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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.

Perform diagnostic and therapeutic clinical procedures as defined in the Respiratory Care Services scope of clinical practice. Work performed in accordance with physician orders. Defined duties are performed in neonatal and pediatric patient populations.

• Administer oxygen, aerosolized medication via Intermittent Positive Pressure Breathing ( IPPB), Intermittent Aerosol Therapy (IAT) and Metered Dose Inhaler ( MDI) and incentive breathing devices.
• Perform nasotracheal and artificial airway suctioning, CPR and bag- mask ventilation, pulse oximetry monitoring, arterial blood gas punctures and bedside pulmonary mechanics.
• Diagnostic cardiopulmonary procedures, pulmonary function studies, EKGs and cardiac monitoring.
• Assure correct set-up, safety and function of all equipment/ supplies necessary in the provision of patient care.
• Assure adherence to all infectious disease standards in the delivery of all patient care procedures.
• Understands pharmacological indications, dosages and response to adverse drug reactions.
• Provides education to patients, families, physicians, nursing and other members of the health care team.
• Perform other related duties incidental to the work described herein.

• Completion of AMA 2 approved year Associates Degree, or the equivalent program.

• Completion of a 2 year AMA approved respiratory care program (Associates Degree or the equivalent).
• Must maintain annual skill maintenance requirements Must maintain annual safety/compliance requirements
• Must maintain North Carolina annual license requirements for CEUs

• None required

• Six months to one year of clinical experience following graduation from a respiratory care program.

• North Carolina State Licensure or North Carolina State Provisional License, Certification by the National Board for Respiratory Care (NBRC).
• If CRT, must obtain RRT within 6 months of employment
• Certification in Basic Life Support (BLS), and any other applicable certifications applicable to the institution.

• North Carolina State Licensure
• Registry ( RRT) by the National Association for Respiratory Care (NBRC)
• Certification in Basic Life Support (BLS)
• Certification in Advanced Cardiac Life Support (ACLS) Certification in Pediatric Advanced Life Support (PALS)
• Certification in Neonatal Resuscitation (NRPS) if applicable to institution

• Knowledge necessary to make appropriate clinical decisions and interactions relative to the specific age of a patient.
• Skills validation/certifications of competencies for the duties and responsibilities of this level.
• Must maintain annual skill and safety/compliance requirements
• Must maintain North Carolina annual license requirements for CEU's
•  Customer service and communication expertise.
• Work involves contact with patients of all ages, family members, physicians, nursing, and all other members of the health care team.
• Work is performed in all areas of the hospital.
• Required to carry emergency airway bag weighing approximately 20 pounds.
• Work requires walking, running, climbing and bending

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.

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.

• 10a-10p as needed
• MO Paramedic Certification required
• Min 1 year experience required; 3-4 years preferred
• ACLS and BLS preferred

• Care for Emergency Department patients
• Performspatient care tasks under the direction of a provider
• Coordinatesthe plan of care for a group of assigned patients and consulting with other members of the health care team when indicated to ensure optimal patient outcomes
• Demonstratesproficiency and abides by policies, rules, guidelines, and procedures

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.

PEDIATRIC CARDIAC SONOGRAPHER
$10,000 Commitment Bonus!

Schedule:  5 8s or 4 10s; day shift, on call requirement (30 minutes)
Commitment Bonus:  $10,000
Relocation Assistance:  available if relocating greater than 50 miles
 

Perform daily clinical operations of Echocardiography including performing Echocardiograms, entering preliminary interpretation, covering all sites and shifts including call coverage.

Duties and Responsibilities of this Level

Level I Demonstrates proficiency by performing routine and emergency echocardiograms, including but not limited to 2-dimensional, 3- dimensional, Doppler, Transesophageal, and Stress Echocardiogram, as requested by physician and in accordance with standard practices. Provides echocardiography service at all necessary locations, working variable shifts, weekends, and providing emergent call coverage as scheduled. Operate equipment necessary to perform all required procedures and to obtain optimal diagnostic recording; utilize ancillary devices such as selected transducers, digital networking system, off-line analysis systems. Maintain equipment in working order, making minor adjustments and repairs. Perform routine cleaning, preventive maintenance, and report any equipment malfunction to echo lab manager. Analyze patient's medical record to obtain history of symptoms and necessary information for performance of diagnostic procedures. Prepares preliminary reports for review and interpretation by Cardiologist, including comparison of previous studies. Participate in quality improvement activities; evaluate procedure results for technical quality and accuracy; maintain appropriate logs, files, and records. Review department performance in relation to established goals, implementing changes to effect outcomes. Maintain confidentiality of patients, employees and corporation-related activities. Instruct students, fellows, nurses, or health personnel as requested. Communicates technical and patient care related information according to established processes and timelines. Attends Echo Lab Meetings, participates in Echo related conferences through attendance, ensuring continuing education and professional growth. Cultivates a collaborative and cooperative work environment within department.

Level II Actively participates with patient testing, performing routine, non- routine, urgent, and emergent patient requests as described in the Cardiac Sonographer Level 1 job description. Performs advanced cardiac ultrasound services and procedures to patients utilizing independent judgment, with real-time and off-line manipulation of echocardiographic images for capture, display and analysis of echocardiography data. Assists the physician with Echocardiography guided studies to aid them in proceeding with complex procedures to decrease potential associated procedural risks. Acts as a resource and assists Cardiac Sonographers and Cardiology Fellows with pre/post procedures, preliminary review of images obtained and report. Acts as a preceptor by on-boarding Cardiac Sonographers with departmental orientation, in-service and education. Assist in establishing and maintaining department objectives and goals by functioning as a site Charge Sonographer. Support and recommend quality assurance initiatives.

Level III Clinical Focus Performs advanced cardiac ultrasound services and procedures to patients such as congenital, myocardial mechanics, 3D imaging and stress utilizing independent judgment. Functions as an expert resource, to instruct other cardiac sonographers with in-services and education regarding performance and preliminary interpretation of these procedures. Performs quality assurance to ensure that all the necessary echocardiography data are obtained for the patient on the basis of clinical history and presentation. Formulating and ensuring consistent implementation of exam protocols. Provides in-service education and case reviews for staff cardiac sonographers in collaboration with the Echocardiography Technical Manager concerning new methods and techniques that are to be incorporated into the echocardiography exam. Maintains up to date all laboratory policies and procedures. Collaborates with Technical Manager and Medical Director for review annually, or as necessary for revision of all clinical policies and procedures specific to Echocardiography. Ensures all ICAEL requirements are met and maintained. Staff information, CMEs, policies and procedures, protocols, etc. are updated annually to meet ICAEL requirements. Staff is updated on all ICAEL changes. Organizes and prepares ICAEL application to maintain an accredited status.

Education Focus Participates as a Lead Clinical Instructor in the Echocardiography Department. Participates in clinical education for students, residents and/or fellows specifically related to physics and image acquisition. Provides technical assistance in research studies on new echocardiography techniques and technology initiated by Duke, other hospitals and vendors through attending meetings and learning new techniques on acquiring images. Assists Echocardiography Technical Manager with quality measures and outcome data to ensure a high level echocardiography lab.

Clinical Lead Focus Supervisory Responsibility-Yes Support for the Echocardiography service when the manager is unavailable. The Clinical Lead is responsible for supervising, directing, coaching, and mentoring their assigned core group of staff. Evaluates staff, provides feedback, documents and directly monitors quality performance at each site. Directs orientation, provides guidance, and constructively influences staff morale. Instruct and educate visiting students, technologists and physicians about our procedures, computers and departmental functions. Provides Echo technical direction/functional advice and direct supervision to staff. Interacts and communicates with physicians, support staff, and other health care professionals to facilitate departmental operations Monitors the status of equipment repairs and preventative maintenance, gathers data on equipment malfunction and associated down time, and documents the effects on patient care. Assures compliance with department and institutional policies, procedures, and regulations. Assist with site specific personnel functions including hiring, annual evaluations, development & implementation of existing departmental policies. Coordinate staff scheduling, and maintain payroll time reports.

Communicates information to staff in support management decisions. Assist the Technical Manager in evaluation and selection of capital equipment. Enhance professional growth and development of department staff through leadership participation in educational programs, current literature, in-service meetings and workshops. Maintain working knowledge of resources available to the department and employees in developing work skills, employee benefits, continuing education and assuring that hospital requirements are met.

Required Qualifications at this Level

Education

Graduate or completion of program that meets eligibility requirements for registry/certification or currently holds required registry or certification.

Experience

None required beyond above education/certification requirements.

Level I - Must obtain ARDMS certifications as required by each entity within 18 months of employment.

Level II - Minimum of two years' experience as a Sonographer.

Level III A minimum of 4 years' experience within specialty modality in which they are seeking promotion.

Degrees, Licensure, and/or Certification

ARDMS/CCI certification in Echocardiography

ARDMS/CCI certification within 18 months of hire

BLS certification

Knowledge, Skills, and Abilities

 Distinguishing Characteristics of this Level

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

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.

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.

Under general supervision, performs a wide variety of professional level of nursing duties for patients served in the clinical areas noted below.

*Must obtain within ninety (90) days of start date

**Must obtain within one (1) year of start date

Under general supervision, performs a wide variety of professional level of nursing duties for patients served in the clinical areas noted below.

*Must obtain within ninety (90) days of start date

**Must obtain within one (1) year of start date

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.

Location: Radiation Oncology

Work Week: Monday-Friday 7:30am-4pm

Perform a variety of complex, specialized, and technical tasks associated with the operation of high field strength magnets.

Screen patients for MR safety prior to procedure performance.

Assist radiologist with procedure protocoling and performance. Start I.V.s, administer contrast media as directed and per protocol.

Evaluate MR scans for technical quality, collate processed images and sequence of acquisition and label appropriately.

Schedule patients for procedures; assist with clerical functions.

Charge MR procedures and supplies in EHR

Load and operate power injectors for contrast media administration.

Maintain accurate patient records.

Provide orientation for new technologists

Provide education and training for student technologists.

Provide for the psychological and physical needs of patients for MR procedures.

Understand and use the Image Archival System

Perform complex tasks associated with the operation of high field strength magnets and related equipment to produce special radiographic images of specific body parts.

Position patients for MR scans using immobilization and protective equipment as required.

Screen patients for MR safety prior to procedure performance.

Assist radiologist with procedure performance. Administer contrast media or as directed and per protocol. Evaluate MR scans for technical quality, collate processed images and sequence of exposure and label appropriately.

Coordinate scheduling and patient flow involving multiple MR sites.

Assist with education and training of new physicians (interns, residents, and fellows, attending's) if Applicable.

Assist radiologists and physicists in developing new protocols and MR imaging techniques that are unique to DUHS

Help facilitate research for the Duke Health System by scanning and using protocols given. Demonstrate proficiency in the 100+ MR protocols in the Health System. Teach the correct application of these protocols to new technologists, physicians, and researchers.

Perform other related duties incidental to the work herein

**DUHS offers career growth and enrichment within Imaging services. There is a clinical ladder program with various steps and opportunities at each hospital within the health system.

Graduate or completion of program that meets eligibility requirements for registry/certification or currently holds required registry or certification.

Level I must obtain ARRT or ARMRIT in Magnetic Resonance (MR) certification within 18 months of employment.

Level II Minimum of two years' experience as an MRI technologist.

Level III A minimum of 4 years' experience within specialty modality in which they are seeking promotion.

Certification in one of the following required: Radiography (R), Radiation Therapy (T), Nuclear Medicine Technology (N), CNMT, ARDMS, or registry eligible for Magnetic Resonance (MR).

ARRT or ARMRIT registered in Magnetic Resonance (MR) required within 18 months of employment.

BLS certification

Distinguishing Characteristics of this Level

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.

Provides in-home nursing care to patients under direction of home health Registered Nurse, utilizing the established plan of care in accordance of physician orders and philosophy of Shannon Home Health. Works in conjunction with all disciplines as a team to provide quality patient care.

Plans and implements specific treatment programs for neonatal through geriatric patients according to accepted physical therapy practices and principles. Collaborates with interdisciplinary treatment team.

*After 2015 a Doctorate of Physical Therapy is required.

*Must obtain within ninety (90) days of start date.