• Location: Durham, NC
  • Posted: Jan 3, 2020

Job Description

Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.

U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.

Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

Duke Nursing Highlights:

Duke University Health System is designated as a Magnet organization
Nurses from each hospital are consistently recognizedeach year as North Carolinas 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!

Position Summary

The Duke Hospital Emergency Services Clinical Nurse Specialist provides leadership in the care of patients in Emergency Services. S/he collaborates with all members of the healthcare team and leadership , serving as an expert resource and consultant to guide clinical practice. S/he is a clinician, educator, investigator, consultant, role model and leader. S/he makes clinical judgements based upon a synthesis of current research, concepts, principles, theories, and outcomes to solve complex problems. The CNS is a dynamic and positive role model for nursing staff.

Primary hours will be Monday-Friday, 8am-5pm, however must be flexible to meet the clinical and educational needs of all staff, including off-shifts and weekends.

Responsible to
Center for Advanced Practice Director, CAP Team Leader, and the Associate Operating Officer, Emergency Services.

Specific Job Responsibilities and Standards
Direct Care

Collaborate with medical and nursing staff to assess, diagnose, plan, identify priorities and implement care
Support nursing staff in providing excellent clinical care with special emphasis on complex patients with multi-system failure and complex medical and transport issues.
Support the development, implementation, and evaluation of standards of practice, guidelines, policies, procedures, and protocols.
Evaluates outcomes of nursing practice for safety, timeliness, effectiveness, efficiency, efficacy and patient-centered care.
Coordinates the care of patients with use of system and community resources to assure successful health/illness/wellness transitions, enhance delivery of care, and achieve optimal patient outcomes.


Collaborate in identifying patient/family education needs and priorities.
Participate in developing, implementing and evaluating patient education resources and programs appropriate to the patients developmental level, health literacy level, learning needs, readiness to learn, and cultural values and beliefs.
Collaborate in identifying learning needs of nursing staff, planning and implementing appropriate educational forums and opportunities to address critical learning needs and skills.
Participates in education of nurses and other health care providers to include but not limited to pre-professional, graduate and continuing education opportunities.
Contributes to the advancement of the profession as a whole by disseminating expert knowledge and outcomes of CNS practice through presentations and publications.
Mentors health professionals. Supports nurses seeking advancement in the clinical ladder by providing leadership, mentoring, assistance with identified projects and the measurement of outcomes.
Uses coaching and advanced communication skills to facilitate the development of effective clinical teams.
Provides leadership in conflict management and negotiation to address problems in the healthcare system.


Assists staff in the development of innovative, cost effective programs or protocols of care
Assesses the quality and effectiveness of interdisciplinary, intra- agency, and inter-agency communication and collaboration.
Establishes collaborative relationships within and across departments that promote patient safety, culturally competent care, and clinical excellence.
Provide expertise and leadership on hospital and nursing committees, councils, and task forces, representing advanced practice nursing and the ES CSU.
Facilitates intra-agency and inter-agency communication.
Provides leadership for establishing, improving, and sustaining collaborative relationships to meet clinical needs.
Practices collegially with medical staff and other members of the healthcare team so that all providers unique contributions to health outcomes will be enhanced.

Systems Leadership

Facilitates the provision of clinically competent care by staff/team through education, role modeling, teambuilding, and quality monitoring.
Role model advanced practice professional nursing through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, continuous learning and problem-solving skills
Performs system level assessments to identify variables that influence nursing practice and outcomes, including but not limited to:
Population variables (age distribution, health status, income distribution, culture)
Environment (schools, community support services, housing availability, employment opportunities)
System of health care delivery
Regulatory requirements
Internal and external political influences/stability
Health care financing
Recurring practices that enhance or compromise patient or system outcomes.
Determines nursing practice and system interventions that will promote patient, family and community safety.
Uses effective strategies for changing clinician and team behavior to encourage adoption of evidence-based practices and innovations in care delivery.
Provides leadership in maintaining a supportive and healthy work environment.
Provides leadership in promoting interdisciplinary collaboration to improve care through:
outcome-focused patient care programs
performance improvement
clinical research

Evidence based practice, Quality Improvement and Research

Analyzes research findings and other evidence for their potential application to clinical practice
Integrates evidence into the health, illness, and wellness management of patients, families communities and groups
Applies principles of evidence-based practice and quality improvement to all patient care.
Assesses system barriers and facilitators to adoption of evidence- based practices.
Designs programs for effective implementation of research findings and other evidence in clinical practice
Cultivates a climate of clinical inquiry across spheres of influence
Fosters an interdisciplinary approach to quality improvement, evidence-based practice, research, and translation of research into practice
Participates in establishing quality improvement agenda for unit, department, program, system, or population
Uses quality monitoring data to assess the quality and effectiveness of clinical programs in meeting outcomes.
Develops quality improvement initiatives based on assessments.
Provides leadership in the design, implementation and evaluation of process improvement initiatives.
Provides leadership in the system-wide implementation of quality improvements and innovations.
Participates in the conduct or implementation of research.

Ethical Decision-Making, Moral Agency and Advocacy Competency

Engages in a formal self-evaluation process, seeking feedback regarding own practice, from patients, peers, professional colleagues and others
Fosters professional accountability in self or others.
Facilitates resolution of ethical conflicts
Facilitates patient and family understanding of the risks, benefits, and outcomes of proposed healthcare regimen to promote informed decision-making.

Behavioral Standards

Excellence We strive to achieve excellence in all that we do.
Safety We hold each other accountable to constantly improve a culture that ensures the safety and welfare of all patients, visitors and staff.
Integrity Our decisions, actions, and behaviors are based are based on honesty, trust, fairness, and the highest ethical standards.
Diversity We embrace differences among people.
teamwork We have to depend on each other and work well together with mutual respect to achieve common goals.

Position Requirements
Education: Work requires completion of a Masters degree in Nursing.
Licensure: Current licensure as a Registered Nurse in the state of North Carolina and NCBON CNS recognition
Certification: CNS certification or advanced practice specialty certification that meets requirements for NCBON CNS recognition
Experience: Three years of nursing experience
Life Support: BLS, ACLS

Physical and mental requirements:

Knowledge of professional nursing theory, clinical practice standards, and scope of an advanced practice clinical nurse specialist role. OR Able to clearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant / CNM in the state of North Carolina and within the Duke University Health System. OR NC statement OR LC statement
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

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 ideasan 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 Health

705 Broad Street
Durham, NC 27708

Phone: (919) 684-5600

Fax: (919) 684-5600