Clinical Dietitian - Outpatient Adult Transplant

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. Outpatient Dietitian – Adult Transplant/CF (Cystic Fibrosis) This position primarily covers Adult Transplant (Heart and Lung) and Cystic Fibrosis. Job Code: 5034 FLSA: E Job Level: F1 Supervisory Responsibility: No Work Address: 2301 Erwin Rd, Durham, NC 27710 General Description of the Job Class Coordinate all phases of nutrition care including nutrition assessment, care planning, monitoring, education and counseling of hospitalized patients and outpatients in a variety of settings. Perform duties in support of and in compliance with performance improvement plans, JCAHO, and other licensing, accrediting, and regulatory agencies. The Duke University Health System offers career advancement through a clinical ladder program. Duties and Responsibilities of this Level Level I Duties and responsibilities may include providing nutrition services and medical nutrition therapy integrated with the patient's medical goals. Evaluating, interpreting, monitoring and documenting the nutritional status and nutritional needs of hospitalized patients and out patients using established standards of care and practice guidelines. Identifying and providing age-specific nutrition counseling to meet the cultural needs of the patients and their families. Developing, reviewing, updating and implementing educational materials to meet the needs of patients and professionals. Writing orders for diet, supplement, enteral/parenteral nutrition and laboratory data per hospital policy. Functioning as an integral member of the clinical interdisciplinary team. Maintaining registered dietitian (RD) status including continuing professional education per the Professional Development Portfolio. Maintains North Carolina Board of Nutrition and Dietetics licensure. Precepting dietetic interns and provide on the job training for newly hired clinical staff. Supervising daily work of dietetic technicians, registered; provide input into evaluation but doesn't directly evaluate their performance. Complying with Nutrition Services meeting and attendance standards. Level II In addition to Level I, Dietitian works in an assigned specialty area and integrates research and education into practice as evidence by competencies. Is a liaison and advocate for the profession by utilizing and sharing new practice knowledge and skill into other areas of the profession (management, public health) and or other disciplines. Level III Thinks critically, displays a range of highly developed clinical and technical skills, and formulates judgements acquired through a combination of education, experience and critical thinking. Based on department's need have the ability to provide expertise, oversight and leadership in a designated specialty area. These areas include: Student Advisor, Malnutrition Specialist, Adult Nutrition Support Specialist, Pediatric Nutrition Support Specialist, Program Coordinator, Clinical and Quality Specialist, IT Specialist, Outpatient Clinical Coordinator, Lead, Subject Matter Expert. Additional information can be found in the DUHS Clinical Dietitian Clinical Ladder Program. Required Qualifications at this Level Education Level I, II, III Baccalaureate degree in Food and Nutrition, Dietetics, Nutritional Sciences, Human Nutrition, or comparable major. Successful completion of coordinated program or dietetic internship of not less than 900 hours under the supervision of a Registered Dietitian. Experience Level I One year in an acute care environment preferred; experience may be waived for specific positions. Level II and Level III At least 5 years of clinical experience or at least 3 years' clinical experience plus an approved, nutrition related certification. Degrees, Licensure, and/or Certification Level I, II, and III Registered dietitian (RD) by the Commission on Dietetic Registration; candidates eligible for registration may be hired with the expectation that registration will be achieved within 90 days of hire. Licensed dietitian/nutritionist (LDN) by the North Carolina Board of Dietetics and Nutrition; provision for license-eligible dietitians as above. Knowledge, Skills, and Abilities N/A Distinguishing Characteristics of this Level N/A Job Code: 00005034 CLINICAL DIETITIAN Job Level: F1 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 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 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.

Paramedic

Job Description Summary Why Join South Shore Emergency Medical Services (EMS)? •Offering generous shift differentials for EMTs & Paramedics • Opportunity to work on a double paramedic ambulance. •State of the Art EMS dispatch communication Center that works closely alongside our EMS Team •Opportunities to support our community serving our central location of Weymouth, MA •The opportunity to enroll in benefits 1st day of hire with no waiting period. Including Health, Dental, Vision, Tuition Reimbursement and more. Responsible for responding to requests for ALS intervention and for providing emergency medical care in the pre-hospital environment according to Paramedic Protocols and Policies approved by SSHS and the ALS system Medical Director. Performs other duties related to the provision of care and development of the community EMS system. Assists in the Hospital as assigned after appropriate credentialing. Job Description 1. Responds to requests for paramedic services from area departments in a timely and safe manner. a. Upon receiving call, finishes task at hand and acknowledges town dispatcher by radio within two minutes. b. Follows Massachusetts laws Chapter 89, Sect. 7 and Chapter 90, Sections 7, 13, 14, 16 and 17 regarding emergency driving. c. Contacts requesting town dispatcher by radio to report time enroute, scene arrival and unavailable status. d. Parks vehicle in areas designed by local fire or police, or in a safe area if not directed. 2. Completes documentation and records according to department policy. a. Run report will be completed accurately and legibly. b. Run report data will be entered into computer database accurately. c. The vehicle/equipment checklist will be completed on every shift. d. All responses will be recorded in the trip log. e. Patient charges will be completed and submitted with each trip report where treatment was provided. f. Patient refusals will be documented as they occur completing a trip sheet and refusal form. g. Narcotics will be signed off per policy. 3. Ensures vehicle and equipment are ready for response at all times. a. Knows location and proper use of equipment. b. Restocks vehicle and equipment within 30 minutes following run. c. Keeps vehicle clean and maintains fuel and fluids per schedule or as needed. d. Reports damaged or unsafe equipment to Director upon problem identification. 4. Renders pre-hospital medical care at the paramedic level. a. Performs complete and accurate patient assessments. b. Adheres to Region IV treatment protocols and procedures and carries out medical control's orders within own scope of practice. c. Is proficient in all related ALS skills. d. Has a pleasant and professional manner with patients. e. Gives accurate, concise radio reports and adheres to established radio communication protocols. f. Maintains sufficient knowledge of geography. 5. Acts as a team leader in dealing with emergency responses. a. Demonstrates ability to control emergency scenes. b. Directs EMTs and other medical personnel on scene in the patient's best interest. c. Interacts with local EMTs and public safety, fire and police in a spirit of cooperation and professionalism. 6. Takes proper care of vehicle and equipment. a. Prevents loss or damage of equipment by careful handling and storage. b. Maintains equipment and vehicle according to policy. c. Keeps vehicle locked when unattended. 7. Pursues new levels in Paramedicine technology and participates in activities which contribute to professional growth and development. a. Maintains current certifications as required. b. Shares new information with fellow staff. c. Attends monthly staff meetings. d. Maintains a skill log for all skills done. 8. Participates in community activities which improve the public's understanding of the EMS system. a. Represents South Shore Health & Educational Corporation and the Department of Paramedic Services to the public in a positive, professional manner. b. Participates effectively in planned public relations events. Minimum Education - Preferred Successful completion of the Community Paramedic class and clinical portion. Minimum Work Experience Prior experience as a provider of pre-hospital care in an emergency setting Critical care experience preferred/ALS transfers Verification of an acceptable motor vehicle driving record, at time of hire, with annual verification required thereafter. Required Licenses / Registrations - Requirement to practice a profession. Licenses are granted by a licensing board in accordance with state law. Example - Registered Nurse (RN) ACLS - EMS BLS - EMS VDL - Valid Drivers License Preferred (not required) Licenses / Registrations MA DRIVERS - Massachusetts Drivers License Required Certifications - Certifies a specific competency or recognition in a professional achievement. Example - Certified Nursing Assistant (CNA) EMT- P - Emergency Medical Technician-Paramedic Preferred (not required) Certifications Required Classes/Skills - (Required as of 04/01/2009*) Validates attendance in a class which focuses on a particular skill or training. Example - Emergency Response Training (ERT) * Employees new to a position have 6 months to attain these Required Classes/Skills - Preferred (not required) Classes/Skills PALS, NRP preferred.

RN

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. CT Technologist (PRN) Location: Duke University Hospital 2301 Erwin Rd, Durham, NC 27705 Work Schedule : PRN, with a minimum of four shifts per month and the option of 10-hour or 12-hour shifts Duke University Health System seeks to hire an experienced or new graduate CT Technologist who will embrace our mission of Advancing Health Together. The Duke University Hospital (DUH) campus supports a 1067 bed hospital known for expertise in Inpatient, Urgent Outpatient, OR, Interventional, ED/Trauma, PEDS, Cardiac, Oncology, and Transplant services. We have a total of 20 clinical scanners, including 14 in various locations, 5 in the OR, and 1 portable scanner for Neuro ICU. What you will do: Perform complex specialized tasks associated with the operation of CT scanners, power injectors, and related equipment in accordance with prescribed radiation safety procedures. Position patients for CT scans using patient positioning devices and protective equipment as necessary. Perform exams accurately per established protocols, policy, and patient safety standards. Assist radiologist with imaging procedures, starting IV's, and injecting contrast, if applicable. Assist radiologist with interventional CT procedures. Evaluate CT scans for technical quality, collate processed images in sequence of exposure and appropriately label. Film/transmit to Image Archival System. Schedule patients for procedures; assist with clerical functions. Charge procedures and supplies in EHR. Dispense and or order oral contrast to patients for CT scans. Maintain accurate patient records. Provide orientation and training to new CT technologists. Provide care for the psychological and physical needs of patients and their families for CT scans. Provide education and training to student technologists. Perform other related duties incidental to the work therein. Coordinate scheduling and patient flow Demonstrate proficiency in IV placement for contrast administration. Demonstrate proficiency and accuracy in performance of all exam protocols. Assist with the education and training of new physicians (interns, residents, fellows, and attending's). If applicable. Assist radiologists and PhD's in developing new protocols and CT imaging techniques that are unique to facility. Perform CT specific technical assistance with projects assigned by supervisor including but not limited to: Team lead, R & D, protocol development, charge reconciliation and demonstration of equipment. 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. Required Qualifications: Education: Graduate or completion of program that meets eligibility requirements for registry/certification or currently holds required registry or certification. Experience: Level I Must obtain CT certification within 18 months of employment. Level II Minimum of two years' experience as a CT technologist. Level III A minimum of 4 years' experience within specialty modality in which they are seeking promotion Degrees, Licensure, and/or Certification Certification in one of the following required: Radiography (R), Radiation Therapy (T), Nuclear Medicine Technology (N), CNMT. ARRT registered in Computed Tomography (CT) required within 18 months of employment. BLS certification. 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.

Radiologic Technologist (per diem)- South Shore Urgent Care

Job Description Summary Under the direction of the Department Manager, performs interpretive, patient care and technical functions to insure proper radiologic diagnosis of patients. Job Description ESSENTIAL FUNCTIONS 1 - Patient Care a - Confirm patient’s identity. b - Evaluate patient’s ability to understand and comply with requirements for the requested examination. c - Explain and confirm patient’s preparation (e.g., diet restrictions, preparatory medications) prior to radiographic/fluoroscopic examinations. d - Examine radiographic requisition to verify accuracy and completeness of information (e.g., patient history, clinical diagnosis). e - Sequence imaging procedures to avoid residual contrast material affecting future exams. f - Responsible for medical equipment attached to patients (e.g., IV’s, oxygen) during the radiographic procedures. g - Provide for patient safety, comfort, and modesty. h - Communicate scheduling delays to waiting patients. i - Verify or obtain patient consent as necessary (e.g., contrast studies). j - Explain procedure instructions to patient or patient’s family. 2 - (continued from 1) a - Practice standard precautions. b - Follow appropriate procedures when in contact with patient in isolation. c - Select immobilization devices, when indicated, to prevent patient’s movement and/or ensure patients safety. d - Use proper body mechanics and/or mechanical transfer devices when assisting patient. e - Prior to administration of contrast agent, gather information to determine appropriate dosage, and to determine if patient is at increased risk of adverse reaction. f - Confirm type of contrast media and prepare for administration. g - Use sterile or aseptic technique and prepare for administration. h - Observe patient after administration of contrast media to detect adverse reactions. i - Recognize need for prompt medical attention and administer emergency care. j - Explain post-procedural instructions to patient or patient’s family. 3 - (continued from 2) a - Maintain confidentiality of patient’s information. b - Document required information on patient’s medical record (e.g., radiographic requisitions, radiographs). c - Quality assures exams performed to capture the technical and room time. d - Performs work of equal skill, effort and responsibility as directed and may perform work of a higher level in preparation for increase responsibility. 4 - Radiation Protection a - Clean, disinfect or sterilize facilities and equipment, and dispose of contaminated items in preparation for next examination. b - Evaluate the need for and use of protective shielding. c - Take appropriate precautions to minimize radiation exposure to patient. d - Question female patient of child-bearing age about possible pregnancy and take appropriate action (i.e., document response, contact physician). e - Restrict beam to limit exposure area, improve image quality, and reduce radiation dose. f - Set kVp, mA and time or automatic exposure system to achieve optimum image quality, safe operating conditions, and minimum radiation dose. g - Prevent all unnecessary persons from remaining in area during x-ray exposure. h - Take appropriate precautions to minimize occupation radiation exposure. i - Wear a personnel monitoring device while on duty. j - Evaluate individual occupational exposure reports to determine if values for the reporting period are within established limits. 5 - Equipment Operation a - Prepare and operate radiographic unit and accessories. a. Three-phrase generator. b. High frequency generator. c. Bone densitometry unit. b - Prepare and operate fluoroscopy unit and accessories. a. Fixed fluoroscopic unit and accessories b. Pulse fluoroscopy c. Digital fluoroscopy d. Mobile fluoroscopic unit c - Prepare and operate digital imaging devices. a. Computerized radiography b. Direct digital radiography c. Picture archival and communication system (PACS) 6 - Image Production a - Remove all radiopaque materials from patient or table that could interfere with the radiographic image. b - Select equipment and accessories (e.g., grid, compensating filters, shielding for the examination requested. c - Use radiopaque markers to indicate anatomical side, position or other relevant information (e.g., time, upright, decubitis, post-void). d - Explain breathing instructions prior to making the exposure. e - Position patient to demonstrate the desired anatomy using body landmarks. f - Determine appropriate exposure factors using calipers and technique charts. a. Fixed kVp technique chart b. Variable kVp technique chart c. Calipers (to determine patient thickness for exposure) d. Automatic exposure control (AEC) g - Modify exposure factors for circumstances such as involuntary motion, casts and splints, pathological conditions, or patient’s inability to cooperate. h - Process exposed image. i - Reload cassettes and magazines by selecting film of proper size and type. j - Prepare digital/computed image receptor for exposure. 7 - (continued from 6) a - Verify accuracy of patient identification on radiograph. b - Evaluate radiographs for diagnostic quality. c - Determine corrective measures if radiograph is not of diagnostic quality and take appropriate action. d - Store and handle film/cassette in a manner which will reduce the possibility of artifact production. 8 - Equipment Maintenance a - Recognize and report malfunctions in the radiographic or fluoroscopic unit and accessories. a. Visual inspection of equipment. b - Perform basic evaluations of radiographic equipment and accessories. a. Beam restriction system b. Beam alignment c. Source-to-image receptor distance indicator d. Radiation protection devices (lead aprons and gloves). 9 - Safety Awareness – Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment. a - Prior to the start of any invasive procedures, a final verification to confirm the correct patient, procedure, site, and information is done. b - Verifies patient according to policy prior to administration of care/procedures/medications. c - Follows approved procedure for verifying MD orders including a verbal readback to the licensed independent practitioner after receiving a telephone order. d - Complies with the current CDC hand hygiene guidelines through proper handwashing, as observed by nurse manager and peers. e - Consistently follows the South Shore Hospital policy to mark surgical sites. f - Makes appropriate use of personal protective equipment at all times. g - Adheres to respiratory etiquette guidelines. h - Adheres to universal precautions. i - Appropriately disposes of hazardous materials. j - Adheres to electrical safety guidelines. JOB REQUIREMENTS Minimum Education - Preferred Graduate of an approved two-year program. Minimum Work Experience Six (6) months to be fully proficient. Required Licenses / Registrations RT- Radiography Technology (MA state license) or RT Temp - Radiography Technology Temporary (MA state license) Required additional Knowledge and Abilities Employees must produce their CEU records to their manager prior to start date and on an ongoing basis thereafter. Technologists in this position are responsible to maintain CEU activity on-site for a period of two years longer than the technologist’s last licensure renewal date

CLINICAL DIETITIAN WITH SIGN ON BONUS!

Job Description Summary South Shore Health is looking to grow their talented and dedicated Clinical Nutrition team and would love to have you join us! There are so many amazing reasons to work for South Shore Health, but here are just a few: • Competitive pay rates and $5,000 sign on bonus for full time roles • Work Life Balance: Flexible shift options including full time, part time and per diem • Career Growth: Exposure to a Level II Adult Trauma Center, Level III NICU and the third busiest Emergency Department in the state • Free Parking/Shuttle for all employees * Medical, dental and vision insurance effective Day 1 Full Time, 40 hours/week, Clinical Dietitian to provide clinical nutrition services including medical nutrition therapy to patients. Is a strong member of health care team integrated in all service areas of the hospital. Nutritional practice is research based using current scientific literature. Goals of care are collaborative and incorporates Patient & Family Centered care. Strong skills needed for nutritional assessments with ADIME method. If needed, responsibilities may include nutrition consultations to patients in SSVNA Home Care Division, with home visits. If needed may need to cover in the Cardiac/Pulmonary Rehab department. And if needed, may include covering in the out-patient GDM clinic. Job Description ESSENTIAL FUNCTIONS 1 - Screens patients for nutritional risk using: Department standards for the established screening data in EMR; Consults; Daily multi-disciplinary rounds; Meals Rounds. Collaborates with Nutr. Guest Reps, nurses, medical providers and SLP to identify patients needing an assessment or re-assessment. 2. Appropriately prioritize patients for the shift. Documents which patients need assessment notes and the reasons. 3 - Assesses patients appropriately using the Nutrition Care Process. Assessments are accurate, appropriate and use evidence based practice. Notes are timely, effective and use the ADIME outline. Calculations are based on N&FS department policies for standards of practice. RD works efficiently to be productive and complete appropriate number of notes/day. 4 - Effectively communicates departmental, organization and specialty information to coworkers and other clinical staff. Delivery is clear and in a timely fashion. Communication is productive and resolves conflicts which may affect relations and productivity. Provides in-service education to RD staff, or other facility employees/students, as requested by CNM. 5 – Functions proactively to resolve patient problems, and provide operational excellence so the department delivers quality services in an efficient and effective manner. 6 - Initiates research of scientific literature to update educational handouts; or updates policies and procedures, standards of practice or guidelines. 7 - Seeks knowledge, skills and competency, to maintain registration with CDR; MA license; and an approved Professional Portfolio in good standing. 8 - Actively participates in department and hospital meetings, as requested by CNM. Communicates information from Committee meetings to CNM and coworkers. Attendance is evident on the attendance sheets, filed in the Communication Binder. 9 - Shares in responsibility to provide community educational Fairs and presentations, as assigned by CNM. Is proactive in developing agendas and handouts well in advance of the date. Technology and Learning a - Possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization. b - Embraces technological advances that allow us to communicate information effectively and efficiently based on role. UNIT / DEPARTMENT SPECIFIC JOB FUNCTIONS 1 - Other duties as required by manager or director. 2 - Performs work of variety of skill levels and responsibility as directed. May also perform work of a higher level in preparation for increased responsibility and may be requested to work of lesser responsibility when the work load of the department so requires. JOB REQUIREMENTS Minimum Education Bachelor or Master's Degree in Nutrition from a CDR/A.N.D. approved program. Completed Dietetic Internship from a CDR accredited program. Minimum Work Experience - Preferred Up to six (6) months to become fully proficient is preferred. Required Licenses / Registrations LDN or LDN Eligible - Licensed Dietitian or Licensed Dietitian Eligible in Massachusetts RD or RD Eligible - Registered Dietitian or Registered Dietitian Eligible Required additional Knowledge, and Abilities Proficiency in Microsoft Office Word and Excel preferred; typing ability

Surgical Technologist - Delivery Room (Weekends)

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 ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. 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) Surgical Technologists are eligible for a $10,000 Commitment Bonus! Relocation Assistance also available! General Description of the Job Class Surgical Technologists (ST) are allied health professionals who assist in the preparation and care of surgical patients ranging from infancy to geriatrics under the general direction of a professional nurse. The ST possesses expertise in the theory and application of sterile aseptic technique and combines the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a surgeon's performance of invasive therapeutic and diagnostic procedures. The ST who has a dual function in the operating room and the ambulatory setting demonstrates competency in the care of surgical patients preoperatively and postoperatively in the ambulatory surgical clinic setting. Duties and Responsibilities of this Level Level I - New graduate with up to 18 months of full-time equivalent experience. Perform all responsibilities in a manner that demonstrates Service Excellence towards patients, physicians, peers and other departments. Assume responsibility for upholding the policies and procedures of the department and organization. Demonstrates eagerness to learn, takes direction, adapts to changes within unit, demonstrates consistent progress toward Level II. Establishes and maintains sterile field and assures team maintains sterile environment. Demonstrate and practice a good understanding of sterile technique. Has a basic knowledge of instrumentations. Prepare Operating Room with appropriate instrumentation, equipment and supplies. Demonstrates correct and safe instrumentation passing and performs sponge, needle and instrument counts in a safe and accurate manner. Maintain technical skills to serve a patient population comprised of infancy to geriatric clients. Take calls and rotate shifts as required under the direction of a registered nurse. For Surgical Technologists with a dual role in an ambulatory environment, additional responsibilities may include: prepare patients for examinations and procedures in the surgical clinic setting; assist the physician during patient examination and procedures in the clinic; collect and label laboratory specimens for processing; reinforce postoperative instructions under direction of physician or RN; assist with incoming and outgoing patient calls under supervision of physician or RN; remove sutures/ staples, change sterile and non-sterile dressings, following DUHS policies and procedures, under direction of RN or physician; perform other clinical functions as delegated and supervised by the RN or physician; schedule and post surgical cases; coordinate complex scheduling of cases which require additional surgical support; update and file patient medical records. Must advance to level II within 18 months. Perform other duties and responsibilities as required. Level II - Perform all the duties and responsibilities of Level I, plus the following: Assist with the teaching of newly hired technologists and student technologists. Serve as a role model to new employees and other staff members. Establish and maintain sterile field and assure team maintains sterile environment independently. Anticipate the needs of the surgical team. Apply basic knowledge of instrumentations to several cases. Demonstrate appropriate and correct case preparation. Competent at unit level. Corrects deficiencies at the case level. Communicate effectively with patients, staff members and physicians. Adherence to standards including but not limited to unit and hospital policies and procedures, regulatory standards, and patient safety goals. Assume responsibility for self and ensures that the policies, procedures and safety practices of the Operating Room and Hospital are reinforced. Perform other duties and responsibilities as required. Required Qualifications at this Level Education Graduate of an accredited Surgical Technology program or maintains an accredited Surgical Technologist certification (NCCT or NBSTSA). Or, provides evidence of the successful completion of an appropriate training program for Surgical Technology in the United States Military. Experience Level I- Entry level position for new graduates of Surgical Technology program or Surgical Technologists with 0 to 18 months experience. Level II- Requires 6 to 12 months of full-time equivalent Surgical Technology or relevant military experience. Degrees, Licensure, and/or Certification Level I- BLS required. Level II- BLS required. Knowledge, Skills, and Abilities Ability to adapt to changes within unit. Ability to work effectively and efficiently under pressure in a stressful environment, and often without relief. Ability to demonstrate knowledge of anatomy relating to the surgical procedure and the instrumentation required in order to effectively anticipate the needs of the surgeon. Ability to set priorities and respond appropriately to actual and/or potential life threatening situations. 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 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 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.

Nuclear Medicine Technologist - 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 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 ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. Location: Duke Regional Hospital Work Week: PRN as needed General Description of the Job Class Coordinate and participate in a variety of technical tasks, tests and determinations involving the utilization of radioactive materials and measurement instrumentation. Duties and Responsibilities of this Level Coordinate and participate in a variety of technical procedures to include in vivo and in vitro studies; operate radiation detection and measurement instrumentation including stationary imaging devices, scintillation gamma and apparatus for in vitro counting. Calibrate and draw up radiopharmaceutical materials for administration to patients; formulate radiopharmaceutical materials from pre-prepared kits. Calibrate instruments and review calibration data to detect trends indicating instrument malfunction. Calculate data to include results of patient studies and radioactive decay. Evaluate recorded images for technical quality. Process computerized image data to include function curves and reconstructed SPECT images. Assume care for physical and psychological needs of patient of all ages during an examination, initiates life support measures for patient, if necessary. Maintain inventory of supplies in assigned area; prepare and maintain records concerning radiopharmaceutical receiving, dispensing and disposal activities. Maintain records of order, including brachytherapy procedures, receipt and disposal of all radioactive material in the department. Provide instruction and technical guidance to radiologic technology students or other advanced imaging techs; assist in training new employees. Monitor Nuclear Medicine Department with portable survey meter for possible contamination. Performs EKG prep, tracing Perform other related duties incidental to the work described herein. Assist in the development and evaluation of new procedures and techniques to meet the needs of specific protocols as required: consult with physician concerning the application of nuclear medicine procedures and techniques. Administer thyroid therapy to patient that has undergone prior clinical and nuclear medicine diagnosis, insures decay of pharmaceutical and calculates for correct dosage in dose calibrator, observes patient dosage to insure proper treatment under direct supervision of radiologist. Assist in quality assurance program relating to calibration and maintenance of equipment. Assist with the education and training of new physicians (interns, residents, and fellows) as applicable. Perform other related duties incidental to the work described 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. 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 ARRT or NMCTB certification within 18 months of employment. Level II Minimum of two years' experience as a Nuclear Medicine technologist. Level III A minimum of four years' experience within specialty modality in which they are seeking promotion. Degrees, Licensure, and/or Certification ARRT (N) certification and/or NMTCB certification within 18 months of employment. BLS certification Knowledge, Skills, and Abilities Ability to use office related computer software Possess knowledge of radiation protection and safety General computer knowledge IV placement and management skills 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 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 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.

CLINICAL DIETITIAN WITH SIGN ON BONUS!

Job Description Summary South Shore Health is looking to grow their talented and dedicated Clinical Nutrition team and would love to have you join us! There are so many amazing reasons to work for South Shore Health, but here are just a few: • Competitive pay rates and $5,000 sign on bonus for full time roles • Work Life Balance: Flexible shift options including full time, part time and per diem • Career Growth: Exposure to a Level II Adult Trauma Center, Level III NICU and the third busiest Emergency Department in the state • Free Parking/Shuttle for all employees * Medical, dental and vision insurance effective Day 1 Full Time, 40 hours/week, Clinical Dietitian to provide clinical nutrition services including medical nutrition therapy to patients. Is a strong member of health care team integrated in all service areas of the hospital. Nutritional practice is research based using current scientific literature. Goals of care are collaborative and incorporates Patient & Family Centered care. Strong skills needed for nutritional assessments with ADIME method. If needed, responsibilities may include nutrition consultations to patients in SSVNA Home Care Division, with home visits. If needed may need to cover in the Cardiac/Pulmonary Rehab department. And if needed, may include covering in the out-patient GDM clinic. Job Description ESSENTIAL FUNCTIONS 1 - Screens patients for nutritional risk using: Department standards for the established screening data in EMR; Consults; Daily multi-disciplinary rounds; Meals Rounds. Collaborates with Nutr. Guest Reps, nurses, medical providers and SLP to identify patients needing an assessment or re-assessment. 2. Appropriately prioritize patients for the shift. Documents which patients need assessment notes and the reasons. 3 - Assesses patients appropriately using the Nutrition Care Process. Assessments are accurate, appropriate and use evidence based practice. Notes are timely, effective and use the ADIME outline. Calculations are based on N&FS department policies for standards of practice. RD works efficiently to be productive and complete appropriate number of notes/day. 4 - Effectively communicates departmental, organization and specialty information to coworkers and other clinical staff. Delivery is clear and in a timely fashion. Communication is productive and resolves conflicts which may affect relations and productivity. Provides in-service education to RD staff, or other facility employees/students, as requested by CNM. 5 – Functions proactively to resolve patient problems, and provide operational excellence so the department delivers quality services in an efficient and effective manner. 6 - Initiates research of scientific literature to update educational handouts; or updates policies and procedures, standards of practice or guidelines. 7 - Seeks knowledge, skills and competency, to maintain registration with CDR; MA license; and an approved Professional Portfolio in good standing. 8 - Actively participates in department and hospital meetings, as requested by CNM. Communicates information from Committee meetings to CNM and coworkers. Attendance is evident on the attendance sheets, filed in the Communication Binder. 9 - Shares in responsibility to provide community educational Fairs and presentations, as assigned by CNM. Is proactive in developing agendas and handouts well in advance of the date. Technology and Learning a - Possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization. b - Embraces technological advances that allow us to communicate information effectively and efficiently based on role. UNIT / DEPARTMENT SPECIFIC JOB FUNCTIONS 1 - Other duties as required by manager or director. 2 - Performs work of variety of skill levels and responsibility as directed. May also perform work of a higher level in preparation for increased responsibility and may be requested to work of lesser responsibility when the work load of the department so requires. JOB REQUIREMENTS Minimum Education Bachelor or Master's Degree in Nutrition from a CDR/A.N.D. approved program. Completed Dietetic Internship from a CDR accredited program. Minimum Work Experience - Preferred Up to six (6) months to become fully proficient is preferred. Required Licenses / Registrations LDN or LDN Eligible - Licensed Dietitian or Licensed Dietitian Eligible in Massachusetts RD or RD Eligible - Registered Dietitian or Registered Dietitian Eligible Required additional Knowledge, and Abilities Proficiency in Microsoft Office Word and Excel preferred; typing ability

Lead Vascular Sonographer Quality/IAC Technical Lead

Job Description Summary Coordinates functions between the Imaging and Patient Care Teams. Performs Vascular Ultrasound exams utilizing extensive knowledge of vascular ultrasound equipment. In addition, uses knowledge to direct and instruct other team members. Must be comfortable overseeing technologists and other ancillary staff in a fast-paced environment. Must work closely with radiologists, nurses, physicians, other hospital staff and referring outside offices staff to ensure excellence in patient care. Oversees the daily function and staffing needs of the department under the guidance and direction of the Vascular Ultrasound Supervisor, and the Executive Director of Diagnostic Imaging. Job Description ESSENTIAL FUNCTIONS 1 - Assists the Vascular Ultrasound Supervisor with coordinating the daily functions of the Vascular Ultrasound Department. a. Performs all types of exams. b. Runs the Vascular Lab in absence of the supervisor. c. Works with the supervisor on a daily basis to coordinate efficient exam schedules. d. Keeps track of supplies within the department and orders as necessary. e. Assigned tasks as needed. 2 – Assists with data collection and submittal of documents to the Intersocietal Accreditation Commission. 3 – Participates in the interviewing and evaluating process for vascular technologists. 4 – Coordinates with patient care teams to ensure accurate and timely exams 5 – Effectively communicates departmental, organization and industry information to staff. 6 – Maintains reports, records and collects statistics. a. All patients' preliminary reports are sent via Visage to the reading radiologists or vascular surgeon. 7 – Assures delivery of quality vascular ultrasound studies demonstrating competency in all studies while following guidelines/protocols provided by the IAC. a. Acts as the designated technical director for the IAC accreditation, performing all quarterly and annual duties. b. Completes and maintains all IAC reaccreditation paperwork and assignments, QA, and case selection, as outlined in the IAC application. c. Quality of vascular studies are monitored continuously. d. Recognizes normal vs abnormal anatomy. 8 – Acts as a mentor to staff and educational resource to patients, observing students and coworkers. 9 – Assures that all equipment is functioning properly. a. Checks equipment daily. b. Contacts Biomed for equipment malfunction or for patient safety concerns. 10 – Participates in the holiday rotation. 11 – Participates in performing quality improvement audits and meetings. 12 – Responsible for maintaining credentials and CME requirements for registration. 13 – Reviews and updates protocols and helps develop new protocols as needed in coordination with the medical director. JOB REQUIREMENTS Minimum Education Associates degree or certification through an accredited ultrasound program OR Bachelor’s degree in ultrasound or radiologic field Minimum Work Experience 4-5 years of Vascular Ultrasound work experience Required Licenses / Registrations Registered Vascular Technologists (RVT) OR Registered Vascular Specialist (RVS) Required Additional Knowledge and Abilities a. Carotid b. Upper and lower extremity venous including venous insufficiency c. Upper and lower arterial duplex including bypass grafts and stents d. PVR e. Mesenteric arterial duplex f. Fistulas

Registered Nurse - Hiring Now!

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 ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. Location: Duke Regional Hospital Work Week: PRN as needed General Description of the Job Class Coordinate and participate in a variety of technical tasks, tests and determinations involving the utilization of radioactive materials and measurement instrumentation. Duties and Responsibilities of this Level Coordinate and participate in a variety of technical procedures to include in vivo and in vitro studies; operate radiation detection and measurement instrumentation including stationary imaging devices, scintillation gamma and apparatus for in vitro counting. Calibrate and draw up radiopharmaceutical materials for administration to patients; formulate radiopharmaceutical materials from pre-prepared kits. Calibrate instruments and review calibration data to detect trends indicating instrument malfunction. Calculate data to include results of patient studies and radioactive decay. Evaluate recorded images for technical quality. Process computerized image data to include function curves and reconstructed SPECT images. Assume care for physical and psychological needs of patient of all ages during an examination, initiates life support measures for patient, if necessary. Maintain inventory of supplies in assigned area; prepare and maintain records concerning radiopharmaceutical receiving, dispensing and disposal activities. Maintain records of order, including brachytherapy procedures, receipt and disposal of all radioactive material in the department. Provide instruction and technical guidance to radiologic technology students or other advanced imaging techs; assist in training new employees. Monitor Nuclear Medicine Department with portable survey meter for possible contamination. Performs EKG prep, tracing Perform other related duties incidental to the work described herein. Assist in the development and evaluation of new procedures and techniques to meet the needs of specific protocols as required: consult with physician concerning the application of nuclear medicine procedures and techniques. Administer thyroid therapy to patient that has undergone prior clinical and nuclear medicine diagnosis, insures decay of pharmaceutical and calculates for correct dosage in dose calibrator, observes patient dosage to insure proper treatment under direct supervision of radiologist. Assist in quality assurance program relating to calibration and maintenance of equipment. Assist with the education and training of new physicians (interns, residents, and fellows) as applicable. Perform other related duties incidental to the work described 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. 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 ARRT or NMCTB certification within 18 months of employment. Level II Minimum of two years' experience as a Nuclear Medicine technologist. Level III A minimum of four years' experience within specialty modality in which they are seeking promotion. Degrees, Licensure, and/or Certification ARRT (N) certification and/or NMTCB certification within 18 months of employment. BLS certification Knowledge, Skills, and Abilities Ability to use office related computer software Possess knowledge of radiation protection and safety General computer knowledge IV placement and management skills 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 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 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.