Adult Diabetes Education Clinical Services Nurse II

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 Adult Diabetes Education Clinical Services Nurse II provides direct patient care services to adults with a diagnosis of diabetes. The Clinical Services Nurse II collects and documents patient data, collaborates with the team to establish priorities and set realistic goals, provides individual and group diabetes education and lifestyle counseling, and evaluates patient outcomes related to diabetes management and education. The Clinical Services Nurse II ensures program compliance with ADA Recognition standards and coordinates activities to maintain ADA recognition and recertification per the National Standards for Diabetes Self-Management Education. The Clinical Services Nurse II contributes to excellence in patient care, research, teaching, and provides leadership in the organization.

Education: Bachelor's Degree in Nursing

Licensure: Current licensure as a Registered Nurse in the state of NC

Certification: Certified Diabetes Educator strongly preferred. If not certified, certification must be obtained within 18 months of starting the position.

Experience: Three years of nursing experience

Life support: BLS

Specific Job Responsibilities and Standards

1. Direct Care

• Provide diabetes self-care management education for patients age 18 and older in compliance with ADA program guidelines, including intensive insulin therapy, insulin pump therapy, continuous glucose sensor monitoring and management of diabetes during pregnancy or diabetes resulting from treatment for another primary disease.
• Utilize comprehensive assessment skills in the evaluation of learning and life-style modification needs and abilities in adult patients with diabetes.
• Support nursing staff in providing evidence-based diabetes education.
• Collaborate with nursing, medical, and nutrition staff to assess, diagnose, plan, identify priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of diabetes management and self-care education.
• Coordinate ADEP services to maximize patient outcomes and to accomplish the strategic objectives of the healthcare team and of the organization.
• Maintain certification
• Provide patient follow-up via faxes, phone calls, emails and prn visits
• Obtain Certification to train insulin pumps from each of the insulin pump companies to be able to train patients on insulin pump therapy.

1. Coaching / Education

• Assess educational needs of patients/families and provide culturally sensitive patient/family interventions through individual and group sessions, as indicated.
• Participate in developing, implementing and evaluating patient education resources and programs appropriate to the patient's health literacy level, learning needs, readiness to learn and cultural value and beliefs.
• Document patient assessment and education as required by TJC and ADA Recognition.
• Assess learning needs of nursing staff; plan and implement appropriate educational forums and opportunities to address critical learning needs and skills.
• Contribute to the advancement of the profession by disseminating expert knowledge and outcomes of the Clinical Services Nurse II practice through presentations and publications.

1. Collaboration

• Assist staff in the development of innovative, cost-effective programs or protocols of care
• Establish and maintain collaborative relationships within and across departments that promote patient safety, culturally competent care and clinical excellence
• Advocate for diabetes awareness in the community by promoting health screenings and diabetes seminars as dictated by the needs of the health system, community and ADA Recognitionrequirements.
• Facilitate intra-agency and inter-agency communication.
• Practice collegially with medical staff and other members of the healthcare team so that all providers' unique contributions to health outcomes will be enhanced.

1. Systems Leadership

• Collaborate in institutional maintenance of national diabetes education recognition as required by the American Diabetes Association
• Facilitate 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
• Provide leadership in conflict management and negotiation to address problems in the healthcare system.
• Determine nursing practice and system interventions that will promote patient, family and community safety.
• Monitor consumer satisfaction with the Adult ADEP; propose and implement changes as needed.

1. Evidence based practice, Quality Improvement and Research

• Employ evidence-based clinical practice guidelines tailored to the individual
• Integrate evidence in the management of patients, families and groups
• Collaborate on quality improvement initiatives.
• Assist with clinical research when appropriate.
• Provide leadership in measuring and documenting outcomes of the ADEP.
• Cultivate a climate of clinical inquiry across spheres of influence
• Participate in and supports accreditation and regulatory activities of Duke Hospital.

1. Ethical Decision-Making, Moral Agency and Advocacy Competency

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

Behavior Standards:

Standards:

• Acts - and makes decisions - in the best interests of patients and their loved ones and willingly accepts accountability for outcomes.
• Improves performance that enhances patient care and advances individual, team and organizational goals.
• Effectively uses DUHS resources (time, budget and property) to support optional patient care and operational performance while adhering to organizational policies and procedures.
• Seeks opportunities to improve service provided to patients and their loved ones related to clinical care and support.

Standards:

• Strictly adheres to all established patients, staff and faculty safety procedures.
• Contributes to an environment of safety and security for patients and staff through individual actions.
• Speaks up about all risk of harm; reports patient, staff safety or injury events within twenty-four hours of incident or awareness of incident.
• Actively participates in all mandatory patient and staff safety training.

Integrity - Our decisions, actions, and behaviors are based are based on honesty, trust, fairness, and the highest ethical standards.

Standards:

• Is truthful and honest with patients, their loved ones, and co-workers, and consistently exhibits actions that reflect our values.
• Is accountable for actions and decisions involving patient care or other operational activities and strives to learn and improve from experience.
• Follows through on commitments made to patients, visitors, co-workers, and others.
• Conducts work positively while doing so in full compliance with all organizational policies, procedures, expectations and patient-centered values.

Diversity - We embrace differences among people.

Standards:

• Applies cultural understandings and sensitivities to enhance patient care and improves interactions with people of diverse backgrounds.
• Treats all individuals - patients, visitors and co-workers - with courtesy, dignity and respect.
• Contributes to a work environment that is welcoming to all - whether patients, visitors, staff or faculty.
• Demonstrates a sensitivity and awareness of the needs of a diverse workforce and patient population.

Teamwork - We must depend on each other and work well together with mutual respect to achieve common goals.

Standards:

• Willingly shares expertise and information with others to improve patient care, unit or departmental performance without compromising individual responsibilities.
• Celebrates the accomplishments of others in making a difference in the lives of patients and the success of the organization.
• Takes ownership of decisions made by specific patient care or project teams, and team leaders, and the individual role needed to support them.
• Manages multiple demands while maintaining quality and courtesy; acknowledges and resolves patient or visitor issues.

Process of Evaluation

Evaluation will be ongoing and will encompass the six general areas of competency as defined by The Joint Commission (patient care, medical/clinical knowledge, practice-based learning & improvement, interpersonal & communication skills, professionalism and systems-based practice). The Team Lead in coordination with Director will conduct annual and midyear coaching conversations using the Center of Advance Practice Evaluation Review process

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.

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.