Adherence to standards including but not limited to unit and hospital policies and procedures, regulatory standards, and patient safety goals., • Assume responsibility for self and ensures that the policies, procedures and safety practices of the Operating Room and Hospital are reinforced. Education • Graduate of an accredited Surgical Technology program or maintains an accredited Surgical Technologist certification (NCCT or NBSTSA)., • Or, provides evidence of the successful completion of an appropriate training program for Surgical Technology in the United States Military. Experience • Level I- Entry level position for new graduates of Surgical Technology program or Surgical Technologists with 0 to 18 months experience., • Level II- Requires 6 to 12 months of full-time equivalent Surgical Technology or relevant military experience. Degrees, Licensure, and/or Certification • Level I- BLS required., • Level II- BLS required. Knowledge, Skills, and Abilities • Ability to adapt to changes within unit., • Ability to work effectively and efficiently under pressure in a stressful environment, and often without relief., • Ability to demonstrate knowledge of anatomy relating to the surgical procedure and the instrumentation required in order to effectively anticipate the needs of the surgeon., • Ability to set priorities and respond appropriately to actual and/or potential life threatening situations. 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.

Come join our awesome team as a Registered Nurse at the Senior Community Care of North Carolina PACE clinic. With a great work environment and terrific benefits you will love it here! Senior Community Care of North Carolina is part of Volunteers of America National Services which serves as the Housing and Healthcare affiliate of the Volunteers of America parent organization. Registered Nurse Job Highlights: • 403(b) Retirement Plan;, • Career scholarships;, • Quality training, continuing career education and leadership programs;, • Medical, Dental and Vision Insurance, • Paid Time Off (Vacation, Holiday & Sick Days) The Registered Nurse under the direction and supervision of the Clinic Manager, provides skilled nursing care to participants in the PACE clinic and in participant’s homes, implements primary care orders, evaluates participant symptoms in person and/or by telephone, develops appropriate plan of care, provides participant, caregiver and family teaching and communicates participant’s condition to primary caregivers, physician and Interdisciplinary Team. Pay: $37.00-$48.50/HR Schedule: Monday-Friday 8:00 AM-4:30 PM. On call rotation Required Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Graduate of an accredited school of professional nursing, • Current state Registered Nurses (R.N.) License, • Cardiopulmonary Resuscitation (CPR) certification required, • A minimum of one year’s experience in working with the frail or elderly population required., • Must have a valid driver’s license, proof of insurance and have means of transportation, • Conducts comprehensive initial nursing assessments in the PACE clinic and in participant’s homes with new PACE enrollees. Coordinates with the Interdisciplinary Team to develop a comprehensive plan of care for each participant., • Conducts an in-person nursing re-assessments in the PACE clinic and in participant’s homes semiannually and as needed., • Participates in the nursing on-call rotation., • Functions as a member of the Interdisciplinary Team. Maintains regular attendance at, and participates in Interdisciplinary Team meetings; communicates participant changes, collaborates on plan of care decisions and coordination for twenty-four (24) hour care delivery., • In collaboration with the Home Care Manager, completes Supervisory Visits of Home Care Aides in participant’s homes per policy., • As needed provides orientation, initial and annual competencies of Licensed Practical Nurse (LPN), Certified Nursing Assistant’s (C.N.A.’s), and Clinic Support staff., • Performs general nursing care to participants both in the clinic and in participant’s homes within the nursing scope of practice Senior Community Care of North Carolina - PACE: Senior Community Care of North Carolina - PACE is part of Volunteers of America National Services which serves as the Housing and Healthcare affiliate of the Volunteers of America parent organization. PACE is a Program of All-Inclusive Care for the Elderly. Our team members include clinical professionals, personal care providers, van drivers, activity assistants and culinary employees among others. Unlike some clinical environments, PACE centers offer employees flexible work schedules, with most positions only requiring occasional weekends. Team members have an opportunity to get to know their patients and build meaningful relationships. SCCNC helps foster a work-life balance by offering employees paid-time off benefits as part of our comprehensive benefits package. With the internal slogan "The care you need to remain in the home you LOVE", this "one stop shop" prides itself in building relationships with the participants as well as their families, and creating personalized care plans that work for everyone. This vibrant, young, and diverse tea lives in close proximity to the beach and the mountains, as well as surrounded by highly regarded colleges and universities and access to premier healthcare. Join us at Senior Community Care of North Carolina and become a part of a healthcare team that is dedicated to creating thoughtful, caring and flexible work environments for our team members. Create happiness for those who need it. Join us today! Licenses & Certifications Required • CPR/First Aid

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. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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) Nursing Care Assistant I CNA/Health Unit Coordinator-Duke University Hospital Musculoskeletal and Trauma Unit $5000 Commitment Bonus paid in two equal installments 37 Bed Unit Rotating Shifts 7:00am-7:00pm and 7:00pm-7:00am Joint Replacements and Trauma Patients The Nursing Assistant (NA) is a patient care support partner with the Registered Nurse (RN) and/or Licensed Practical Nurse (LPN) and performs work as delegated by the RN or LPN. The NA provides direct care to patients and assists with non-direct patient care unit coordination. The individual in this position is expected to perform basic care and comfort standards as well as have knowledge of the patient population needs in the assigned work area. In addition, the NA is expected to assist the RN in the care of acutely ill patients. This individual is expected to practice medical asepsis, respect the dignity and privacy of every patient and family, and to respect cultural differences during patient care. They are expected to know and adhere to all basic policies and procedures and respond appropriately during emergency situations. They are expected to maintain the patient/family environment, perform general unit upkeep, order and maintain unit equipment, and order supplies as needed, with or without direct supervision. The NA is expected to use accurate verbal and written communication and to document patient care appropriately in the electronic health record. Perform a variety of clerical duties involved in preparing, maintaining, and processing patient, unit(s) and hospital data and records to include operating the organization's patient care information systems. Individuals in this role are typically scheduled for NCA I shifts at minimum 25% of the time. Prepare patients, equipment and supplies for specific procedures and provide manual assistance as required. Obtain and record patient data for medical records noting and informing RN/LPN of information collected. Administer treatment and personal care procedures to patients including, but not limited to, feeding, bathing, hair care, changing clothing, nail care, bed-making, assisting with ambulation, enemas, skin care, and bowel and bladder elimination; provide such additional care as required to meet the personal needs and comfort of assigned patients. Participate in teaching activities by reinforcing teaching instructed by RN and/or providers as needed. Assist providers and nurses with physical examinations by helping position patients, changing non-sterile dressing and weighing patients. Take and record vital signs, record I&O, and apply ice bags. Note and report any changes in patient's condition. Turn and position patients, set up and feed patients as necessary, provide patients with fresh drinking water. Perform fingersticks for blood glucose testing, with appropriate training, document and notify RN/LPN. Assist with admission, discharge, and transportation of patients. Follow standard precautions and use personal protective equipment as required. Collect, deliver and conduct routine tests on patient specimens. Clean assigned area; stock and replenish supplies and equipment as required. Participate in own professional development by maintaining required skills validation and attending educational offerings. Support the development of other staff and formal learners. May also perform clean dressing change for wounds over 48 hours old. Perform a variety of clerical tasks involved in operating the organization's patient care information system. Acknowledge orders on EMR task list, verify printout and input verified orders to request diets, treatments, nursing services, equipment and diagnostic and laboratory tests and procedures. Assemble and maintain patient charts from admission through discharge. Prepare and upload paper documents into the electronic medical record (EMR). Navigate electronic medical record, access patient information, generate reports, schedule appointments and manage task list. Assign nursing staff to communication systems. Perform other related duties incidental to the work described herein. Education N/A Experience N/A Degrees, Licensure, and/or Certification Currently listed as a Nursing Assistant I (NA I) with the N.C. Department of Health and Human Services, Division of Health Service Regulation with no substantiated findings of abuse, fraud, neglect or misappropriation of property. BCLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment. Knowledge, Skills, and Abilities Working knowledge of procedures and techniques involved in administering routine and special treatments to patients. Working knowledge of sanitation, personal hygiene and basic health and safety precautions applicable to work in a hospital. Working knowledge of the organization and physical layout of the hospital. Working knowledge of infection control procedures and safety precautions. Ability to withstand prolonged standing and walking. This position is very active and requires standing, walking, bending, kneeling, stooping, crouching, crawling and climbing all day. The employee must frequently lift or move objects and patients weighing over 35 pounds with assistance or appropriate lift equipment. Ability to understand and follow oral and written instructions. Ability to document and communicate pertinent information using computer and/or paper documentation tools. Ability to establish and maintain effective working relationships with patients and hospital staff. Working knowledge of principles and practices of providing non- professional bedside patient care. Pre-employment Physical Capacity Testing may be required. 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.

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. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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) Nursing Care Assistant I-Duke University Hospital 8100 Adult General Medicine $5000 Commitment Bonus paid in 2 installments The Adult General Medicine Intermediate/Stepdown Unit (8100) is comprised of 31 beds. Our team of nursing staff provide exemplary care for a variety of complex patients with diagnosis such as Sepsis, Sickle Cell, GI Bleed, End Stage Renal Failure, Diabetes, Cirrhosis and Behavioral Health Disorders. The Nursing Assistant (NA) is a patient care support partner with the Registered Nurse (RN) and/or Licensed Practical Nurse (LPN) and performs work as delegated by the RN or LPN. The NA provides direct care to patients and assists with non-direct patient care unit coordination. The individual in this position is expected to perform basic care and comfort standards as well as have knowledge of the patient population needs in the assigned work area. In addition, the NA is expected to assist the RN/LPN in the care of acutely ill patients. This individual is expected to practice medical asepsis, respect the dignity and privacy of every patient and family, and to respect cultural differences during patient care. They are expected to know and adhere to all basic policies and procedures and respond appropriately during emergency situations. They are expected to maintain the patient/family environment, perform general unit upkeep, order and maintain unit equipment, and order supplies as needed, with or without direct supervision. The NA is expected to use accurate verbal and written communication and to document patient care appropriately in the electronic health record. Prepare patients, equipment and supplies for specific procedures and provide manual assistance as required. Obtain and record patient data for medical records noting and informing RN/LPN of information collected. Administer treatment and personal care procedures to patients including, but not limited to, feeding, bathing, hair care, changing clothing, nail care, bed-making, assisting with ambulation, enemas, skin care, and bowel and bladder elimination; provide such additional care as required to meet the personal needs and comfort of assigned patients. Participate in teaching activities by reinforcing teaching instructed by RN and/or providers as needed. Assist providers and nurses with physical examinations by helping position patients, changing non-sterile dressing and weighing patients. Take and record vital signs, record I&O, and apply ice bags. Note and report any changes in patient's condition. Turn and position patients, set up and feed patients as necessary, provide patients with fresh drinking water. Perform fingersticks for blood glucose testing, with appropriate training, document and notify RN/LPN. Assist with admission, discharge, and transportation of patients. Follow standard precautions and use personal protective equipment as required. Collect, deliver and conduct routine tests on patient specimens. Clean assigned area; stock and replenish supplies and equipment as required. Participate in own professional development by maintaining required skills validation and attending educational offerings. Support the development of other staff and formal learners. May also perform clean dressing change for wounds over 48 hours old. Perform other related duties incidental to work described herein. Education N/A Experience N/A Degrees, Licensure, and/or Certification Currently listed as a Nursing Assistant I (NA I) with the N.C. Department of Health and Human Services, Division of Health Service Regulation with no substantiated findings of abuse, fraud, neglect or misappropriation of property. BCLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment. Knowledge, Skills, and Abilities Working knowledge of procedures and techniques involved in administering routine and special treatments to patients. Working knowledge of sanitation, personal hygiene and basic health and safety precautions applicable to work in a hospital. Working knowledge of the organization and physical layout of the hospital. Working knowledge of infection control procedures and safety precautions. Ability to withstand prolonged standing and walking. This position is very active and requires standing, walking, bending, kneeling, stooping, crouching, crawling and climbing all day. The employee must frequently lift or move objects and patients weighing over 35 pounds with assistance or appropriate lift equipment. Ability to understand and follow oral and written instructions. Ability to document and communicate pertinent information using computer and/or paper documentation tools. Ability to establish and maintain effective working relationships with patients and hospital staff. Working knowledge of principles and practices of providing non- professional bedside patient care. Pre-employment Physical Capacity Testing may be required. 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.

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. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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) Commitment Bonus $5000 paid in 2 installments 6 months and 12 months Night Shift 3-12 hour Shifts per week 7:00pm-7:30am The Nursing Assistant (NA) is a patient care support partner with the Registered Nurse (RN) and/or Licensed Practical Nurse (LPN) and performs work as delegated by the RN or LPN. The NA provides direct care to patients and assists with non-direct patient care unit coordination. The individual in this position is expected to perform basic care and comfort standards as well as have knowledge of the patient population needs in the assigned work area. In addition, the NA is expected to assist the RN/LPN in the care of acutely ill patients. This individual is expected to practice medical asepsis, respect the dignity and privacy of every patient and family, and to respect cultural differences during patient care. They are expected to know and adhere to all basic policies and procedures and respond appropriately during emergency situations. They are expected to maintain the patient/family environment, perform general unit upkeep, order and maintain unit equipment, and order supplies as needed, with or without direct supervision. The NA is expected to use accurate verbal and written communication and to document patient care appropriately in the electronic health record. Prepare patients, equipment and supplies for specific procedures and provide manual assistance as required. Obtain and record patient data for medical records noting and informing RN/LPN of information collected. Administer treatment and personal care procedures to patients including, but not limited to, feeding, bathing, hair care, changing clothing, nail care, bed-making, assisting with ambulation, enemas, skin care, and bowel and bladder elimination; provide such additional care as required to meet the personal needs and comfort of assigned patients. Participate in teaching activities by reinforcing teaching instructed by RN and/or providers as needed. Assist providers and nurses with physical examinations by helping position patients, changing non-sterile dressing and weighing patients. Take and record vital signs, record I&O, and apply ice bags. Note and report any changes in patient's condition. Turn and position patients, set up and feed patients as necessary, provide patients with fresh drinking water. Perform fingersticks for blood glucose testing, with appropriate training, document and notify RN/LPN. Assist with admission, discharge, and transportation of patients. Follow standard precautions and use personal protective equipment as required. Collect, deliver and conduct routine tests on patient specimens. Clean assigned area; stock and replenish supplies and equipment as required. Participate in own professional development by maintaining required skills validation and attending educational offerings. Support the development of other staff and formal learners. May also perform clean dressing change for wounds over 48 hours old. Perform other related duties incidental to work described herein. Education N/A Experience N/A Degrees, Licensure, and/or Certification Currently listed as a Nursing Assistant I (NA I) with the N.C. Department of Health and Human Services, Division of Health Service Regulation with no substantiated findings of abuse, fraud, neglect or misappropriation of property. BCLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment. Knowledge, Skills, and Abilities Working knowledge of procedures and techniques involved in administering routine and special treatments to patients. Working knowledge of sanitation, personal hygiene and basic health and safety precautions applicable to work in a hospital. Working knowledge of the organization and physical layout of the hospital. Working knowledge of infection control procedures and safety precautions. Ability to withstand prolonged standing and walking. This position is very active and requires standing, walking, bending, kneeling, stooping, crouching, crawling and climbing all day. The employee must frequently lift or move objects and patients weighing over 35 pounds with assistance or appropriate lift equipment. Ability to understand and follow oral and written instructions. Ability to document and communicate pertinent information using computer and/or paper documentation tools. Ability to establish and maintain effective working relationships with patients and hospital staff. Working knowledge of principles and practices of providing non- professional bedside patient care. Pre-employment Physical Capacity Testing may be required. 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.

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. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. HIRING INCENTIVES • $7,500 Commitment Bonus (paid in 4 equal installments; $1875 for every 6 months completed with the last installment after 24 months completed), • up to $8,000 relocation budget (eligible if relocating due to current residence exceeding 50 miles from Duke) Job Location- Duke University Hospital Job Summary The Wound, Ostomy, and Continence Clinical Service Nurse (WOC CSN) provides care to patients with stomas, draining wounds, or incontinence, throughout the organization. This includes utilization of clinical expertise to provide preoperative and postoperative care, counseling, and teaching to patients 0-99 years of age in need of wound, ostomy, and / or continence management. The WOC CSN's primary responsibility is to educate nurses to ensure knowledge and competency in basic wound, ostomy and continence management; and works collaboratively with the interdisciplinary team in a variety of specialties in planning and coordinating the care. The WOC CSN is an integral part of multiple teams, as a clinician, educator and consultant. Job Duties and Responsibilities • Plan and provide professional nursing care for patients in accordance with physician orders and established policies and procedures (Direct Care), • Identifies patient caseload through referrals and active case finding., • Conducts complete and accurate patient assessment, • Provides specialized nursing treatment, care and education to patients with wounds, • Provides specialized nursing treatment, care, stomal siting, and education to patients undergoing urinary or stool diversion in accordance with physician/nursing orders and established policies and procedures, • Provides specialized nursing treatment, care, and education to patients with draining wounds or requiring continence management or other specialized urologic interventions (such as clean intermittent self-catheterization or continuous bladder irrigation), • Selects, develops and/or implements evidence-based clinical interventions and systems to achieve defined patient and system outcomes, • Serves as a resource to patients and families, providing preoperative counseling and follow-up problem solving after discharge from the hospital, • Utilizes comprehensive assessment skills in the evaluation of stoma and wound care products and supplies in an effort to provide quality, cost-effective care, • Assist patients and families with the understanding of their diagnosis and the management thereof, • Identifies patient/family education needs and priorities, • Coaches patients and families to help them navigate the healthcare system, • Utilizes teaching and learning theories to assist patients and families with physical and emotional impact of body changes and chronic illness, • Provides additional information/community resources to enhance the patient's quality of life as it relates to the alterations in body image and life style, • Participates 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, • Assesses learning needs of nursing staff; participate in planning and implementing appropriate educational forums and opportunities to address critical learning needs and skills, • Assist nursing personnel in the delivery of nursing care functioning as an integral member of the multidisciplinary team, • Establishes collaborative relationships within and across departments that promote patient safety, culturally competent care, and clinical excellence, • Serves as a resource and consultant to nursing members of the healthcare community and to the larger community in areas of wound, ostomy, and continence management strategies, • Practices collegially with medical staff and other members of the healthcare team, • Participates in and supports accreditation and regulatory activities of Duke Hospital, • Facilitates the provision of clinically competent care by staff/team through education, role modeling, teambuilding, and quality monitoring, • Role models advanced practice professional nursing through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, continuous learning and problem-solving skills, • Uses effective strategies for changing clinician and team behavior to encourage adoption of evidence-based practices and innovations in care delivery, • Assist in the development and implementation of general policies and procedures and quality improvement designed to effect efficiency of operations, • Participates in nursing and interdisciplinary process improvement projects, product evaluation, outcome evaluation studies, and / or clinical research, • Uses quality-monitoring data to assess the quality and effectiveness of clinical programs in meeting outcomes, • Promotes evidence-based practice through participation in developing, implementing, and evaluating process standards such as plans of care, protocols, and guidelines, • Applies principles of evidence-based practice and quality improvement to all patient care Job Eligibility Requirements Education • Graduate of an accredited BSN program License • Current unrestricted RN license issued by or recognized by the NCBON Certification • Nationally recognized certification in Wound and Ostomy management is required(or completed within 3 months after start date). * Proof of enrollment and estimated completion date must be provided during preboarding process. Experience Job Hours Salaried position, Monday-Friday, 8am - 5pm, Occasional weekend and holiday coverage 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.

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. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. The Adult-Gerontology Clinical Nurse Specialist (PRN) collaborates with the Senior Director, Advanced Practice Nursing, DUHS and members of the healthcare team to enhance patient care across the health system by serving as an expert resource and consultant to nursing staff and providing evidence-based clinical expertise to clinicians and nurse leaders. They make clinical judgments based upon a synthesis of current research, concepts, principles, theories, and outcomes to solve complex problems. The Adult Gerontology CNS is a role model for nursing staff. They function as an integral part of a larger interdisciplinary clinical and operational leadership team contributing to excellence in patient care, research, teaching, and in providing leadership to the nursing staff and to the organization. Specific Job Responsibilities and Standards • Coaching, • Support education of nurses and other health care providers to include but not limited to pre-professional, graduate and continuing education opportunities., • Mentor health professionals in applying the principles of evidence-based care., • Uses coaching and advanced communication skills to facilitate the development of effective clinical teams., • Collaboration, • Builds effective interdisciplinary relationships to support coordinated, high-quality care., • Serves as a clinical resource and consultant to nurses, physicians, and other team members., • Facilitates communication and collaboration within and across units and services., • Partners with leaders to develop innovative and cost-effective care models and programs., • Evidence based practice, Quality Improvement and Research, • Promotes a culture of clinical inquiry, continuous learning, and evidence-based care., • Evaluates and translates research and best practices into clinical application across the system., • Identifies barriers and facilitators to implementing evidence-based practices and designs strategies to improve adoption., • Leads and participates in quality improvement initiatives to enhance patient safety, effectiveness, and outcomes., • Uses data and performance metrics to identify opportunities for improvement and evaluate impact., • Supports the development, implementation, and evaluation of standards of practice, guidelines, policies, and protocols., • Provides leadership in the system-wide implementation of quality improvement and innovation., • Mentors staff in applying evidence-based practice principles and engaging in research or quality improvement projects., • Systems Leadership, • Leads initiatives that promote excellence in clinical practice and professional nursing standards., • Identifies system-level barriers and develops solutions to improve care delivery and outcomes., • Advances nursing practice through leadership, ethical decision-making, and continuous professional growth., • Contributes to a supportive and healthy work environment that fosters staff engagement and retention., • Supports the development of standards, policies, and care protocols to ensure high-quality, safe, and patient-centered care. Hours: Monday-Friday, As-Needed Location: On-Site or Virtual (based on role needs) Education: Graduate of an accredited MSN or DNP Adult-Gerontology Clinical Nurse Specialist program Licensure: Current unrestricted RN license issued by or recognized by the North Carolina BON with recognition to practice as a CNS in the state of North Carolina. Certification: Adult-Gerontology (AGCNS-BC, ACCNS-AG, or equivalent). Experience: Minimum 5 years of RN clinical experience is required. Minimum 1 year of CNS experience is required. Experience with inpatient harms reduction initiatives and coaching/mentoring of newly graduated clinical nurse specialists strongly desired. Duke University 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. Working conditions: The work environment involves risk discomforts that are typical of an acute care setting to include working with patients under isolation and universal precautions. It requires safety precautions, ongoing education and health risk monitoring. Contact with specimens, chemicals, sharps; radiation, technical equipment and fumes are possible. Employees are required to wear personal protective attire according to hospital policies and OSHA guidelines. The work activity and patient acuity levels can create a stressful atmosphere. Estimate average of 8 hrs/week (max 16 hrs/week). Combination of on-site and remote (50/50), but this is somewhat flexible depending on the specific individual and what they bring in terms of experience. 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.

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. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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) Work Schedule • 3 x 12 hour shifts; 36 hours per week; Rotating shift (Day/Night): 7am - 7:30pm and 7pm - 7:30am, or, • 3 x 12 hour shfits; 36 hours per week; Night shift: 7pm - 7:30am About the Unit This unit is part of Duke University Hospital's innovation initiative, designed to redefine care delivery by integrating cutting-edge technologies that enhance patient outcomes, streamline workflows, and improve operational efficiency. Units 2100, 3100, and 4100 at Duke North are piloting smart room capabilities, automated signage, and virtual access for care teams and families. Future enhancements include predictive tools for fall prevention and ambient listening for documentation. Staff foster a culture of innovation and continuous improvement, collaborating across departments to explore solutions like expedited medication delivery, all aimed at improving the patient experience and reducing length of stay. General Description of the Job Class • The Nursing Assistant (NA) is a patient care support partner with the Registered Nurse (RN) and/or Licensed Practical Nurse (LPN) and performs work as delegated by the RN or LPN., • The NA provides direct care to patients and assists with non-direct patient care unit coordination., • The individual in this position is expected to perform basic care and comfort standards as well as have knowledge of the patient population needs in the assigned work area., • In addition, the NA is expected to assist the RN/LPN in the care of acutely ill patients., • This individual is expected to practice medical asepsis, respect the dignity and privacy of every patient and family, and to respect cultural differences during patient care., • They are expected to know and adhere to all basic policies and procedures and respond appropriately during emergency situations., • They are expected to maintain the patient/family environment, perform general unit upkeep, order and maintain unit equipment, and order supplies as needed, with or without direct supervision., • The NA is expected to use accurate verbal and written communication and to document patient care appropriately in the electronic health record. Duties and Responsibilities of this Level • Prepare patients, equipment and supplies for specific procedures and provide manual assistance as required., • Obtain and record patient data for medical records noting and informing RN/LPN of information collected., • Administer treatment and personal care procedures to patients including, but not limited to, feeding, bathing, hair care, changing clothing, nail care, bed-making, assisting with ambulation, enemas, skin care, and bowel and bladder elimination; provide such additional care as required to meet the personal needs and comfort of assigned patients., • Participate in teaching activities by reinforcing teaching instructed by RN and/or providers as needed., • Assist providers and nurses with physical examinations by helping position patients, changing non-sterile dressing and weighing patients., • Take and record vital signs, record I&O, and apply ice bags., • Note and report any changes in patient's condition., • Turn and position patients, set up and feed patients as necessary, provide patients with fresh drinking water., • Perform fingersticks for blood glucose testing, with appropriate training, document and notify RN/LPN., • Assist with admission, discharge, and transportation of patients. Follow standard precautions and use personal protective equipment as required., • Collect, deliver and conduct routine tests on patient specimens., • Clean assigned area; stock and replenish supplies and equipment as required., • Participate in own professional development by maintaining required skills validation and attending educational offerings. Support the development of other staff and formal learners., • May also perform clean dressing change for wounds over 48 hours old., • Perform other related duties incidental to work described herein. Required Qualifications at this Level Education • N/A Experience • N/A Degrees, Licensure, and/or Certification • Currently listed as a Nursing Assistant I (NA I) with the N.C. Department of Health and Human Services, Division of Health Service Regulation with no substantiated findings of abuse, fraud, neglect or misappropriation of property., • BCLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment. Knowledge, Skills, and Abilities • Working knowledge of procedures and techniques involved in administering routine and special treatments to patients., • Working knowledge of sanitation, personal hygiene and basic health and safety precautions applicable to work in a hospital., • Working knowledge of the organization and physical layout of the hospital., • Working knowledge of infection control procedures and safety precautions., • Ability to withstand prolonged standing and walking., • This position is very active and requires standing, walking, bending, kneeling, stooping, crouching, crawling and climbing all day. The employee must frequently lift or move objects and patients weighing over 35 pounds with assistance or appropriate lift equipment., • Ability to understand and follow oral and written instructions., • Ability to document and communicate pertinent information using computer and/or paper documentation tools., • Ability to establish and maintain effective working relationships with patients and hospital staff., • Working knowledge of principles and practices of providing non- professional bedside patient care., • Pre-employment Physical Capacity Testing may be required. 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.

As a part of Duke Health's outpatient clinic network, you will enjoy competitive compensation, comprehensive benefits plans, convenient work hours, and many opportunities for career advancement. Become a part of a team that values and invests in you. Duke Advanced Practice Highlights: • The nation's first Physician Assistant Program was created at Duke in 1965 and is consistently ranked No. 1 in the country., • The Duke School of Nursing is consistently ranked as one of the top nursing schools and their MSN and DNP programs offers eight advanced practice registered nurse majors and specialty certifications, as well as post master's certificates and certification alignment programs., • Commitment to ongoing learning for APPs through annual CME funding and access to high-quality Duke CME offerings including APP Grand Rounds and a professional advancement program. APPs are leaders in multiple arenas within Duke., • Duke offers APPs opportunities to practice within team based integrative care in a tremendous variety of specialties. APPs are expected to work to top of scope in order to contribute to Duke's missions which include clinical practice, education, and research., • Practice locations can include Duke Health's three hospitals or over 140 primary care and specialty care clinics throughout North Carolina. Job Location Duke South Clinic 1L, Durham, NC Duke Health Center, 932 Morreene Rd, Durham, NC Duke Health Cary, 100 Duke Health Cary Pl, Cary, NC Job Summary We are excited to announce an opportunity for an Advanced Practice Provider to join our Duke Neurological Sleep Clinic, serving both Durham and Raleigh/Cary, North Carolina, with a focus on insomnia care. In this role, you will: • Collaborate with attending physicians to provide specialized care for patients with insomnia and related sleep disorders., • Deliver Cognitive Behavioral Therapy for Insomnia (CBTi) and pharmacologic management for insomnia., • Collect and document patient data accurately., • Conduct diagnostic and therapeutic procedures., • Order and schedule laboratory studies and professional consultations., • Provide direct patient care services to individuals with insomnia and other sleep disorders. The primary hours for this position are Monday through Friday, during the day shift, with flexibility to meet the needs of our patients. Job Duties & Responsibilities • Patient Care: Take patient histories, conduct physical examinations, and record data in the patient's record. Write progress notes, prepare patient workups and summaries, noting pertinent positive and negative findings. Obtain psychosocial history relevant to patient care and develop therapeutic relationships with patients, especially those struggling with chronic insomnia., • Insomnia-Specific Care: Administer and interpret validated sleep assessment tools. Develop and implement individualized CBTi treatment plans. Prescribe and manage medications used to treat insomnia, while monitoring efficacy and side effects., • Diagnostic Procedures: Order and schedule laboratory studies and diagnostic procedures. Explain the necessity, preparation, nature, and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient., • Patient Monitoring: Monitor patient progress, report to the supervising physician, and maintain records of each patient's progress. Consult with the supervising physician when a patient's progress does not meet anticipated criteria., • Therapeutic Procedures: Perform diagnostic and therapeutic procedures to assist the physician in diagnosing sleep disorders and prescribing necessary treatments. Record normal and abnormal data for review by the physician., • Teaching: Participate in teaching students and residents techniques and procedures unique to insomnia management and behavioral sleep medicine.., • Clinical Trials: Participate in clinical trial subject recruitment, enrollment, and study, particularly those related to insomnia treatment. Job Eligibility Requirements Education • Nurse Practitioners: Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing., • Physician Assistants: Work requires completion of an accredited Physician Assistant program. A Bachelor's degree required; Master's degree strongly preferred. Certification • Certification or formal training in CBTi preferred., • BLS required. License • Nurse Practitioners: Must have current or compact RN licensure & NP approval to practice in the state of North Carolina. BLS required. National certification as a NP required., • Physician Assistants: Must be licensed in the state of NC, and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants., • DEA licensure required. Experience • 1+ years of experience treating patients with insomnia preferred., • Formal training in Cognitive Behavioral Therapy for Insomnia (CBTi) strongly preferred., • Comfort with prescribing insomnia medications required., • Experience in sleep medicine or behavioral sleep medicine preferred. Job Hours • Monday-Friday, day shift, with flexibility to meet clinic needs., • Eight 4-hr patient-facing sessions per week., • Two 4-hr administrative sessions per week. 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, (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.

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. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, 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 are consistently 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) Work Schedule: • PRN; Dayshift: 1 x 12 hour shift. General Description of the Job Class • Surgical Technologists (ST) are allied health professionals who assist in the preparation and care of surgical patients ranging from infancy to geriatrics under the general direction of a professional nurse. The ST possesses expertise in the theory and application of sterile aseptic technique and combines the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a surgeon's performance of invasive therapeutic and diagnostic procedures., • The ST who has a dual function in the operating room and the ambulatory setting demonstrates competency in the care of surgical patients preoperatively and postoperatively in the ambulatory surgical clinic setting. Duties and Responsibilities of this Level Level I - New graduate with up to 18 months of full-time equivalent experience: • Perform all responsibilities in a manner that demonstrates Service Excellence towards patients, physicians, peers and other departments. Assume responsibility for upholding the policies and procedures of the department and organization., • Demonstrates eagerness to learn, takes direction, adapts to changes within unit, demonstrates consistent progress toward Level II., • Establishes and maintains sterile field and assures team maintains sterile environment. Demonstrate and practice a good understanding of sterile technique., • Has a basic knowledge of instrumentations. Prepare Operating Room with appropriate instrumentation, equipment and supplies., • Demonstrates correct and safe instrumentation passing and performs sponge, needle and instrument counts in a safe and accurate manner., • Maintain technical skills to serve a patient population comprised of infancy to geriatric clients., • Take calls and rotate shifts as required under the direction of a registered nurse., • For Surgical Technologists with a dual role in an ambulatory environment, additional responsibilities may include: prepare patients for examinations and procedures in the surgical clinic setting; assist the physician during patient examination and procedures in the clinic; collect and label laboratory specimens for processing; reinforce postoperative instructions under direction of physician or RN; assist with incoming and outgoing patient calls under supervision of physician or RN; remove sutures/ staples, change sterile and non-sterile dressings, following DUHS policies and procedures, under direction of RN or physician; perform other clinical functions as delegated and supervised by the RN or physician; schedule and post surgical cases; coordinate complex scheduling of cases which require additional surgical support; update and file patient medical records., • Must advance to level II within 18 months., • Perform other duties and responsibilities as required. Level II - Perform all the duties and responsibilities of Level I, plus the following: • Assist with the teaching of newly hired technologists and student technologists., • Serve as a role model to new employees and other staff members., • Establish and maintain sterile field and assure team maintains sterile environment independently., • Anticipate the needs of the surgical team., • Apply basic knowledge of instrumentations to several cases., • Demonstrate appropriate and correct case preparation., • Competent at unit level., • Corrects deficiencies at the case level., • Communicate effectively with patients, staff members and physicians., • Adherence to standards including but not limited to unit and hospital policies and procedures, regulatory standards, and patient safety goals., • Assume responsibility for self and ensures that the policies, procedures and safety practices of the Operating Room and Hospital are reinforced., • Perform other duties and responsibilities as required. Required Qualifications at this Level Education • Graduate of an accredited Surgical Technology program or maintains an accredited Surgical Technologist certification (NCCT or NBSTSA)., • Or, provides evidence of the successful completion of an appropriate training program for Surgical Technology in the United States Military. Experience • Level I- Entry level position for new graduates of Surgical Technology program or Surgical Technologists with 0 to 18 months experience., • Level II- Requires 6 to 12 months of full-time equivalent Surgical Technology or relevant military experience. Degrees, Licensure, and/or Certification • Level I- N/A, • Level II- N/A Knowledge, Skills, and Abilities • Ability to adapt to changes within unit., • Ability to work effectively and efficiently under pressure in a stressful environment, and often without relief., • Ability to demonstrate knowledge of anatomy relating to the surgical procedure and the instrumentation required in order to effectively anticipate the needs of the surgeon., • Ability to set priorities and respond appropriately to actual and/or potential life threatening situations. 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.

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. The largest of the four Duke Healthhospitals with 1062 patient beds, it features 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 Duke Hospital Cardiac Intensive Care Unit (CICU) Advanced Practice Provider (APP) provides direct patient care services for complex, critically ill patients in the intensive care setting. Care is provided through collaboration with the attending cardiologist and multidisciplinary team. The APP performs physical exams, collects and documents data, performs diagnostic and therapeutic procedures, including A-lines, Central lines, orders laboratory studies, partners with consultants, prescribes appropriate interventions and medications, and coordinates patient care. The CICU APP contributes to excellence in patient care, research, teaching, and provides leadership to the organization. Job Duties and Responsibilities • Provide /coordinate clinical care for cardiac patients at Duke Hospital, being followed primarily in the Cardiac Intensive Care Unit setting but also throughout Duke Hospital through established protocols and under the supervision of the cardiologist and/or back-up supervising physician who is either on site or available by pager., • Patient rounding in collaboration with attending cardiologist/Fellow, rounds daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of cardiac patient care, • Collaborate with the chief resident, residents, and fellows to formulate treatment plans and monitor patient progress., • Perform procedures when indicated: full list will be shared upon request or at time of interview., • Assess patients for change in status and institute appropriate interventions. Initiates emergency interventions to stabilize the patient until physician support arrives., • Develop patient care pathways, protocols, and guidelines for the management of specific problems in conjunction with physicians and other members of the health care team., • Analyze clinical practice patterns to provide the best medical care and to increase effectiveness and efficiency., • Communicate verbally and in writing all pertinent patient information to the supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers., • Document in the patients' chart all relevant data, including but not limited to results of diagnostic tests; laboratory results; patients' condition and response to therapies/interventions; communications with supervising MD., • Utilize prescriptive privileges only for the identified patient population., • Role models competence in all nurse practitioner/physician assistant advanced skills. Job Eligibility Requirements Education NP: Graduate of an accredited MSN or DNP Acute Care Nurse Practitioner Program for Adult Critical Care. PA: Graduate of an ARC-accredited Master's or Doctoral Degree Physician Assistant Program Certification NP: ACNP, AGACNP (no other APRN certifications will be considered) PA: PA-C License NP: Unrestricted RN license issued by or recognized by the NCBON with authorization to practice as an NP PA: Unrestricted medical license issued by the NCMB with authorization to practice as a PA Both: Federal and State DEA with unrestricted prescriptive authority Experience • Rotation in a high-acuity ICU unit as a student is required, • Critical Care Fellowship Training preferred, • 1+ years' APP experience in a high acuity CICU/Critical care setting is preferred Physical and mental requirements: • Able to clearly articulate the scope of practice and practices within those guidelines as an NP/PA in the state of North Carolina and within the Duke University Health System (DUHS), • Able to independently seek out resources and work collaboratively to solve complex problems, • Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others, • Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up, • Able to use fine motor skills, • Able to record activities, document assessments, and interventions; prepare reports and presentations., • Able to use a computer and learn new software programs, • Able to provide leadership in the clinical area of expertise and in meeting organizational goals, • Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations, • Able to withstand prolonged standing and walking, with the ability to move or lift at least fifty pounds, • Able to remain focused and organized, • Able to work collaboratively with all levels of personnel Job Hours Primary hours will be 12-hour rotational shifts / 7 days per week, including holidays. A Permanent Nights option is also available. 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.

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 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. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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) Clinical Nurse II- Duke Dermatology South Durham JOB LOCATION Duke Dermatology South Durham 234 Crooked Creek Pkwy, Durham, NC JOB SUMMARY We are seeking a CLINICAL NURSE II in our Dermatology Clinic located in South Durham to be an integral member of the healthcare team and provide direct and indirect care to patients. The schedule for this position is day shifts, Monday-Friday, with no weekends or holidays. JOB DUTIES AND RESPONSIBILITIES • Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures., • Delegate tasks and supervise the activities of other licensed and unlicensed care providers., • Assist other nursing personnel in the delivery of nursing care., • Daily resource for the unlicensed care providers in the delivery of patient care and serve as team lead., • 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., • Coordinate nurse only visits for biologic and other injectable teaching as well as suture and wound check returns., • Coordinate scheduling of procedure/surgery appointments with ability to provide clear pre and post op instructions to patients., • Triage patient messages received via In Basket and telephone., • At least 50% of the role involves Virtual Care of patients by responding to In Basket messages and reply using dermatology protocols., • Perform other related duties incidental to the work described herein. JOB ELIGIBILITY REQUIREMENTS • Work requires graduation from an accredited Associate's Degree in Nursing or Nursing Diploma program., • All registered nurses 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 BSN program within seven years of their start date, • 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 seven 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., • Twelve months of appropriate clinical experience is required., • Must have current or compact RN licensure in the state of North Carolina. BLS required. 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.

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. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, 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 are consistently 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) Nursing Care Assistant I- Duke Regional Hospital- Emergency Services Duke University Health System seeks to hire a NAI I who will embrace our mission of Advancing Health Together. Department Profile: The Emergency Department at Duke Regional Hospital is a newly renovated Emergency Department comprised of 79 total beds, which includes: 49 beds for the Emergency Medicine unit, 12 beds Clinical Decision Unit, and an18 bed Behavioral Health Unit. Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. Schedule 3 x 12hr shifts Various Shifts Available 7A-7P OR 7P-7A The Nursing Assistant (NA) is a patient care support partner with the Registered Nurse (RN) and/or Licensed Practical Nurse (LPN) and performs work as delegated by the RN or LPN. The NA provides direct care to patients and assists with non-direct patient care unit coordination. The individual in this position is expected to perform basic care and comfort standards as well as have knowledge of the patient population needs in the assigned work area. In addition, theNA is expected to assist the RN/LPN in the care of acutely ill patients. This individual is expected to practice medical asepsis, respect the dignity and privacy of every patient and family, and to respect cultural differences during patient care. They are expected to know and adhere to all basic policies and procedures and respond appropriately during emergency situations. They are expected to maintain the patient/family environment, perform general unit upkeep, order and maintain unit equipment, and order supplies as needed, with or without direct supervision. The NA is expected to use accurate verbal and written communication and to document patient care appropriately in the electronic health record. Prepare patients, equipment and supplies for specific procedures and provide manual assistance as required. Obtain and record patient data for medical records noting and informing RN/LPN of information collected. Administer treatment and personal care procedures to patients including, but not limited to, feeding, bathing, hair care, changing clothing, nail care, bed-making, assisting with ambulation, enemas, skin care, and bowel and bladder elimination; provide such additional care as required to meet the personal needs and comfort of assigned patients. Participate in teaching activities by reinforcing teaching instructed by RN and/or providers as needed. Assist providers and nurses with physical examinations by helping position patients, changing non-sterile dressing and weighing patients. Take and record vital signs, record I&O, and apply ice bags. Note and report any changes in patient's condition. Turn and position patients, set up and feed patients as necessary, provide patients with fresh drinking water. Perform fingersticks for blood glucose testing, with appropriate training, document and notify RN/LPN. Assist with admission, discharge, and transportation of patients. Follow standard precautions and use personal protective equipment as required. Collect, deliver and conduct routine tests on patient specimens. Clean assigned area; stock and replenish supplies and equipment as required. Participate in own professional development by maintaining required skills validation and attending educational offerings. Support the development of other staff and formal learners. May also perform clean dressing change for wounds over 48 hours old. Perform other related duties incidental to work described herein. Working knowledge of procedures and techniques involved in administering routine and special treatments to patients. Working knowledge of sanitation, personal hygiene and basic health and safety precautions applicable to work in a hospital. Workingknowledge of the organization and physical layout of the hospital. Working knowledge of infection control procedures and safety precautions. Ability to withstand prolonged standing and walking. This position is very active and requires standing, walking,bending, kneeling, stooping, crouching, crawling and climbing all day. The employee must frequently lift or move objects and patients weighing over 35 pounds with assistance or appropriate lift equipment. Ability to understand and follow oral and writteninstructions. Ability to document and communicate pertinent information using computer and/or paper documentation tools. Ability to establish and maintain effective working relationships with patients and hospital staff. Working knowledge of principles and practices of providing non- professional bedside patient care. Pre-employment Physical Capacity Testing may be required. N/A N/A N/A Currently listed as a Nursing Assistant I (NA I) with the N.C. Department of Health and Human Services, Division of Health Service Regulation with no substantiated findings of abuse, fraud, neglect or misappropriation of property. BCLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment. 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.

As a part of Duke Health's outpatient clinic network, you will enjoy competitive compensation, comprehensive benefits plans, convenient work hours, and many opportunities for career advancement. Become a part of a team that values and invests in you. Duke Advanced Practice Highlights: • The nation's first Physician Assistant Program was created at Duke in 1965 and is consistently ranked No. 1 in the country., • The Duke School of Nursing is consistently ranked as one of the top nursing schools and their MSN and DNP programs offers eight advanced practice registered nurse majors and specialty certifications, as well as post master's certificates and certification alignment programs., • Commitment to ongoing learning for APPs through annual CME funding and access to high-quality Duke CME offerings including APP Grand Rounds and a professional advancement program. APPs are leaders in multiple arenas within Duke., • Duke offers APPs opportunities to practice within team based integrative care in a tremendous variety of specialties. APPs are expected to work to top of scope in order to contribute to Duke's missions which include clinical practice, education, and research., • Practice locations can include Duke Health's three hospitals or over 140 primary care and specialty care clinics throughout North Carolina. Job Location Duke Gastroenterology North Durham Clinic, 4220 N Roxboro St, Durham, NC Duke Gastroenterology 2J Clinic, 40 Duke Medicine Circle, Durham, NC Job Summary We are seeking an Advanced Practice Provider in our Duke Gastroenterology North Durham and 2J Clinics located in Durham, NC to provide out-patient medical care to adult patients with general hepatology conditions. Primary hours will be Monday through Friday, day shift, with hours flexible to meet the needs of the patients. Duties may include but are not limited to those listed below and may include other outpatient procedures or services as deemed appropriate by the supervising physician. It is anticipated that the APP will see hepatology patients at Duke Gastroenterology North Durham and main campus 2J clinics and may also see patients at other Durham locations depending on Division needs and clinic availability. Job Duties & Responsibilities • Record the history of present illness, past medical, family and social history, perform physical examinations in inpatient and outpatient setting, • Establish and development treatment plan; care will be provided in conjunction with MD's as needed, • Prescribe appropriate medications to a specialty pharmacy that will handle prior authorization and other necessary paperwork; order refills as needed, • Patient and family teaching, • Order appropriate labs, tests and procedures and follow up with patient as needed, • Assist in covering the GI Day Hospital and urgent slots and perform procedures such as fibroscans and paracentesis, • Coordinate care and refer to other medical professionals as needed, • Document clinic, telephone, and other patient encounters in the Epic (Maestro) system, • Review lab results in Maestro, communicate and interpret results, • Collaborate with HUB Triage Nurses regarding patient triage and return patients calls within 24-48 hours; provide feedback regarding scheduling of urgent patient appointments, • Review outside records including clinic notes, hospital records, outside radiographs, lab, and other test results, • Collaborate with nursing staff to complete patient paperwork including medication pre-certifications for insurance companies, durable medical equipment requests, disability paperwork, and handicapped permit applications, • Attendance at GI Grand Rounds is expected. Participation in other divisional educational events is also encouraged Job Eligibility Requirements Education • Nurse Practitioners: Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing., • Physician Assistants: Completion of an accredited Physician Assistant program. A Bachelor's degree required; Master's degree strongly preferred. Certification • BLS required. License • Nurse Practitioners: Must have current or compact RN licensure in the state of North Carolina. BLS required. National certification as a NP required prior to or within 6 months of employment., • Physician Assistants: Must be licensed in the state of NC, and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants., • Both: DEA licensure with prescriptive authority required. Experience • 1+ years of gastroenterology APP experience preferred. Job Hours Monday-Friday, day shift, with flexibility to meet clinic needs 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, (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.

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 HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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, • Qualityof Life: Living in the Triangle!, • Relocation Assistance (based on eligibility) The Duke HomeCare, Hospice and Infusion Services team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. Must have home-based, hospice care experience for this PRN RN role. Shifts: PRN 8 hour shifts JOB SUMMARY: Performs professional nursing care for patients in a primary care setting (the home or alternate site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. MAJOR JOB RESPONSIBILITIES: • Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care., • Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care., • Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care., • Develop and implement an effective discharge plan for patients to begin at the initiation of services., • Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching., • Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills., • Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient., • Maintain up-to-date knowledge of Medicare/Medicaid/JCAHO standards thru in-services and workshop attendance., • Assess the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate., • Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards., • Complete documentation accurately, timely, concisely., • Medication reconciliation and education to prevent adverse events and readmission to hospital, • Observe patients' reactions to medications and reports significant incidents to the physicians., • Communicate regularly with team members, caregivers, and physicians., • Follow infection control standard precautions and uses personal protective equipment as required., • Delegate and supervise care given by NCA's/LPN's., • Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient's care needs., • Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness., • Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings., • Implement agency policy, procedures and objectives., • Work closely and collaboratively with agency billing staff to ensure accuracy of billing., • Maintain confidentiality of employee and patient information., • Exhibit an attitude which promotes harmony and goodwill in the workplace., • Display a clean, neat, professional appearance., • Participate in Performance Improvement Program., • Promote quality, comprehensive services through a team approach., • Perform other duties as assigned. WORK ENVIRONMENT AND REQUIREMENTS: Perform Patient care primarily in the patient's residence or skilled nursing facility (>50%) Travel to and from patient's residence PREFERRED QUALIFICATIONS Education and Formal Training • Associate Degree or Diploma, Nursing required, • Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service of their start date. Licensures, Certifications • Must have a current or compact RN licensure in the state of North Carolina, or Compact license with participating state., • Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only)-May update during orientation Professional Work Experience & Requirements • Two years of med-surgical, critical care or home health/hospice/infusion, • Valid driver's license and current automobile insurance coverage, • Prior experience in Hospice required 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.

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. Job Location: Duke University Hospital / NICU Job Summary The Neonatal APP provides direct patient care services and performs medical procedures under the supervision of a supervisory physician to infants (birth through 2 years of age) in specialized neonatal units to include Intensive Care Nurseries, Intermediate Care Nurseries, and the Special Care Nurseries in the Duke University Health System. The Neonatal APP performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, and provides direct patient care services. The NNP contributes to excellence in patient care, research, teaching, and provides leadership in the organization. Job Duties and Responsibilities • In collaboration with the attending of service and/or fellows, round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care., • Provide and coordinate clinical care for service-specific patients through established protocols under the hospitalist supervising physician or backup physician, who is either on site or available by pager., • Collaborate with fellows, attending, other APP colleagues, nurses, and patient resource managers to formulate treatment plans and monitor patient progress., • Perform procedures specific to the work environment after demonstrated competency and within the guidelines of scope of practice and credentialing protocols., • Assess patients for a change in status and institute appropriate interventions. Initiate emergency interventions to stabilize the patient until physician support arrives., • Post-procedural stabilization and management., • Develop patient care pathways, protocols, and guidelines for managing specific problems in conjunction with physicians and other members of the health care team., • Communicate verbally and in writing all pertinent patient information to the supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers., • Document in the patients' medical records all relevant data, including, but not limited to, diagnostic test results, laboratory results, patients' condition and response to therapies/interventions, and communications with the supervising MD., • Prescriptive authority for prescribing, ordering, and/or administering drugs, including (but not limited to) schedule II, III, IV, and V drugs and necessary medical devices., • Role model competence in all nurse practitioner/physician assistant advanced skills., • Give daily handoff to appropriate attending, APP, or fellow at the end of the shift., • Assess educational needs of the patient-care staff and provide one-on-one and formal education as needed., • Assess the educational needs of the patients/families and provide culturally sensitive patient/family education interventions as indicated. Use non-technical language when educating patients and families. Document all education in patients' medical records., • Implement and evaluate appropriate educational programs for DUHS patient care staff and other healthcare providers as appropriate., • Role model and precept healthcare learners through contractual agreements., • Utilize current research and evidence-based decision-making in all clinical practice., • Incorporate clinical research findings in the development and implementation of standards of care., • Participate in interdisciplinary quality improvement and/or research activities., • Provide expertise and resource information to other healthcare providers, patients and families, and the community at large related to pediatric diseases, procedures, interventions, and conditions., • Develop, implement, and evaluate standards of care/practice guidelines/policies and procedures/care maps/protocols within the area of specialization., • Maintain all professional requirements for licensure and certification. Job Eligibility Requirements Education NP: Graduate of an accredited MSN or DNP Neonatal Nurse Practitioner Program PA: Graduate of an accredited Master's Degree or Doctoral Degree Physician Assistant Programplusa Neonatal APP Fellowship Certification NP: Neonatal Nurse Practitioner (NNP) PA: PA-C Both: BLS, NRP mandatory before hire License NP: Current and unrestricted RN license issued by or recognized by the NCBON with approval to practice as NP PA: Current and unrestricted medical license issued by the NCMB with approval to practice as PA Both: Fed & State DEA license Experience NP: 3 years RN experience as a neonatal nurse, 1-year NNP experience preferred PA: 1 year PA experience through neonatal fellowship or as a neonatal provider Job Hours Primary hours will be rotational, covering 24 hours / 7 days per week, including nights, weekends, and holidays. The Neonatal APP must also be flexible to provide on-call coverage, as needed. 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.

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 HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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, • Qualityof Life: Living in the Triangle!, • Relocation Assistance (based on eligibility) Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. As a nurse with Hospice Home and Partners at Duke you will get to live out Duke's mission of caring for our patients, their loved ones, and each other in a very precious way. While working with our Hospice department, you will have the opportunity to truly care for people at their most vulnerable state of being as well as help them and their loved ones learn to let go in peace and comfort. Shifts/Hours: (5) 8 hour evening shifts (1 PM-9 PM) Monday to Friday. Must have Hospice experience for this evening shift position Duke HomeCare and Hospice differs from other home health companies inmany amazing ways. Please see a list of some of those reasons below: • Manageable caseloads and territories, • Commitment to safety for both patients and employees, • Mileage reimbursement rate equal to the current federal rate, • Extensive orientation of 16+ weeks based on individual needs JOB SUMMARY: Performs professional nursing care for patients in a primary care setting (the home or alternate-site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. MAJOR JOB RESPONSIBILITIES: • Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care., • Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care., • Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care., • Develop and implement an effective discharge plan for patients to begin at the initiation of services., • Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching., • Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills., • Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient., • Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance., • Assesses the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate., • Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards., • Complete documentation accurately, timely, concisely., • Medication reconciliation and education to prevent adverse events and readmission to hospital, • Observe patient's reactions to medications and reports significant incidents to the physicians., • Communicate regularly with team members, caregivers, and physicians., • Follow infection control standard precautions and uses personal protective equipment as required., • Delegate and supervise care given by NCA's/LPN's., • Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient's care needs., • Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness., • Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings., • Implement agency policy, procedures and objectives., • Work closely and collaboratively with agency billing staff to ensure accuracy of billing., • Maintain confidentiality of employee and patient information., • Exhibit an attitude which promotes harmony and goodwill in the workplace., • Display a clean, neat, professional appearance., • Participate in Performance Improvement Program., • Promote quality, comprehensive services through a team approach., • Perform other duties as assigned. WORK ENVIRONMENT AND REQUIREMENTS: Perform Patient care primarily in the patient's residence or skilled nursing facility (>50%) Travel to and from patient residence PREFERRED QUALIFICATIONS Education and Formal Training • Associate Degree or Diploma, Nursing required, • Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service of their start date. Licensures, Certifications • Must have a current North Carolina RN Licensure or compact RN licensure in participating state, • Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only), • Valid driver's license and current automobile insurance coverage. Professional Work Experience & Requirements • Two years of med-surgical, critical care or home health/hospice/infusion preferred, but not required, • Valid driver's license and current automobile insurance coverage, • Prior experience in Home Health, Hospice or Infusion preferred, • Prior OASIS and PDGM experience preferred for home health Knowledge, Skills & Abilities • Working knowledge of Medicare and Medicaid regulations, including JCAHO and DFS standards, ICD-9 Coding., • Knowledge of scope of the registered nurse, licensed practical nurse and NCA, • Knowledge of and appropriate application of the nursing process, • 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, • 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 and technology, • Able to document and communicate pertinent information using computer and/or paper documentation tools, • Knowledge in wound identification and treatments, infusion and other advanced nursing skills, • Critical thinking skills and organization skills, • Working knowledge of infection control procedures and safety precautions, • Strong computer skills including MS Outlook, Word, Excel, preferred, • Excellent rapport, understanding, and communication with the patients and their family members, • Ability to work autonomously and independently in varying environments., • Able to withstand driving long distances, stooping, bending, lifting 20 plus pounds, and climb stairs 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.

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. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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) Surgical Technologists are eligible for a $10,000 Commitment Bonus! Relocation Assistance also available! Schedule: Monday - Friday: 4 x 10 hour shift; (no holidays, no weekends, no call); (1) late shift weekly. General Description of the Job Class • Surgical Technologists (ST) are allied health professionals who assist in the preparation and care of surgical patients ranging from infancy to geriatrics under the general direction of a professional nurse., • The ST possesses expertise in the theory and application of sterile aseptic technique and combines the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a surgeon's performance of invasive therapeutic and diagnostic procedures., • The ST who has a dual function in the operating room and the ambulatory setting demonstrates competency in the care of surgical patients preoperatively and postoperatively in the ambulatory surgical clinic setting. Duties and Responsibilities of this Level Level I - New graduate with up to 18 months of full-time equivalent experience. • Perform all responsibilities in a manner that demonstrates Service Excellence towards patients, physicians, peers and other departments., • Assume responsibility for upholding the policies and procedures of the department and organization., • Demonstrates eagerness to learn, takes direction, adapts to changes within unit, demonstrates consistent progress toward Level II., • Establishes and maintains sterile field and assures team maintains sterile environment., • Demonstrate and practice a good understanding of sterile technique., • Has a basic knowledge of instrumentations., • Prepare Operating Room with appropriate instrumentation, equipment and supplies., • Demonstrates correct and safe instrumentation passing and performs sponge, needle and instrument counts in a safe and accurate manner., • Maintain technical skills to serve a patient population comprised of infancy to geriatric clients., • Take calls and rotate shifts as required under the direction of a registered nurse., • For Surgical Technologists with a dual role in an ambulatory environment, additional responsibilities may include: prepare patients for examinations and procedures in the surgical clinic setting; assist the physician during patient examination and procedures in the clinic; collect and label laboratory specimens for processing; reinforce postoperative instructions under direction of physician or RN; assist with incoming and outgoing patient calls under supervision of physician or RN; remove sutures/ staples, change sterile and non-sterile dressings, following DUHS policies and procedures, under direction of RN or physician; perform other clinical functions as delegated and supervised by the RN or physician; schedule and post surgical cases; coordinate complex scheduling of cases which require additional surgical support; update and file patient medical records., • Must advance to level II within 18 months., • Perform other duties and responsibilities as required. Level II - Perform all the duties and responsibilities of Level I, plus the following: • Assist with the teaching of newly hired technologists and student technologists., • Serve as a role model to new employees and other staff members., • Establish and maintain sterile field and assure team maintains sterile environment independently., • Anticipate the needs of the surgical team., • Apply basic knowledge of instrumentations to several cases., • Demonstrate appropriate and correct case preparation., • Competent at unit level., • Corrects deficiencies at the case level., • Communicate effectively with patients, staff members and physicians., • Adherence to standards including but not limited to unit and hospital policies and procedures, regulatory standards, and patient safety goals., • Assume responsibility for self and ensures that the policies, procedures and safety practices of the Operating Room and Hospital are reinforced., • Perform other duties and responsibilities as required. Required Qualifications at this Level Education • Graduate of an accredited Surgical Technology program or maintains an accredited Surgical Technologist certification (NCCT or NBSTSA)., • Or, provides evidence of the successful completion of an appropriate training program for Surgical Technology in the United States Military. Experience • Level I- Entry level position for new graduates of Surgical Technology program or Surgical Technologists with 0 to 18 months experience., • Level II- Requires 6 to 12 months of full-time equivalent Surgical Technology or relevant military experience. Degrees, Licensure, and/or Certification • Level I- BLS required., • Level II- BLS required. Knowledge, Skills, and Abilities • Ability to adapt to changes within unit., • Ability to work effectively and efficiently under pressure in a stressful environment, and often without relief., • Ability to demonstrate knowledge of anatomy relating to the surgical procedure and the instrumentation required in order to effectively anticipate the needs of the surgeon., • Ability to set priorities and respond appropriately to actual and/or potential life threatening situations. 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 onthe 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.

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. With 388 beds it is the second largest of Duke Health's four 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. The Wound, Ostomy, and Continence Clinical Service Nurse (WOC CSN) provides care to patients withstomas, draining wounds, or incontinence, throughout the organization. This includes utilization of clinicalexpertise to provide preoperative and postoperative care, counseling, and teaching to patients 0-99 yearsof age in need of wound, ostomy, and / or continence management. The WOC CSN's primaryresponsibility is to educate nurses to ensure knowledge and competency in basic wound, ostomy andcontinence management; and works collaboratively with the interdisciplinary team in a variety ofspecialties in planning and coordinating the care. The WOC CSN is an integral part of multiple teams, asa clinician, educator and consultant. Job Hours PRN Days, as needed Job Duties and Responsibilities • Plan and provide professional nursing care for patients in accordance with physician orders andestablished policies and procedures (Direct Care), • Identifies patient caseload through referrals and active case finding., • Conducts complete and accurate patient assessment, • Provides specialized nursing treatment, care and education to patients with wounds, • Provides specialized nursing treatment, care, stomal siting, and education to patients undergoingurinary or stool diversion in accordance with physician/nursing orders and established policies andprocedures, • Provides specialized nursing treatment, care, and education to patients with draining wounds orrequiring continence management or other specialized urologic interventions (such as clean intermittentself-catheterization or continuous bladder irrigation), • Selects, develops and/or implements evidence-based clinical interventions and systems to achievedefined patient and system outcomes, • Serves as a resource to patients and families, providing preoperative counseling and follow-up problemsolving after discharge from the hospital, • Utilizes comprehensive assessment skills in the evaluation of stoma and wound care products andsupplies in an effort to provide quality, cost-effective care, • Assist patients and families with the understanding of their diagnosis and the management thereof, • Identifies patient/family education needs and priorities, • Coaches patients and families to help them navigate the healthcare system, • Utilizes teaching and learning theories to assist patients and families with physical and emotional impact of body changes and chronic illness, • Provides additional information/community resources to enhance the patient's quality of life as it relatesto the alterations in body image and life style, • Participates in developing, implementing and evaluating patient education resources and programsappropriate to the patient's developmental level, health literacy level, learning needs, readiness tolearn, and cultural values and beliefs, • Assesses learning needs of nursing staff; participate in planning and implementing appropriateeducational forums and opportunities to address critical learning needs and skills, • Assist nursing personnel in the delivery of nursing care functioning as an integral member of themultidisciplinary team, • Establishes collaborative relationships within and across departments that promote patient safety,culturally competent care, and clinical excellence, • Serves as a resource and consultant to nursing members of the healthcare community and to the largercommunity in areas of wound, ostomy, and continence management strategies, • Practices collegially with medical staff and other members of the healthcare team, • Participates in and supports accreditation and regulatory activities of Duke Hospital, • Facilitates the provision of clinically competent care by staff/team through education, role modeling,teambuilding, and quality monitoring, • Role models advanced practice professional nursing through conduct, appearance, communication,mutual respect, leadership, ethical decision-making, critical thinking, continuous learning and problemsolvingskills, • Uses effective strategies for changing clinician and team behavior to encourage adoption of evidencebasedpractices and innovations in care delivery, • Assist in the development and implementation of general policies and procedures and qualityimprovement designed to effect efficiency of operations, • Participates in nursing and interdisciplinary process improvement projects, product evaluation, outcomeevaluation studies, and / or clinical research, • Uses quality-monitoring data to assess the quality and effectiveness of clinical programs in meetingoutcomes, • Promotes evidence-based practice through participation in developing, implementing, and evaluating process standards such as plans of care, protocols, and guidelines, • Applies principles of evidence-based practice and quality improvement to all patient care Education • Graduate of an accredited BSN program License • Current unrestricted RN license issued by the NCBON Certification • Nationally recognized certification in Wound and Ostomy management is required Minimum Qualifications: • Work requires graduation from an accredited BSN program., • 2 years of appropriate clinical experience required., • Nationally recognized certification in Wound and Ostomy management is required. CWON or CWOCN (Nationally recognized certification in Wound, Ostomy, and Continence certification, can also consider Wound Nurse certification with Ostomy certification being obtained 6 months. 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.

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 Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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) Surgical Technologists are eligible for a $10,000 Commitment Bonus. Relocation Assistance is also available! Locations: • Duke University Hospital, • Duke Regional Hospital, • Davis Ambulatory Surgery Center, • Duke Ambulatory Surgery Center, • Arringdon Ambulatory Surgery Center General Description of the Job Class • Surgical Technologists (ST) are allied health professionals who assist in the preparation and care of surgical patients ranging from infancy to geriatrics under the general direction of a professional nurse., • The ST possesses expertise in the theory and application of sterile aseptic technique and combines the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a surgeon's performance of invasive therapeutic and diagnostic procedures., • The ST who has a dual role in the operating room and the ambulatory setting demonstrates competency in the care of surgical patients preoperatively and postoperatively in the ambulatory surgical clinic. Duties and Responsibilities of this Level Level I - New graduate with up to 18 months of full-time equivalent experience. • Perform all responsibilities in a manner that demonstrates Service Excellence towards patients, physicians, peers, and other departments. Assume responsibility for upholding the department and organization's policies and procedures., • Demonstrates eagerness to learn, takes direction, adapts to changes within the unit, and demonstrates consistent progress toward Level II., • Establishes and maintains a sterile field and assures the team maintains a sterile environment. Demonstrate and practice a good understanding of sterile technique., • Has a basic knowledge of instrumentation. Prepare the Operating Room with appropriate instrumentation, equipment, and supplies., • Demonstrates correct and safe instrumentation passing and performs sponge, needle, and instrument counts safely and accurately., • Maintain technical skills to serve a patient population comprised of infants to geriatric clients., • Take calls and rotate shifts as required under the direction of a registered nurse., • For Surgical Technologists with a dual role in an ambulatory environment, additional responsibilities may include: prepare patients for examinations and procedures in the surgical clinic setting; assist the physician during patient examination and procedures in the clinic; collect and label laboratory specimens for processing; reinforce postoperative instructions under direction of physician or RN; assist with incoming and outgoing patient calls under supervision of physician or RN; remove sutures/ staples, change sterile and non-sterile dressings, following DUHS policies and procedures, under direction of RN or physician; perform other clinical functions as delegated and supervised by the RN or physician; schedule and post surgical cases; coordinate complex scheduling of cases which require additional surgical support; update and file patient medical records., • Must advance to level II within 18 months., • Perform other duties and responsibilities as required. Level II -Perform all the duties and responsibilities of Level I, plus the following: • Assist with the teaching of newly hired technologists and student technologists., • Serve as a role model to new employees and other staff members., • Establish and maintain a sterile field, and ensure the team independently maintains a sterile environment., • Anticipate the surgical team's needs., • Apply basic knowledge of instrumentation to several cases., • Demonstrate appropriate and correct case preparation., • Competent at the unit level., • Corrects deficiencies at the case level., • Communicate effectively with patients, staff members, and physicians., • Adherence to standards, including but not limited to unit and hospital policies and procedures, regulatory standards, and patient safety goals., • Assume responsibility for self and ensure that the Operating Room and Hospital policies, procedures, and safety practices are reinforced., • Perform other duties and responsibilities as required. Required Qualifications at this Level Education • Graduate of an accredited Surgical Technology program or maintains an accredited Surgical Technologist certification (NCCT or NBSTSA)., • Or, provides evidence of the successful completion of an appropriate training program for Surgical Technology in the United States Military. Experience • Level I- Entry-level position for new graduates of the Surgical Technology program or Surgical Technologists with 0 to 18 months of experience., • Level II- Requires 6 to 12 months of full-time equivalent Surgical Technology or relevant military experience. Degrees, Licensure, and/or Certification • Level I- BLS required., • Level II- BLS required. 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.

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. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. The Nurse Practitioner (NP) has as their primary responsibility the management of a caseload of patients who are typically not in critical care inpatient settings or patients in an ambulatory primary care or specialty clinic setting. The NP works collaboratively with the supervising physician or designated back-up physicians. The NP provides direct patient care services including but not limited to physical exams, collects & documents data, orders and conducts approved diagnostic and therapeutic procedures, orders and scheduled laboratory studies, orders and/or conducts professional consultations and prescribes appropriate interventions and medications. The NP contributes to excellence in patient care, research, teaching, consulting, and provides leadership to the organization and healthcare professions. Provide direct clinical services for neonatal, pediatric, or adult patients who require either a non-critical care inpatient setting or an ambulatory primary care or specialty clinic setting, according to established protocols and utilizes evidence-based clinical practice standards in collaboration with the supervising physician. Obtain patient health histories and complete physical examinations. Document findings noting pertinent normal and abnormal findings. Order and interpret appropriate diagnostic and laboratory tests. Explain the necessity, preparation, nature, and anticipated effects of procedure (s) to patients, patient's family, staff, and healthcare learners. Perform approved therapeutic or diagnostic procedures based upon patient's clinical status. Document patient preparation and response to procedure(s). Formulate and implement treatment plan for acute illness management in collaboration with the designated primary supervising physician and/or attending back-up physician(s). Document in medical records and appropriate narrative summaries. Utilize prescriptive privileges as allowed by the North Carolina Boards of Nursing. Document all prescriptions in a patient's medical record. Assess patient for change in status and institute appropriate interventions. Initiate necessary emergency interventions to stabilize patients. Provide family-centered care by communicating with the family regarding the changing health care needs of their infant, child, or family member. Assesses family adaptation, coping skills and the need for crisis or other intervention. Utilize current research and evidence-based decision-making in all clinical practice. Incorporate clinical research findings in the development and implementation of standards of care. Support IRB approved clinical research/trials though a variety of activities including but not limited to: obtaining consent; ordering diagnostic tests; recording laboratory & diagnostic results; administering therapeutic interventions; and documenting and reporting patient outcomes including toxicities or adverse events. Perform and participate in quality/performance improvement activities and clinical research. Serve as a clinical expert and leadership consultant to nursing, members of the healthcare team and to the larger community. Participate in and support accreditation, compliance, and regulatory activities of the organization. Identify educational needs of the family and participate in teaching opportunities. Assess educational needs, plan, provide, and evaluate educational programs for nursing staff, interdisciplinary healthcare team, and community. Participate in precepting nurse practitioners, other healthcare team members, and healthcare learners. Participate in the development, review, and evaluation of NP practice protocols within legal guidelines in compliance with DUHS policies. Role model professionalism throughconduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, and problem-solving skills. Demonstrate responsibility for professional practice through active participation in professional organizations and continuing education. Enhance the body of knowledge of nursing and/or area of specialization through exchange of ideas and knowledge in professional organizations, oral presentations, posters, research activities, and written publications. N/A N/A Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing. None required above education/training requirement. 3 years of RN experience strongly preferred. OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE Must have current or compact RN licensure & NP approval to practice in the state of North Carolina. BLS required. National certification as a NP required. 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.

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 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. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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) Location: 4709 Creekstone Dr, Durham, NC 27703 JOB SUMMARY We are seeking anLPNto be an integral member of the healthcare team and provide direct and indirect care to patients at theDuke Children's Creekstone ClinicinDurham, NC.Professional development opportunities include the ability to advance on the LPN clinical ladder and participate in clinic committees. This is a multi-specialty role supporting various clinics at the Duke Children's Creekstone location. Job Duties and Responsibilities: • Perform patient intake including: obtaining vital signs (including manual blood pressures), administering survey tools, data collection, assisting patients with preparing questions for provider visit, assisting patients with ambulation/toileting, reviewing patient medications, provide teaching for specialty injections and assess knowledge of patient/family., • Completing procedural tasks including: administering vaccinations and medications according to standing orders and provider orders, specimen collection and correct labeling, performing EKGs and placing holter monitors, POC testing, assisting with clinic-performed procedures (including ABP monitoring), obtaining manual and orthostatic BP, providing education to patient/family, bill for nursing procedures. Assist with obtaining prior authorizations, prescription refills., • Documentation in electronic health record. Assist with administrative functions as needed, including message taking., • Monitor and initiate corrective action to maintain the environment of care, including equipment and material resources. Participate in and assist with the identification of clinical or operational performance improvement opportunities, including performing unit audits., • Work requires graduation from an approved or accredited Practical Nurse program., • 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., • Current State of North Carolina LPN licensure or Nurse Licensure Compact (NLC)., • BLS required. Job Schedule: The schedule for this position is day shifts, Monday-Friday, with no weekends or holidays. 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.

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 HospitalPursue 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. Nurse Clinician - Perianesthsia Administrative Testing (PAT) Clinic Duke University Health System seeks to hire a NurseClinician at thePreOp Clinic/Preanesthesia testing unit atDuke Regional Hospitalwho will embrace our mission of Transforming Lives Transforming Care. Shift: Monday - Friday, 8am - 4:30pm Salaried position:40 hours/week The Nurse Clinician is responsible and accountable for clinical expertise for specific patient populations. The incumbent functions as a clinician, educator, investigator, consultant and leader. Clinical judgments are based on a synthesis of current research, concepts, principles, theories, and outcomes to solve complex problems. The Nurse Clinician functions as an integral part of an interdisciplinary team, contributing to excellence in patient care, research, teaching, and in providing leadership to the organization. Work Performed Coordinates Preoperative/Specialty Appointments • Schedules and coordinates all necessary appointments and testing between preoperative visit and surgery, • Interacts with surgeons' offices/schedulers and DRH preop schedulers to facilitate patient care, • Coordinates with DRH preop scheduler to manage clinic appointment slots, • Follows up with recommendations from appointments and updates patient's chart and periop medicine providers, • Follows up on no-shows to preop clinic appointments and other interim appointments, ensuring surgery and periop providers are aware., • Determines potential barriers for patients and assists with these (transportation, financial, social, etc.) Monitors and communicates patient updates • Monitors patient status board (white board) and determines where patients are in process of surgical readiness, • Informs periop providers and surgeon if there are potential delays to surgery (as well as medical director and lead periop APP as needed), • Communicates estimated time to surgery and/or any changes in perioperative plan to periop providers (as well as medical director and lead periop APP as needed), • Communicates changes in treatment plans to periop providers and surgeons (as well as medical director, lead periop APP, and anesthesiology as needed) to determine if surgery needs to be postponed or rescheduled Sends and/or receives notes/messages from specialty appointments via Maestro in-basket and email • Disseminates notes to appropriate parties (surgeon, PCP, etc.), • Interprets note and determine if optimization plan has changed or will take longer than surgical timeframe, • Populates a generic note to surgeons, PCPs and other providers regarding any updates on patients (abnormal labs, delay of surgery, need for follow up), • Sends note in Epic if able or email/call those providers not in Epic to give patient updates Reviews patient status board (white board) for this week's pending surgical dates • Determines what needs to be done to get patient ready for surgery and help facilitate those processes, • Ensures all patient are "green" that are going to surgery (fully optimized) Cross-trains and works as needed in associated nursing functions in perioperative areas Communicates with necessary parties to provide for optimal transitions of care, such as from the outpatient to the inpatient setting Collects and presents related data as requested Orders • Enters preop phase of care orders for APP/MD to sign off, • Enters necessary optimization orders otherwise, including orders for preop iron infusion, magnesium infusion, etc. Weekly Meeting with Medical Director • To review potential delays in patients' surgery, • To discuss potential barriers within preop clinic/specialty clinics to prevent patient moving forward with surgery, • To review trends in referral patterns, scheduling, optimization operations, • To prioritize upcoming work Knowledge, Skills and Abilities Statistical reporting, analyze trends, statistical analysis, data verification, data coding-general data analysis Pre-employment Physical Capacity Testing Required Minimum Qualifications Education BSN required Experience 3 years of nursing experience required Degrees, Licensures, Certifications Current or compact RN licensure in the state of North Carolina required. BLS required. 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.

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 HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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, • Qualityof Life: Living in the Triangle!, • Relocation Assistance (based on eligibility) Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. As a nurse with Hospice Home and Partners at Duke you will get to live out Duke's mission of caring for our patients, their loved ones, and each other in a very precious way. While working with our Hospice department, you will have the opportunity to truly care for people at their most vulnerable state of being as well as help them and their loved ones learn to let go in peace and comfort. Shifts/Hours: (5) 8 hour day shifts Duke HomeCare and Hospice differs from other home health companies inmany amazing ways. Please see a list of some of those reasons below: • Manageable caseloads and territories, • Commitment to safety for both patients and employees, • Mileage reimbursement rate equal to the current federal rate, • Extensive orientation of 16+ weeks based on individual needs JOB SUMMARY: Performs professional nursing care for patients in a primary care setting (the home or alternate-site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. MAJOR JOB RESPONSIBILITIES: • Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care., • Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care., • Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care., • Develop and implement an effective discharge plan for patients to begin at the initiation of services., • Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching., • Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills., • Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient., • Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance., • Assesses the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate., • Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards., • Complete documentation accurately, timely, concisely., • Medication reconciliation and education to prevent adverse events and readmission to hospital, • Observe patient's reactions to medications and reports significant incidents to the physicians., • Communicate regularly with team members, caregivers, and physicians., • Follow infection control standard precautions and uses personal protective equipment as required., • Delegate and supervise care given by NCA's/LPN's., • Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient's care needs., • Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness., • Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings., • Implement agency policy, procedures and objectives., • Work closely and collaboratively with agency billing staff to ensure accuracy of billing., • Maintain confidentiality of employee and patient information., • Exhibit an attitude which promotes harmony and goodwill in the workplace., • Display a clean, neat, professional appearance., • Participate in Performance Improvement Program., • Promote quality, comprehensive services through a team approach., • Perform other duties as assigned. WORK ENVIRONMENT AND REQUIREMENTS: Perform Patient care primarily in the patient's residence or skilled nursing facility (>50%) Travel to and from patient residence PREFERRED QUALIFICATIONS Education and Formal Training • Associate Degree or Diploma, Nursing required, • Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service of their start date. Licensures, Certifications • Must have a current North Carolina RN Licensure or compact RN licensure in participating state, • Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only) Valid driver's license and current automobile insurance coverage 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.

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 HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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, • Qualityof Life: Living in the Triangle!, • Relocation Assistance (based on eligibility) Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. As a nurse with Hospice Home and Partners at Duke you will get to live out Duke's mission of caring for our patients, their loved ones, and each other in a very precious way. While working with our Hospice department, you will have the opportunity to truly care for people at their most vulnerable state of being as well as help them and their loved ones learn to let go in peace and comfort. Shift: M-F Days, 8-hour shifts Occupational Summary: Perform a variety of nonprofessional nursing duties in the direct care of patients under the direct supervision of an RN/LPN. Perform tasks within the scope of a Nursing Care Assistant Ias defined by the NC Board of Nursing. Work Performed • Prepare patients, equipment and supplies for specific procedures and required., • Participate in own professional development by maintaining required training., • Perform other related duties incidental to work described herein., • Clean assigned area; stock and replenish supplies and equipment., • Collect, deliver and conduct routine tests on patient specimens., • Obtain and record patient data for medical records noting and informing RN/LPN of information collected., • Perform fingersticks for blood glucose testing, with appropriate Assist with admission, discharge, and transportation of patients. catherizations/irrigation., • May also perform sterile dressing change for wounds over 48 hours old, Take and record vital signs, record I&O, apply ice bags, administer Assist physician and nurses with physical examinations by helping ambulation, enemas, skin care, and bowel and bladder elimination; provide manual assistance as required., • Administer treatment and personal care procedures to patients including, but not limited to, feeding, bathing, shaving, changing clothing, cleaning and trimming fingernails, bed-making, assisting with provide such additional care as required to meet the personal needs and comfort of assigned patients., • Participate in teaching activities by reinforcing teaching instructed by RN and/or physician as needed. Position patients, changing non-sterile dressing and weighing patients. douches and enemas. Note and report any changes in the patient's condition., • Turn and position patients, set up and feed patients as necessary, provide patients with fresh drinking water., • Follow standard precautions and use personal protective equipment as skills validation and attending educational offerings., • Support the development of other staff and formal learners. IV fluid assistance activities, oral/nasogastric feeding and urinary. Knowledge, Skills and Abilities Working knowledge of sterile techniques and special procedures that are Heavy lifting and the ability to transport stretcher and wheelchair. Working knowledge of sanitation, personal hygiene and basic health. Ability to understand and follow oral and written instructions Degrees, Licensure, and/or Certification Currently listed as a Nursing Assistant I (NAI) with the Division of Facility Services with no substantiated findings of abuse, fraud, neglect or misappropriation of property. BCLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment. Valid driver's license and current automobile insurance coverage. 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.

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. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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) Pediatric Abdominal Transplant Surgery Advanced Practice Provider (APP) Nurse Practitioner or Physician Assistant Job Location Duke University Hospital Job Summary The Duke Pediatric Abdominal Transplant Surgery Advanced Practice Provider (NP or PA) provides direct patient care services for medically and surgically ill pediatric (aged 0-21 years) patients on an intensive care, intermediate and/or step-down unit or in the transplant and hepatology clinics in collaboration with residents and surgeons. There may be rare occasions for which it would be appropriate for a CPNP to provide care for a patient beyond the age of 21 for a limited/specified period of time. Patient population includes but is not limited to both pre and post transplantation, intestinal rehabilitation, and bowel management. The APP performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, and provides direct patient care services. The APP contributes to excellence in patient care, research, teaching, and provides leadership in the organization. Job Duties and Responsibilities Clinical Expert • In collaboration with the attending of service and/or residents, round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care., • Provide and coordinate clinical care for service specific patients through established protocols and under the hospitalist supervising physician or back up physician who is either on site or available by pager., • Collaborate with the chief resident, residents, fellows, attending other APP colleagues, nurses, and patient resource managers to formulate treatment plans and monitor patient progress., • Perform procedures specific to the work environment after demonstrated competency and within the guidelines of scope of practice and credentialing protocols., • Assess patients for change in status and institute appropriate interventions. Initiate emergency interventions in an effort to stabilize the patient until physician support arrives., • Postoperative stabilization and management., • Develop patient care pathways, protocols and guidelines for the management of specific problems in conjunction with physicians and other members of the health care team., • Analyze clinical practice patterns so as to provide the best medical care and to increase effectiveness and efficiency., • Communicate verbally and in writing all pertinent patient information to supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers., • Document in the patients' medical record all relevant data including but not limited to results of diagnostic tests; laboratory results; patients' condition and response to therapies/interventions; communications with supervising MD., • Utilize prescriptive privileges only for identified patient population., • Prescriptive authority for prescribing, ordering, and or administering drugs; including (but not limited to) schedule II, III, IV, and V drugs and necessary medical devices., • Role model competence in all nurse practitioner / physician assistant advanced skills., • Give daily handoff to appropriate attending, APP, resident and/or intern at the end of the shift. Educator: • Assess educational needs of the patient-care staff and provide one-on-one as well as formal education as needed., • Assess educational needs ofthe patients / familiesand provide culturally-sensitive patient/family education interventions as indicated. Use non-technical language when educating patients and families. Document all education in patients' medical record., • Implement and evaluate appropriate educational programs for DUHS patient care staff and other healthcare providers as appropriate., • Role model and precept healthcare learners through contractual agreements. Research Utilization and Investigation: • Utilize current research and evidence-based decision-making in all clinical practice., • Incorporate clinical research findings in the development and implementation of standards of care., • Support IRB approved clinical research/trials though a variety of activities including but not limited to: obtaining consent; ordering diagnostic tests; recording laboratory & diagnostic results; administering therapeutic interventions; and reporting patient outcomes including toxicities or adverse events., • Participate in interdisciplinary quality improvement and/or research activities., • Participate in measuring and documenting outcomes. Consultant: • Provide expertise and resource information to other healthcare providers, patients and families, and the community at large related to pediatric diseases, procedures, interventions, and conditions., • Implement and evaluate appropriate educational programs for referring MDs, • Develop, implement and evaluate standards of care/practice guidelines/policies and procedures/care maps/protocols within area of specialization., • Develop programs and projects in areas of expertise to facilitate the attainment of the goals and objectives of the Duke University Hospital and Duke University Health System. Professional Leadership and Development: • Role model advanced practice professionalism through conduct, communication, dress, leadership, ethical decision-making, critical thinking and problem solving skills., • Participate in at least one professional organization., • Demonstrate responsibility for professional practice through active participation in the CAP, and professional organizations. Meet Continuing Education requirements as designated by the NC Medical Board and/or NC Nursing Board. Maintain professional certification., • Enhance the body of knowledge in area of specialization through written publications, oral presentations, posters, continuing education, etc., • Maintain all professional requirements for licensure and certification Job Eligibility Requirements Education NP: Graduate of an accredited MSN or DNP Acute Care Pediatric Nurse Practitioner program. PA: Graduate of an ARC accredited Physician Assistant program. Licensure NP: Current unrestricted RN licensure issued by or recognized by the NCBON with authorization to practice as an NP PA: Current unrestricted medical license issued by the NCMB with authorization to practice as a PA Certification NP: PNP-AC is the only NP type being considered for this role. PA: PA-C Experience Prior experience as a Nurse Practitioner/Physician Assistant in a pediatric acute care clinical setting strongly preferred but not required. New graduates welcome to apply. Physical and mental requirements • Able to clearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant in the state of North Carolina and within the Duke University Health System., • Able to independently seek out resources and work collaboratively to solve complex problems, • Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others., • Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up., • Able to use fine motor skills, • Able to record activities, document assessments & interventions; prepare reports and presentations, • Able to use computer and learn new software programs, • Able to provide leadership in clinical area of expertise and in meeting organizational goals, • Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations, • Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds, • Able to remain focused and organized Primary hours will be 14 12-hour shifts/month 6a-6p Monday-Sunday including holidays. This includes rotating in the outpatient transplant and hepatology clinics. Schedule may be modified by the clinical or leadership team. 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.

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. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Candidates with 2 years related experience are eligible for a $10,000 commitment bonus. Job Location Duke University Hospital, Epilepsy Monitoring Unit Job Summary The Adult Epilepsy Monitoring Unit (EMU) Advanced Practice Provider (APP) provides direct patient care services and performs medical acts as a Nurse Practitioner or Physician Assistant under the supervision of the supervisory physician to patients admitted to the Adult Epilepsy Monitoring Unit. The APP collects history, performs physical exams, documents data, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, and provides direct patient care services. The Adult EMU APP contributes to excellence in patient care, research, and teaching, and provides leadership within the organization. Job Duties and Responsibilities • Provide and coordinate clinical care for service-specific patients through established protocols and under the supervising physician or designated backup physician who is either on-site or available by pager., • Collaborate with residents, fellows, attending physicians, other APP colleagues, nurses, and patient resource managers to formulate treatment plans and monitor patient progress., • Perform procedures specific to the work environment after demonstrated competency and within the guidelines of scope of practice and credentialing protocols., • Assess patients for changes in clinical status and institute appropriate interventions. Initiate emergency interventions to stabilize patients until physician support arrives., • Develop patient care pathways, protocols, and guidelines for the management of specific conditions in conjunction with physicians and other members of the healthcare team., • Analyze clinical practice patterns to provide the best medical care and increase effectiveness and efficiency., • Communicate verbally and in writing all pertinent patient information to supervising physicians, nursing staff, patient resource managers, and other relevant healthcare providers., • Document in the patient's medical record all relevant data including, but not limited to, diagnostic results, laboratory findings, patient condition, response to interventions, and communication with the supervising physician., • Utilize prescriptive privileges appropriately for the identified patient population., • Prescriptive authority includes ordering, prescribing, and/or administering drugs (including schedule II-V) and necessary medical devices., • Role model competence in all advanced clinical skills applicable to the APP role., • Assess educational needs of patient-care staff and provide one-on-one and formal education as needed., • Assess educational needs of patients and families and provide culturally sensitive education and support as indicated. Use non-technical language and document education in the medical record., • Implement and evaluate appropriate educational programs for Duke University Health System (DUHS) patient care staff and other healthcare providers., • Utilize current research and evidence-based decision-making in all clinical practice., • Incorporate clinical research findings in the development and implementation of standards of care., • Support IRB-approved clinical research/trials through activities such as obtaining consent, ordering diagnostic tests, recording results, administering therapeutic interventions, and reporting outcomes including adverse events., • Participate in interdisciplinary quality improvement and/or research activities., • Participate in measuring and documenting clinical outcomes., • Provide expertise and resource information to other healthcare providers, patients, families, and the community related to epilepsy, neurological conditions, and associated procedures or interventions., • Implement and evaluate educational programs for referring physicians., • Develop, implement, and evaluate standards of care, practice guidelines, policies, and procedures within the area of specialization. Education PA: Graduate of an ARC-PA accredited Physician Assistant Program; Master's or Doctoral degree preferred. NP: Graduate of an accredited MSN or DNP Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) program. Certification PA: PA-C NP: AGACNP or ACNP is the only certification being considered License PA: Current unrestricted medical license issued by the NC Medical Board with authorization to practice as a Physician Assistant. NP: Current unrestricted RN license issued by or recognized by the NC Board of Nursing with authorization to practice as a Nurse Practitioner. Both: Federal and State DEA with unrestricted prescriptive authority Experience • APP experience in neurology, epilepsy, or similar acute care setting preferred, but not required. Physical and mental requirements: • Able to clearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant in the state of North Carolina and within the Duke University Health System., • Able to independently seek out resources and work collaboratively to solve complex problems., • Able to communicate clearly with patients, families, visitors, healthcare teams, physicians, administrators, leadership, and others., • Able to use sensory and cognitive functions to process and prioritize information, and perform health assessments, treatment, and follow-up., • Able to use fine motor skills., • Able to record activities, document assessments & interventions; prepare reports and presentations., • Able to use a computer and learn new software programs., • Able to provide leadership in clinical areas of expertise and in meeting organizational goals., • Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations, • Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds, • Able to remain focused and organized, • Able to work collaboratively with all levels of personnel Job Hours Primary hours will be Monday-Friday 8am - 4pm (weekday only), and other hours as needed to fulfill the responsibilities of the position. Primary hours will be flexible to cover the needs of the service. No on-call or weekend requirements. 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.

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. The largest of Duke Health's four hospitals with 1062 patient beds, it features 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 Duke Pediatric Surgical Hospitalist Advanced Practice Provider (NP/PA) provides direct patient care services to children 0-21 years in an in-patient setting in collaboration with the attending physician, fellows, and residents. There may be rare occasions for which it would be appropriate for this APP to provide care for a patient beyond the age of 21 for a limited/specified period of time. The APP performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, and provides direct patient care services. This APP will work directly with pediatric patients being followed on all surgical services at Duke Hospital to include orthopedics, urology, plastics and abdominal transplant. Care of children needing inpatient rehabilitative consults will also be part of this role. The APP contributes to excellence in patient care, research, teaching, and provides leadership to the organization. Job Eligibility Requirements Education NP: Graduate of accredited DNP or MSN Pediatric Acute Care Nurse Practitioner program. PA: Graduate of ARC accredited Physician Assistant program, Master's Degree or Doctoral Degree strongly preferred. Certification NP: PNP-AC is the only one accepted for this position PA: PA-C Licensure NP: Current unrestricted RN license issued by or recognized by the NCBON with approval to practice as an NP. PA: Current unrestricted medical license issued by the NCMB with approval to practice as a PA. Experience High acuity pediatric APP experience for a minimum of 1 year is preferred Physical and mental requirements: • Able to clearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant in the state of North Carolina and within the Duke University Health System., • Able to independently seek out resources and work collaboratively to solve complex problems, • Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others., • Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up., • Able to use fine motor skills, • Able to record activities, document assessments & interventions; prepare reports and presentations;, • Able to use computer and learn new software programs, • Able to provide leadership in clinical area of expertise and in meeting organizational goals, • Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations, • Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds, • Able to remain focused and organized, • Able to work collaboratively with all levels of personnel Job Hours This is a "NIGHT SHIFT only" job, 12 hour shifts. A generous shift premium is added to the base salary. 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 onthe 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.

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 HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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, • Qualityof Life: Living in the Triangle!, • Relocation Assistance (based on eligibility) At Duke Home Health, you are able to meet patients where they are! By working as a home health nurse, you are able to help keep patients out of the hospital and in their homes where they are most comfortable. Duke HomeCare and Hospice provides innovative and thoughtful care by using an interdisciplinary team approach to achieve the best possible outcomes for patients, families and the communities for which they serve. In this role, you would have the opportunity to connect the patient with the right level of care at the right time. Duke HomeCare and Hospice differs from other home health companies in many amazing ways. Please see a list of some of those reasons below: • No call or weekend requirements, • Manageable territories, • Commitment to safety for both patients and employees, • Mileage reimbursement rate equal to the current federal rate, • Extensive orientation of 20weeks based on individual needs Shifts: Monday-Friday- 8 hour days JOB SUMMARY: Performs professional nursing care for patients in a primary care setting (the home or alternate site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. MAJOR JOB RESPONSIBILITIES: • Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care., • Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care., • Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care., • Develop and implement an effective discharge plan for patients to begin at the initiation of services., • Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching., • Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills., • Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient., • Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance., • Assesse the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate., • Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards., • Complete documentation accurately, timely, concisely., • Medication reconciliation and education to prevent adverse events and readmission to hospital, • Observe patient's reactions to medications and reports significant incidents to the physicians., • Communicate regularly with team members, caregivers, and physicians., • Follow infection control standard precautions and uses personal protective equipment as required., • Delegate and supervise care given by NCA's/LPN's., • Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient's care needs., • Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness., • Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings., • Implement agency policy, procedures and objectives., • Work closely and collaboratively with agency billing staff to ensure accuracy of billing., • Maintain confidentiality of employee and patient information., • Exhibit an attitude which promotes harmony and goodwill in the workplace., • Display a clean, neat, professional appearance., • Participate in Performance Improvement Program., • Promote quality, comprehensive services through a team approach., • Perform other duties as assigned. Home Health • Case manage interdisciplinary team of clinicians caring for patients in the home., • Complete required OASIS Comprehensive assessments at admission, recertification, Resumption of care and discharge. This assessment determines patient reimbursement for Medicare and other episodic payors and also results in publicly reported patient outcomes and additional payment impacts related to value based purchasing, • Work with interdisciplinary team and patient providers to prevent re-hospitalization of the patient., • Be aware of patient insurance requirements and assures authorization for all services have been obtained., • Appropriate utilization of resources for patient including visit and supply utilization. WORK ENVIRONMENT AND REQUIREMENTS: Perform Patient care primarily in the patient's residence or skilled nursing facility (>50%) Travel to and from patient residence PREFERRED QUALIFICATIONS Education and Formal Training • Associate Degree or Diploma, Nursing required, • Must have a current RN license in NC or compact RN licensure from participating state., • Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only) May renew during orientation, • Valid driver's license and current automobile insurance coverage. Professional Work Experience • 1-2 years of med-surgical, critical care or home health/hospice/infusion preferred, • Valid driver's license and current automobile insurance coverage, • Prior experience in Home Health, Hospice or Infusion preferred, • Prior OASIS and PDGM experience preferred for home health Knowledge, Skills & Abilities • Working knowledge of Medicare and Medicaid regulations, including JCAHO and DFS standards, ICD-9 Coding., • Knowledge of scope of the registered nurse, licensed practical nurse and NCA, • Knowledge of and appropriate application of the nursing process, • 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, • 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 and technology, • Able to document and communicate pertinent information using computer and/or paper documentation tools, • Knowledge in wound identification and treatments, infusion and other advanced nursing skills, • Critical thinking skills and organization skills, • Working knowledge of infection control procedures and safety precautions, • Strong computer skills including MS Outlook, Word, Excel, preferred, • Excellent rapport, understanding, and communication with the patients and their family members, • Ability to work autonomously and independently in varying environments., • Able to withstand driving long distances, stooping, bending, lifting 20 plus pounds, and climb stairs 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.

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 HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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, • Qualityof Life: Living in the Triangle!, • Relocation Assistance (based on eligibility) Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. As a nurse with Hospice Home and Partners at Duke you will get to live out Duke's mission of caring for our patients, their loved ones, and each other in a very precious way. While working with our Hospice department, you will have the opportunity to truly care for people at their most vulnerable state of being as well as help them and their loved ones learn to let go in peace and comfort. Shifts/Hours: (5) 8 hour day shifts Duke HomeCare and Hospice differs from other home health companies inmany amazing ways. Please see a list of some of those reasons below: • Manageable caseloads and territories, • Commitment to safety for both patients and employees, • Mileage reimbursement rate equal to the current federal rate, • Extensive orientation of 16+ weeks based on individual needs JOB SUMMARY: Performs professional nursing care for patients in a primary care setting (the home or alternate-site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. MAJOR JOB RESPONSIBILITIES: • Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care., • Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care., • Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care., • Develop and implement an effective discharge plan for patients to begin at the initiation of services., • Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching., • Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills., • Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient., • Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance., • Assesses the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate., • Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards., • Complete documentation accurately, timely, concisely., • Medication reconciliation and education to prevent adverse events and readmission to hospital, • Observe patient's reactions to medications and reports significant incidents to the physicians., • Communicate regularly with team members, caregivers, and physicians., • Follow infection control standard precautions and uses personal protective equipment as required., • Delegate and supervise care given by NCA's/LPN's., • Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient's care needs., • Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness., • Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings., • Implement agency policy, procedures and objectives., • Work closely and collaboratively with agency billing staff to ensure accuracy of billing., • Maintain confidentiality of employee and patient information., • Exhibit an attitude which promotes harmony and goodwill in the workplace., • Display a clean, neat, professional appearance., • Participate in Performance Improvement Program., • Promote quality, comprehensive services through a team approach., • Perform other duties as assigned. WORK ENVIRONMENT AND REQUIREMENTS: Perform Patient care primarily in the patient's residence or skilled nursing facility (>50%) Travel to and from patient residence PREFERRED QUALIFICATIONS Education and Formal Training • Associate Degree or Diploma, Nursing required, • Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service of their start date. Licensures, Certifications • Must have a current North Carolina RN Licensure or compact RN licensure in participating state, • Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR/BLS) (American Heart Association only) which may be renewed during orientation Valid driver's license and current automobile insurance coverage 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.

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. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke Nursing Highlights: • Duke University Health System is designated as a Magnet organization, • Nurses from each hospital are consistently 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) Nursing Care Assistant I CNA/Health Unit Coordinator-Duke University Hospital Musculoskeletal and Trauma Unit $5000 Commitment Bonus paid in two equal installments 37 Bed Unit Rotating Shifts 7:00am-7:00pm and 7:00pm-7:00am Joint Replacements and Trauma Patients The Nursing Assistant (NA) is a patient care support partner with the Registered Nurse (RN) and/or Licensed Practical Nurse (LPN) and performs work as delegated by the RN or LPN. The NA provides direct care to patients and assists with non-direct patient care unit coordination. The individual in this position is expected to perform basic care and comfort standards as well as have knowledge of the patient population needs in the assigned work area. In addition, the NA is expected to assist the RN in the care of acutely ill patients. This individual is expected to practice medical asepsis, respect the dignity and privacy of every patient and family, and to respect cultural differences during patient care. They are expected to know and adhere to all basic policies and procedures and respond appropriately during emergency situations. They are expected to maintain the patient/family environment, perform general unit upkeep, order and maintain unit equipment, and order supplies as needed, with or without direct supervision. The NA is expected to use accurate verbal and written communication and to document patient care appropriately in the electronic health record. Perform a variety of clerical duties involved in preparing, maintaining, and processing patient, unit(s) and hospital data and records to include operating the organization's patient care information systems. Individuals in this role are typically scheduled for NCA I shifts at minimum 25% of the time. Prepare patients, equipment and supplies for specific procedures and provide manual assistance as required. Obtain and record patient data for medical records noting and informing RN/LPN of information collected. Administer treatment and personal care procedures to patients including, but not limited to, feeding, bathing, hair care, changing clothing, nail care, bed-making, assisting with ambulation, enemas, skin care, and bowel and bladder elimination; provide such additional care as required to meet the personal needs and comfort of assigned patients. Participate in teaching activities by reinforcing teaching instructed by RN and/or providers as needed. Assist providers and nurses with physical examinations by helping position patients, changing non-sterile dressing and weighing patients. Take and record vital signs, record I&O, and apply ice bags. Note and report any changes in patient's condition. Turn and position patients, set up and feed patients as necessary, provide patients with fresh drinking water. Perform fingersticks for blood glucose testing, with appropriate training, document and notify RN/LPN. Assist with admission, discharge, and transportation of patients. Follow standard precautions and use personal protective equipment as required. Collect, deliver and conduct routine tests on patient specimens. Clean assigned area; stock and replenish supplies and equipment as required. Participate in own professional development by maintaining required skills validation and attending educational offerings. Support the development of other staff and formal learners. May also perform clean dressing change for wounds over 48 hours old. Perform a variety of clerical tasks involved in operating the organization's patient care information system. Acknowledge orders on EMR task list, verify printout and input verified orders to request diets, treatments, nursing services, equipment and diagnostic and laboratory tests and procedures. Assemble and maintain patient charts from admission through discharge. Prepare and upload paper documents into the electronic medical record (EMR). Navigate electronic medical record, access patient information, generate reports, schedule appointments and manage task list. Assign nursing staff to communication systems. Perform other related duties incidental to the work described herein. Education N/A Experience N/A Degrees, Licensure, and/or Certification Currently listed as a Nursing Assistant I (NA I) with the N.C. Department of Health and Human Services, Division of Health Service Regulation with no substantiated findings of abuse, fraud, neglect or misappropriation of property. BCLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment. Knowledge, Skills, and Abilities Working knowledge of procedures and techniques involved in administering routine and special treatments to patients. Working knowledge of sanitation, personal hygiene and basic health and safety precautions applicable to work in a hospital. Working knowledge of the organization and physical layout of the hospital. Working knowledge of infection control procedures and safety precautions. Ability to withstand prolonged standing and walking. This position is very active and requires standing, walking, bending, kneeling, stooping, crouching, crawling and climbing all day. The employee must frequently lift or move objects and patients weighing over 35 pounds with assistance or appropriate lift equipment. Ability to understand and follow oral and written instructions. Ability to document and communicate pertinent information using computer and/or paper documentation tools. Ability to establish and maintain effective working relationships with patients and hospital staff. Working knowledge of principles and practices of providing non- professional bedside patient care. Pre-employment Physical Capacity Testing may be required. 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.

As a part of Duke Health's outpatient clinic network, you will enjoy competitive compensation, comprehensive benefits plans, convenient work hours, and many opportunities for career advancement. Become a part of a team that values and invests in you. Duke Advanced Practice Highlights: • The nation's first Physician Assistant Program was created at Duke in 1965 and is consistently ranked No. 1 in the country., • The Duke School of Nursing is consistently ranked as one of the top nursing schools and their MSN and DNP programs offers eight advanced practice registered nurse majors and specialty certifications, as well as post master's certificates and certification alignment programs., • Commitment to ongoing learning for APPs through annual CME funding and access to high-quality Duke CME offerings including APP Grand Rounds and a professional advancement program. APPs are leaders in multiple arenas within Duke., • Duke offers APPs opportunities to practice within team based integrative care in a tremendous variety of specialties. APPs are expected to work to top of scope in order to contribute to Duke's missions which include clinical practice, education, and research., • Practice locations can include Duke Health's three hospitals or over 140 primary care and specialty care clinics throughout North Carolina. Job Location Duke Cancer Center, 20 Duke Medicine Circle, Durham, NC Job Summary We are seeking an Associate Director of Advanced Practice for Duke Medical Oncology in Durham, NC. This Advanced Practice Provider will provide oversight and direction in establishing and maintaining a system for developing, reviewing, approving and disseminating standards of advanced practice; quality, education, practice, and clinical operations within the Duke Cancer Institute (DCI), making recommendations on policy regarding clinical practice for Medical Oncology Service Line. The position will be 40% clinical responsibility related to patient care and 60% administrative. Primary hours will be Monday through Friday, day shift, with hours flexible to meet the needs of the patients. Job Duties & Responsibilities • Direct clinical and administrative programs; oversee development and implementation of plans, operations, assuring the quality of clinical practice standards and programs within the DCI related to advanced practice., • Assure effective communication and coordination of initiatives among various councils of the DCI, PDC, the nursing infrastructure, and other hospital/system committees, and work groups., • Establish departmental direction consistent with hospital, health system and DCI objectives., • Develop/monitor programs to facilitate meeting goals of department, DCI, hospital, and health system., • Collaborate with DCI and department/division leadership to determine need for advanced clinical practice positions, based on metrics, patient care needs, clinical coverage requirements, staffing plans, and projected areas of growth., • Lead change regarding quality of care and operational enhancements including implementation and communication plans related thereto., • Collaborate with managers and administrators in other departments as needed to ensure high quality, efficient clinical services., • Partner with physicians, nursing, and other clinical operational departments to develop and communicate vision for care delivery models and facilitate implementation and ongoing refinement of such models across the continuum., • Direct personnel functions related to areas of responsibility including, but not limited to hiring and performance management., • Serve as role model and resource for professional colleagues. Participates in leadership activities such as committees, professional organizations, publishing, teaching, and research., • Remain current with local trends and changes in advanced practice (nursing & physician practice) professional/practice in health environment. Ensure that department/staff meet TJC, NC Board of Nursing, NC Medical Board and other regulatory/licensure requirements. Professional Development • Professional Staff Development for Advanced Practice within the DCI, • Support APP professional growth and development with mentoring, coaching and educational opportunities., • Advise, support and mentor APP team leads., • Provide leadership for, hiring and onboarding of new hire APPs. Job Eligibility Requirements Education • Nurse Practitioners: Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing., • Physician Assistants: Work requires completion of an accredited Physician Assistant program. A Bachelor's degree required; Master's degree strongly preferred. Certification • BLS required. License • Nurse Practitioners: Must have current or compact RN licensure & NP approval to practice in the state of North Carolina. BLS required. National certification as a NP required., • Physician Assistants: Must be licensed in the state of NC, and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants. BLS required., • Both: Current federal and state DEA with full prescriptive authority. Experience Minimum of 3-5 years experience in advanced clinical practice with proven leadership experience and evidence of operations / administrative responsibilities or an equivalent combination of relevant education and/or experience. Job Hours Monday-Friday, day shift, with flexibility to meet clinic needs 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, (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.

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. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Job Location Duke University Hospital, Abdominal Transplant Surgery Job Summary The Duke Abdominal Transplant Surgery Hospitalist Advanced Practice Provider (NP or PA-C) provides direct patient care services for surgically and medically ill adult transplant and general surgery patients in Duke Hospital, in collaboration with physicians. The NP or PA performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, may assist in the operating room and provides direct patient care services. The Nurse Practitioner or Physician Assistant contributes to excellence in patient care, research, teaching and provides leadership in the organization. This position has no operating room responsibilities. Job Duties and Responsibilities • Utilize assessment, diagnostic and clinical skills and knowledge in order to provide clinical care to patients during their admission., • Perform necessary diagnostic and therapeutic procedures (within the scope of practice of the supervising physician)., • Conduct and obtain patient histories, perform physicals examination, monitor patient progress, order appropriate medications, laboratory studies and diagnostic procedures., • Document the patient's course of treatment at the direction of the supervising physician:, • History/ Physical/Admissions, • Problem List and Plan of Care, • Daily Progress Note, • Procedure Note, • Interval Notes, • Discharge Summary, • Facilitate daily rounds in the unit., • Collaborate with consulting services, physicians and nursing staffs in order to provide a longitudinal continuity of care, • Participate in meeting the educational requirements of students, medical residents, fellows and other members of the health care team, • Collaborate with the nurse manager in the identification of problems and their resolution in order to assure the providing of safe, cost effective patient care, • Assure proper charges have been posted and appropriate documentation provided, • Participate in quality improvement initiatives for the unit. Job Eligibility Requirements Education PA: Graduate of ARC accredited Physician Assistant Program. Master's or Doctoral degree strongly preferred. NP: Graduate of an accredited MSN or DNP Acute Care / Critical Care Nurse Practitioner program for adults. Certification PA: PA-C NP: ACNP or AGACNP is REQUIRED. Licensure PA: Current unrestricted medical license issued by NCMB with authorization to practice as a PA NP: Current unrestricted RN license issued by or recognized by the NCBON with authorization to practice as an NP. Both: Federal and State DEA with unrestricted Prescriptive Authority Experience PA: 1 or more years as a Physician Assistant in an inpatient hospitalist or surgical setting is strongly desired. NP: Three years minimum as a registered nurse, with minimum of one year experience as an Acute Care NP, preferably in an inpatient hospitalist or surgical setting. OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE Physical and mental requirements: • Able toclearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant in the state of North Carolina and within the Duke University Health System., • Able toindependently seek out resources and work collaboratively to solve complex problems, • Able tocommunicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others., • Able touse sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up., • Able touse fine motor skills, • Able torecord activities, document assessments & interventions; prepare reports and presentations;, • Able touse computer and learn new software programs, • Able toprovide leadership in clinical area of expertise and in meeting organizational goals, • Able tonavigate the Hospital and DUHS to provide clinical expertise to specific patient populations, • Able towithstand prolonged standing and walking with the ability to move or lift at least fifty pounds, • Able toremain focused and organized, • Able towork collaboratively with all levels of personnel Job Hours Straight nights (14 shifts / month or an equivalent of shifts and approved time away). Shift: 6pm - 6am Premium night differential pay included. Schedule may be changed by administrative or clinical leadership to meet department needs. 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.

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. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, 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 are consistently 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) The Nursing Assistant (NA) is a patient care support partner with the Registered Nurse (RN) and/or Licensed Practical Nurse (LPN) and performs work as delegated by the RN or LPN. The NA provides direct care to patients and assists with non-direct patient care unit coordination. The individual in this position is expected to perform basic care and comfort standards as well as have knowledge of the patient population needs in the assigned work area. In addition, theNA is expected to assist the RN in the care of acutely ill patients. This individual is expected to practice medical asepsis, respect the dignity and privacy of every patient and family, and to respect cultural differences during patient care. They are expected to know and adhere to all basic policies and procedures and respond appropriately during emergency situations. They are expected to maintain the patient/family environment, perform general unit upkeep, order and maintain unit equipment, and order supplies as needed, with or without direct supervision. The NA is expected to use accurate verbal and written communication and to document patient care appropriately in the electronic health record. Perform tasks within the scope of a Nursing Care Assistant I and II as defined by the NC Board of Nursing. Perform a variety of clerical duties involved in preparing, maintaining, and processing patient, unit(s) and hospital data and records to include operating the organization's patient care information systems. Individuals in this role are typically scheduled for NCA II shifts at minimum 75% of the time. Prepare patients, equipment and supplies for specific procedures and provide manual assistance as required. Obtain and record patient data for medical records noting and informing RN/LPN of information collected. Administer treatment and personal care procedures to patients including, but not limited to, feeding, bathing, hair care, changing clothing, nail care, bed-making, assisting with ambulation, enemas, skin care, and bowel and bladder elimination; provide such additional care as required to meet the personal needs and comfort of assigned patients. Participate in teaching activities by reinforcing teaching instructed by RN and/or providers as needed. Assist providers and nurses with physical examinations by helping position patients, changing non-sterile dressing and weighing patients. Take and record vital signs, record I&O, and apply ice bags. Note and report any changes in patient's condition. Turn and position patients, set up and feed patients as necessary, provide patients with fresh drinking water. Perform fingersticks for blood glucose testing, with appropriate training, document and notify RN/LPN. Assist with admission, discharge, and transportation of patients. Follow standard precautions and use personal protective equipment as required. Collect, deliver and conduct routine tests on patient specimens. Clean assigned area; stock and replenish supplies and equipment as required. Participate in own professional development by maintaining required skills validation and attending educational offerings. Support the development of other staff and formal learners. May also perform clean dressing change for wounds over 48 hours old. Perform a variety of clerical tasks involved in operating the organization's patient care information system. Acknowledge orders on EMR task list, verify printout and input verified orders to request diets, treatments, nursing services, equipment and diagnostic and laboratory tests and procedures. Assemble and maintain patient charts from admission through discharge. Prepare and upload paper documents into the electronic medical record (EMR). Navigate electronic medical record, access patient information, generate reports, schedule appointments and manage task list. Assign nursing staff to communication systems. Perform other related duties incidental to the work described herein. In addition to the NCA I duties outlined, the following duties may be performed: sterile dressing change for wounds over 48 hours old and wound irrigation; IV fluid assistance activities; oral/nasogastric feeding; urinary catheterization and irrigation; oxygen therapy, including room set-up and monitoring flow-rate; break up and removal of fecal impaction; oropharyngeal and nasopharyngeal suctioning; tracheotomy care; ostomy care and irrigation. These additional skills will require competency validation on hire as well as annual competency validation. Working knowledge of sterile techniques and special procedures that are applicable to work performed. Working knowledge of procedures and techniques involved in administering routine and special treatments to patients. Working knowledge of principles and practices of providing nonprofessional bedside patient care. Working knowledge of sanitation, personal hygiene and basic health and safety precautions applicable to work in a hospital. Working knowledge of infection control procedures and safety precautions. Ability to withstand prolonged standing and walking. This position is very active and requires standing, walking, bending, kneeling, stooping, crouching, crawling and climbing all day. The employee must frequently lift or move objects and patients weighing over 35 pounds with assistance or appropriate lift equipment. Ability to understand and follow oral and written instructions. Ability to document and communicate pertinent informationusing computer and/or paper documentation tools. Ability to establish and maintain effective working relationships with patients and hospital staff. Working knowledge of the organization and physical layout of the hospital. Pre-employment Physical Capacity Testing may be required. N/A Completion of Level I Nurse Aide education program approved by the North Carolina Board of Nursing or successful completion of the NC - approved Nurse Aide I competency test and completion of Level II Nurse Aide education programs approved by the North Carolina Board of Nursing. High School diploma or equivalent required. N/A Listed as NA I with the Division of Facility Services with no substantiated findings of abuse, fraud, neglect or misappropriation of property. Listed as NA II with the North Carolina Board of Nursing. BCLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment. 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.