Virtual Nursing (RN) PRN

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)

VIRTUAL NURSE CLINICAL NURSE

The Virtual Nurse will deliver exemplary nursing care virtually, in collaboration with the care team. This virtual care will be provided in collaboration with the care team to inpatients at Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, and Duke Lake Norman Hospital. This position will provide nursing care in a virtual setting in accordance with the medical and nursing plans of care and established policies and procedures accordance with the scope of the RN as defined by the North Carolina Board of Nursing.

Supports nursing tasks virtually as admission questionnaires, discharge education, patient education, nurse mentoring, and other tasks as needed.  This care will be provided using the EMR and telehealth technology using two-way audio and video to provide patient care.  The virtual nurse will practice within the guidelines of the standards of nursing care to inpatient acute level patient populations from a remote Virtual Care Center in collaboration with the bedside patient care team.  

Utilizes patient EMR to support patient admission, education, discharge planning, identify and interpret trends and acute changes in patient physiology, monitor compliance of care bundles and protocols, and collaborates with the bedside multidisciplinary health care team using effective communication and clinical decision-making skills. Serves as a resource for inpatient support for novice nurses who are developing their clinical competencies and decision-making skills. Provides guidance and assistance while giving additional support in the assessment, evaluation, and intervention responsibilities with patients. 

Duties and Responsibilities:  

• Supports the bedside staff for a large patient ratio to monitor comprehensive compliance of best practice protocols and care bundles aimed at reduction of Mortality, Length of Stay, Hospital Readmissions, and Patient Safety Events. 
• Provides patient education and support virtually including verbal and written instructions. Assess the patient/family ability to receive education and uses appropriate tools and techniques. 
• Takes initiative to problem solve and demonstrates critical thinking skills. Skilled and comfortable with various technologies to coordinate patient care, including multiple software applications, computerized clinical guidelines, specialized telephone technology, video and image transmission, and more. 
• Supports the bedside care team in patient care activities within the guidelines of the standards of nursing care using the nursing process, clinical judgment, and decision support materials. 
• Provides consultation and second opinion virtually to assist with clinical decision making, including managing inpatient patients whose condition may be deteriorating or who may require transfer to a higher level of care. Assists nurses with an appropriate plan of care related to a change of condition. 
• Ability to work in a constant state of alertness and in a safe manner is an essential function of this job. 
• Virtually support the plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures in collaboration with the care nurse. Use professional nursing judgment to individualize the plan of care in collaboration with the care nurse based on assessment of the patient's baseline needs and response to care.
• Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
• Identifying appropriate patients for Remote Safety Observation (RSO) Placement. Supporting care nurse with monitoring of unit dashboard and notifying the nurse with tasks needing attention. 
• Act as Charge Nurse and Preceptor in oversite of RSO staff and escalating to unit leadership when appropriate.
• Act as preceptor and support the development of other staff and formal learners.
• Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities.
• Perform other related duties incidental to the work described herein

What you will need:

 
Experience:    

Preceptor and Charge Nurse Experience is required.
Minimum Requirements 3-5 years appropriate inpatient clinical experience is required.
Preferred Requirements 5-10 + year’s appropriate inpatient clinical experience is required.At a manager's discretion, employees with less than the above experience who are exceptional performers may be eligible for this level.

Degrees, Licensure, and/or Certification:    Must have current or compact RN licensure in the state of North Carolina. BLS required.

Education:

• Graduation from an accredited Bachelor’s Degree in Nursing (or higher) OR Associate's Degree in Nursing OR Nursing Diploma program.
• Twelve months of appropriate clinical experience is required for Experienced Registered Nurses.
• All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within seven years of their start date.

Knowledge, Skills, and Abilities:    

• Knowledge of scope of the registered nurse, licensed practical nurse and NCA
• Knowledge of and appropriate application of the nursing process
• Knowledge of professional theory, practice and procedure
• Ability to excel with computer technology and learn new software programs
• Ability to troubleshoot computer technology 
• Ability to assess nursing needs of acute and chronically ill patients and their families using virtual technology 
• Ability to independently seek out resources and work collaboratively
• Ability to excel in communication skills through asynchronous technology and telephone 
• Ability to establish and maintain effective working relationships in the virtual environment
• Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others through virtual technology 
• Ability to teach patients and families in accordance with the nursing plan of care through virtual technology
• Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up
• Ability to use fine motor skills
• Competent in BLS and/or other specialized life support requirements designated by work area
• Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status through virtual technology 
• Able to document and communicate pertinent information using computer and/or paper documentation tools
• Ability to navigate to provide virtual clinical care for patients
• Ability to remain focused and organized
• Working knowledge of procedures and techniques involved in administering routine and special treatments to patients
• Working knowledge of infection control procedures and safety precautions
• Working knowledge and completion of appropriate JCAHO and other regulatory requirements
• Pre-employment Physical Capacity Testing Required