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Description Summary: Under the direct supervision of a Registered Nurse/licensed Nurse, this Job will assist with routine and repetitive patient care activities in a nursing unit. This Job also performs specific clerical, organizational, and patient-focused activities. The patient-focused tasks will be supportive in nature. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Assists with the admission, transfer, and discharge of patients. Completes pertinent documents. Prepares rooms for admission by setting up IV pots, and adjusting bed to the appropriate level. Assures that all patient belongings accompany the patient to the new unit or home at time of discharge. Safely transports stable patients as required. Maintains security/confidentiality when transporting patients and interacting with family and visitors. Cleans, procures and returns equipment and supplies. Run errands for the unit as required. Assist Licensed personnel in providing a safe and comfortable environment at all times; replenish patient room with water, linen, and towels, as appropriate. Perform unit-specific patient care tasks in accordance with the skills checklist and documents on the flowsheet. Identify obvious changes in the patient's condition and take responsibility for reporting those changes promptly to the nurse in charge. Assist with the ordering and maintenance of stock items according to established inventory when needed. Keeps unit supplies in an organized and orderly fashion. Respond appropriately to emergencies. Communicate effectively with other team members during and between shifts. Responds to phone calls and patient call lights. Appropriately adapt assigned patient assessment, treatment, and/or care methods to accommodate the unique physical, psychosocial, cultural, age-specific, and other developmental needs of each patient served. Demonstrates competence to perform assigned patient care responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department. Job Requirements: Education/Skills High School Diploma or equivalent preferred. Experience Patient care experience in an acute care setting is preferred. Licenses, Registrations, or Certifications CNA License in state of employment required. BLS required. Work Schedule: TBD Work Type: Full Time

Description POSITION SUMMARY: The Clinical Manager is responsible for direction of clinical services in Pediatrics. Works closely with the Chief Nursing Executive and the Medical Staff leadership to develop, implement, and maintain clinical and educational programs that enhance the quality of care and achieve a high level of patient and provider satisfaction. Requirements MINIMUM QUALIFICATIONS: EDUCATION: Graduate of an accredited program for Registered Nursing. BSN preferred. CERTIFICATION/LICENSES: R.N. with current New Mexico State license. BLS, NRP and either PALS or ENPC certifications required. National certification in area of expertise is a plus. SKILLS: Strong clinical and leadership skills and previous management experience including experience in facilitating interdisciplinary team collaboration. Evidence of such experience should include: Strong nursing knowledge and clinical skills Effective communication skills (verbal and written) Strong analytical skills Ability to problem solve; ability to appropriately confront issues Ability to motivate others as individuals and as a team Ability to plan, organize, direct, and manage the activities of others Ability to effectively run meetings and to negotiate deadlines. Ability to communicate with a wide variety of audiences Experience in dealing with physicians on an administrative level and ability to work collaboratively with medical staff members and leadership EXPERIENCE: Minimum of 5 years experience in clinical role in women’s services or pediatrics.Two years progressive management experience. NATURE OF SUPERVISION: -Responsible to: Chief Nursing Executive. ENVIRONMENT: - Bloodborne pathogen A Works in a clean, well-lighted, ventilated smoke-free environment. PHYSICAL REQUIREMENTS: Subject to stressful professional relationships. Working hours vary, with flexibility due to unexpected changes in schedule and emergencies. Requires the ability to speak, listen, develop and communicate written materials.

Description Please enter info here Requirements MINIMUM QUALIFICATIONS: EDUCATION: Associates Degree in Nursing. BSN preferred. CERTIFICATION/LICENSES: Current valid NM or compact RN License. BLS required. ACLS required or must obtain within six months from date of hire or date of transfer. BLS and ACLS must be issued through the American Heart Association. SKILLS: Excellent communication (verbal, written, listening) and problem-solving skills. EXPERIENCE: Six months management experience or five years acute care clinical experience. NATURE OF SUPERVISION: -Responsible to: Manager, Nursing Office ENVIRONMENT: - Bloodborne pathogen B Works irregular hours. Multiple simultaneous activities of patient care. Exposure to infectious diseases and x-rays. Exposure to varying unpredictable situations. PHYSICAL REQUIREMENTS: Must be able to handle emergency situations, prolonged, extensive or considerable standing. Has knowledge of and uses good body mechanics. Occasionally positions, pushes and/or transfers patients or equipment. Hearing and visual acuity within normal limits. Manual dexterity and fine motor coordination required.

When you join the Huntington Hospital team, you are aligning yourself with an organization whose values drive our philosophy of compassionate community care. Over the past 129 years, we’ve grown from a small 16-bed hospital to a nationally recognized healthcare leader with 619 beds. As part of our commitment to providing equitable, high-quality care to all members of our community, we embrace differences and work hard to create a place of belonging for our patients and our employees. When you join the Huntington family, you’ll be empowered to enact change that continuously improves our ability to deliver world-class care, with kindness and dignity, to all who need it.

** Internal Workers – Please log into your Workday account to apply **

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When you join the Huntington Hospital team, you are aligning yourself with an organization whose values drive our philosophy of compassionate community care. Over the past 129 years, we’ve grown from a small 16-bed hospital to a nationally recognized healthcare leader with 619 beds. As part of our commitment to providing equitable, high-quality care to all members of our community, we embrace differences and work hard to create a place of belonging for our patients and our employees. When you join the Huntington family, you’ll be empowered to enact change that continuously improves our ability to deliver world-class care, with kindness and dignity, to all who need it.

** Internal Workers – Please log into your Workday account to apply **

Compensation Range:

Department:

Expectations:

Worker Type:

Shift:

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.

The Respiratory Therapist Extracorporeal Membrane Oxygenation Specialist (RT ECMO Specialist) is a licensed advanced respiratory care practitioner with advanced training in extracorporeal life support, responsible for the operation and management of extracorporeal membrane oxygenation (ECMO) devices and care of patients being supported with ECMO based on established policies and procedures and physician/advanced practice provider (APP) order.

• Operates the ECMO device and manages ECMO-related care for neonatal, pediatric, and adult ECMO including, but not limited to: ECMO circuit set up, priming, and initiation of ECMO support; adjustment of ECMO flow, gases, and temperature; accessing the ECMO circuit for laboratory studies, drug, fluid, and blood administration, ultrafiltration, dialysis, and apheresis; continuous ECMO and patient data monitoring and interpretation including hemodynamics, ECMO parameters, labs, and imaging; patient and circuit assessments, care, and maintenance; emergency interventions to any part of the ECMO circuitry including ECMO catheters.
• Demonstrates expertise in caring for patients with multiple or complex conditions in which ECMO may be indicated; ECMO physiology including effects of congenital anatomical defects and palliations, various cannulation strategies and support modalities and impact of additional cardiopulmonary support devices.
• Ensures appropriate ECMO patient care, anticipating, identifying and correcting problems associated with any ECMO procedures or technology and collaborates with the care team to deliver superior patient care including the knowledge, clinical and communication skills to direct and deliver critical troubleshooting and emergency response for patients on ECMO support; functions independently following standing orders and ECMO policies, procedures, and protocols.
• Coordinates activities such as turns, baths, dressing changes, diagnostic testing, procedures, and patient mobility with the care team to directly support and maintain patency of the cannulae as well as stability of cardiopulmonary support while patient is undergoing ECMO.
• Actively participates in ECMO patient rounds to share information and determine appropriateness of patient care plans; maintains communication with ECMO Leadership Team regarding concerns and variances as well as any ECMO patient complications; utilizes the ECMO electronic record to maintain ongoing complete and detailed documentation of patient and ECMO parameters; provides family/parental education and reinforces medical counseling initiated by the physician and advanced practice provider team; provides a clear and concise end of shift report for oncoming ECMO Specialist regarding ECMO settings, patient status, and patient care plans; provide orientation, education and training for Duke residents and fellows, interdisciplinary partners in assigned units, new hires, and students. Supports ECMO team quality improvement initiatives and research through the collection of ECMO-related data, preparation, and presentation of research abstracts and/or other documentation. Contributes to the maintenance of the environment of care including cleanliness and stocking.
• Maintains all competencies and continuing education requirements as set forth by the Department of Respiratory Care Services, the Duke ECMO Program, Duke University Hospital, and the State of North Carolina including competence in all responsibilities of the Respiratory Care Practitioner Advanced as RT ECMO Specialists will be floated to assist respiratory care practitioners as assigned during times of low ECMO census.

• Completion of a two-year CoARC approved respiratory care program (Associates Degree or equivalent) required.
• Bachelor Degree preferred.

• Two years' experience in clinical respiratory therapy, including one- year experience in intensive care respiratory required.
• ECMO experience preferred.
• Experience working in a team environment and excellent communication skills.
• Computer skills required, prior experience with electronic medical record systems preferred.
• Demonstrated leadership, effective communicator, and excellent critical thinking skills.

• North Carolina State Licensure required. ECMO verification required within 90 days of hire.
• Registry (RRT) by the National Association for Respiratory Care (NBRC), required.
• AHA Basic Life Support (BLS), required.
• AHA Advanced Cardiac Life Support (ACLS), required.
• AHA Pediatric Advanced Life Support (PALS), required.
• ELSO Adult ECMO Practitioner Certification (E-AEC) required within 12 months for current teammates. New hires, or those transferring into the role will have 12 months from their hire or transfer date, into the ECMO Specialist role.
• Once released (anticipated date January, 2025), the ELSO Pediatric ECMO Practitioner Certification (E-PEC) will be required within 12 months for current teammates. New hires, or those transferring into the role will have 12 months from their hire or transfer date, into the ECMO Specialist role.

• Knowledge necessary to make appropriate clinical decisions and interaction relative to the specific age of a patient.
• Skills validation/competencies for the duties and responsibilities required for a Respiratory Care Practitioner, Advanced Skills validation/competencies for the duties and responsibilities required for an ECMO Specialist.
• Maintain ECMO Continuing Education requirements as specified by the State of North Carolina Respiratory Care Board as well as the Duke ECMO Program including attendance and participation in specified continuing education activities, competencies, and minimum direct ECMO patient care hours.
• Ability to work flexible hours, which may include days, evenings, nights, holidays, and weekends and on-call.
• Ability to adapt to unpredictable situations within the work setting.
• Ability to triage and prioritize multiple priorities in high acuity patient care.
• Must maintain annual safety/compliance requirements.
• Must maintain North Carolina annual license requirements for CEUs.
• Work may require lifting or pushing in excess of 50 pounds.
• Work requires walking, running, climbing, and bending.

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 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 and under supervision of a Registered Respiratory Therapist.

-Verify physician orders for appropriateness and accuracy.

-Understand pharmacological indications, dosages and response to adverse drug reactions.

-Consults with providers based on patient care assessments and in accordance to accepted protocols. Provides education to patients, families, physicians, nursing and other members of the health care team.

-Monitors response to all therapy. Documents in the patient medical record. Communicates all pertinent clinical information during patient rounds and handoff.

-Perform diagnostic cardiopulmonary procedures; inclusive of nasotracheal and artificial airway suctioning and samples, arterial blood gas punctures, pulse oximetry and EtCO2 monitoring, pulmonary function and bedside pulmonary mechanics, and EKG's.

-Recognizes life threatening situations and initiates appropriate response, perform CPR and bag- mask ventilation

-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.

-Participates in quality improvement activities.

-Maintains all necessary safety and life support certifications per required.

-Can provide the following therapy:

-Oxygen Supply Systems Equipment Processing Manual Resuscitation Oxygen administration Humidity and Aerosol Therapy Small Volume Nebulizer MDI Administration Incentive Spirometry Airway Clearance Therapy Arterial Uncture ECG (if perofrmed by hiring institute) Patient reportinng

Active enrollment in a 2 year approved respiratory care program (Associates Degree or the equivalent) and is in good standing.

& Completion of the first semester of the respiratory care program.

None required beyond clinical affiliation of the respiratory program.

The student RCP must register with the Board before providing Respiratory Care procedures as a Respiratory Care Assistant and will receive an approval letter from the Board. The student RCP will provide a copy of the approval letter to the employer.

Certification in Basic Life Support (BLS) and any other certifications applicable to the 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 requirements.

Must maintain annual 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 Duke University Health System, at applicable hiring location.

Work may require lifting or pushing in excess of 30 pounds.

Work requires walking, climbing and bending.

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 Raleigh Hospital, A Campus of Duke University Hospital

Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of Duke Health's four hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care.

***$15,000 Commitment Bonus eligible if qualified

*** Up to $8,000 Relocation Assistance eligible if qualified

***Night Shift***

***May apply if currently enrolled in an AMA approved Respiratory Care Program, and registry eligible (Must meet education and licensure requirements before hire date)

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 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 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.

***$15,000 Commitment Bonus eligible if qualified, plus $,000 kicker bonus

*** Up to 8,000 Relocation Assistance eligible if qualified

Job Description

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.

Duties and responsibilities

• 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.

Required Qualifications at this Level

Education

RCP

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

RCP Advanced

• 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

Experience

RCP

• None required

RCP Advanced

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

Degrees, Licensure, and/or Certification

RCP

• 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.

RCP Advanced

• 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, Skills, and Abilities

• 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 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.