Radiation Therapist - 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 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. General Description of the Job Class Apply ionizing radiation to the patient (inclusive of pediatric, adult, and geriatric populations) in accordance with the prescription and instructions of the Radiation Oncologist and under the general supervision of the Chief Therapist. Duties and Responsibilities of this Level Deliver accurately the prescribed planned course of radiation therapy with minimal supervision. Check prescription, diagnosis, chart and patient identification. Explain procedure to patient, means of communication during treatment and procedure to follow if emergency arises during treatment. *Reinforce Radiation Oncologist's advice to patient regarding reactions to treatment and their care. Prepare room and equipment for patient according to prescription regarding immobilization devices, field size, treatment distance, lead protection devices, etc. Transfer patient safely to treatment couch, giving special care to catheters, intravenous drips, etc. Check daily treatment time and delivers prescribed dose. *Maintain visual and audible communication with the patient during treatment. Maintain patient markings. Observe patient for unusual reactions and events and report accurate information to the nursing staff and/or Radiation Oncologist. Observe radiation safety measures for patient and personnel. Perform simulations. Assist in tumor localization procedures, preparation of immobilization devices, etc. Assist in dosimetry procedures (i.e. Prescription calculations). Obtain weekly port films and present such at chart rounds for review by Radiation Oncology staff. Assume weekly on- call status on a rotation basis. (Applies to Duke staff therapist only) Perform and document daily accelerator warm-up and QA procedures.(DRH and RCH) Maintain records of daily treatment and other records as required by department quality assurance and quality improvement activities. Perform mold room duties.(DRH and RCH) Secure and maintain supplies. Secure x-ray and lab reports as needed. Report erratic operation of equipment to Chief Radiation therapist, Radiation Physicist and/or Medical Engineer. Particpate in departmental PI (Performance Improvement) activities. Assist in the hiring and orienting of new personnel. Attend weekly QA rounds, monthly therapy meetings, and educational in-services. Incorporate department and hospital policies and procedures into care provided. Required Qualifications at this Level Education Satisfactory completion of a 24 month course in radiology technology and a 12 month course in radiation therapy technology; or Satisfactory completion of a 24 month course in radiation therapy technology; or Registered nurse who has satisfactorily completed a 12-month course in radiation therapy technology; or Satisfactory completion of a Bachelor of Science degree in radiation therapy. Experience One year clinical training in Radiation Therapy. Degrees, Licensure, and/or Certification Current licensure as required by state or national authority and/or certification or board eligible in Radiation Therapy by the American Registry of Radiology Technology. Maintain ARRT certification in radiation therapy with a minimum of documented 12 hours of continuing education. Knowledge, Skills, and Abilities Knowledge in principles, practices and procedures involved in the operation of ionizing radiographic and radiation therapy equipment. Knowledge of the human anatomy and proper positioning of the patient to provide treatment as prescribed. Ability to administer CPR in a medical emergency. Distinguishing Characteristics of this Level N/A 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.

Radiation Therapist - 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 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. General Description of the Job Class Apply ionizing radiation to the patient (inclusive of pediatric, adult, and geriatric populations) in accordance with the prescription and instructions of the Radiation Oncologist and under the general supervision of the Chief Therapist. Duties and Responsibilities of this Level Deliver accurately the prescribed planned course of radiation therapy with minimal supervision. Check prescription, diagnosis, chart and patient identification. Explain procedure to patient, means of communication during treatment and procedure to follow if emergency arises during treatment. *Reinforce Radiation Oncologist's advice to patient regarding reactions to treatment and their care. Prepare room and equipment for patient according to prescription regarding immobilization devices, field size, treatment distance, lead protection devices, etc. Transfer patient safely to treatment couch, giving special care to catheters, intravenous drips, etc. Check daily treatment time and delivers prescribed dose. *Maintain visual and audible communication with the patient during treatment. Maintain patient markings. Observe patient for unusual reactions and events and report accurate information to the nursing staff and/or Radiation Oncologist. Observe radiation safety measures for patient and personnel. Perform simulations. Assist in tumor localization procedures, preparation of immobilization devices, etc. Assist in dosimetry procedures (i.e. Prescription calculations). Obtain weekly port films and present such at chart rounds for review by Radiation Oncology staff. Assume weekly on- call status on a rotation basis. (Applies to Duke staff therapist only) Perform and document daily accelerator warm-up and QA procedures.(DRH and RCH) Maintain records of daily treatment and other records as required by department quality assurance and quality improvement activities. Perform mold room duties.(DRH and RCH) Secure and maintain supplies. Secure x-ray and lab reports as needed. Report erratic operation of equipment to Chief Radiation therapist, Radiation Physicist and/or Medical Engineer. Particpate in departmental PI (Performance Improvement) activities. Assist in the hiring and orienting of new personnel. Attend weekly QA rounds, monthly therapy meetings, and educational in-services. Incorporate department and hospital policies and procedures into care provided. Required Qualifications at this Level Education Satisfactory completion of a 24 month course in radiology technology and a 12 month course in radiation therapy technology; or Satisfactory completion of a 24 month course in radiation therapy technology; or Registered nurse who has satisfactorily completed a 12-month course in radiation therapy technology; or Satisfactory completion of a Bachelor of Science degree in radiation therapy. Experience One year clinical training in Radiation Therapy. Degrees, Licensure, and/or Certification Current licensure as required by state or national authority and/or certification or board eligible in Radiation Therapy by the American Registry of Radiology Technology. Maintain ARRT certification in radiation therapy with a minimum of documented 12 hours of continuing education. Knowledge, Skills, and Abilities Knowledge in principles, practices and procedures involved in the operation of ionizing radiographic and radiation therapy equipment. Knowledge of the human anatomy and proper positioning of the patient to provide treatment as prescribed. Ability to administer CPR in a medical emergency. Distinguishing Characteristics of this Level N/A 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.

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 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. General Description of the Job Class Apply ionizing radiation to the patient (inclusive of pediatric, adult, and geriatric populations) in accordance with the prescription and instructions of the Radiation Oncologist and under the general supervision of the Chief Therapist. Duties and Responsibilities of this Level Deliver accurately the prescribed planned course of radiation therapy with minimal supervision. Check prescription, diagnosis, chart and patient identification. Explain procedure to patient, means of communication during treatment and procedure to follow if emergency arises during treatment. *Reinforce Radiation Oncologist's advice to patient regarding reactions to treatment and their care. Prepare room and equipment for patient according to prescription regarding immobilization devices, field size, treatment distance, lead protection devices, etc. Transfer patient safely to treatment couch, giving special care to catheters, intravenous drips, etc. Check daily treatment time and delivers prescribed dose. *Maintain visual and audible communication with the patient during treatment. Maintain patient markings. Observe patient for unusual reactions and events and report accurate information to the nursing staff and/or Radiation Oncologist. Observe radiation safety measures for patient and personnel. Perform simulations. Assist in tumor localization procedures, preparation of immobilization devices, etc. Assist in dosimetry procedures (i.e. Prescription calculations). Obtain weekly port films and present such at chart rounds for review by Radiation Oncology staff. Assume weekly on- call status on a rotation basis. (Applies to Duke staff therapist only) Perform and document daily accelerator warm-up and QA procedures.(DRH and RCH) Maintain records of daily treatment and other records as required by department quality assurance and quality improvement activities. Perform mold room duties.(DRH and RCH) Secure and maintain supplies. Secure x-ray and lab reports as needed. Report erratic operation of equipment to Chief Radiation therapist, Radiation Physicist and/or Medical Engineer. Particpate in departmental PI (Performance Improvement) activities. Assist in the hiring and orienting of new personnel. Attend weekly QA rounds, monthly therapy meetings, and educational in-services. Incorporate department and hospital policies and procedures into care provided. Required Qualifications at this Level Education Satisfactory completion of a 24 month course in radiology technology and a 12 month course in radiation therapy technology; or Satisfactory completion of a 24 month course in radiation therapy technology; or Registered nurse who has satisfactorily completed a 12-month course in radiation therapy technology; or Satisfactory completion of a Bachelor of Science degree in radiation therapy. Experience One year clinical training in Radiation Therapy. Degrees, Licensure, and/or Certification Current licensure as required by state or national authority and/or certification or board eligible in Radiation Therapy by the American Registry of Radiology Technology. Maintain ARRT certification in radiation therapy with a minimum of documented 12 hours of continuing education. Knowledge, Skills, and Abilities Knowledge in principles, practices and procedures involved in the operation of ionizing radiographic and radiation therapy equipment. Knowledge of the human anatomy and proper positioning of the patient to provide treatment as prescribed. Ability to administer CPR in a medical emergency. Distinguishing Characteristics of this Level N/A 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.

Mammography 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. Duke Health Lake Norman Hospital Pursue your passion for caring with Duke Health Lake Norman Hospital in Mooresville, North Carolina. The smallest of Duke Health's four hospitals at 123-beds, it offers a comprehensive range of medical services, including 24-hour emergency care, cardiology, orthopedics, women's services, and surgical specialties. Occ Summary Perform a variety of technical activities associated with the performance of screening and diagnostic mammography procedures. Summary & Work Performed Perform a variety of technical activities associated with the performance of screening and diagnostic mammography procedures. Perform a variety of tasks involving the operation of mammographic radiographic equipment and other equipment/devices as appropriate. Position patients, using immobilization when necessary. Calculate exposure factors, assist physicians. Perform the quality control functions related to mammography. Evaluate radiographs for dia gnostic quality obtaining additional images as needed. Prepare and set up medical supplies using aseptic techniques if appropriate. Explain procedu res to patients.Charge mammographic procedures and supplies in Maestro or EPIC. Provide orientation to new Mammographers and provide education and training to student Mammographers. Assist in maintenance and compilation of statistical data. Demonstrate proficiency in performing all breast imaging procedures, to include breast interventional procedures. Monitor mammography section procedures and supply charges to ensure completeness and accuracy. Perform other related duties incidental to the work therein. 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. Knowledge, Skills and Abilities Minimum Qualifications & Education Graduate or completion of program that meets eligibility requirements for registry/certification or currently holds required registry or certification. Technologists initially qualifying on or after April 28, 1999, must meet the Mammo-Specific requirements by having at least 40 hours of documented training in mammography. Experience & Level Characteristics Level I - Must obtain ARRT certification at time of employment. Performance of a minimum of 25 mammography exams under direct supervision of an appropriate MQSA qualified individual. At least 8 hours of training in using any modality (e.g., digital) before beginning to use that modality independently. Level II - Minimum of two years' experience as a Mammography technologist. Must perform at least 200 mammography examinations in a 24 month period. Level III - A minimum of 4 years' experience within specialty modality inwhich they are seeking promotion Degrees, Licensures, Certifications ARRT certification in radiography ARRT advanced certification in mammography FDA/MQSA qualified to include meeting the MQSA CE requirements of at least 15 CEUs in a 36 month period that must include at least 6 CEUs ineach mammographic modality used. 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.

Manager, Ambulatory Case Management and Social Work

Job Description Summary Under the direction of the Ambulatory Case Management Officer (ACMO), the Manager of Ambulatory Case Management & Social Work provides operational leadership and strategic direction for South Shore Health’s ambulatory case management and social work functions. This role oversees day-to-day operations, resource allocation, and team prioritization across five core areas: CMS TEAM episodic bundle coordination and preferred SNF network management; ambulatory case management and social work support for SSMC and other SSH practices; Workers’ Compensation case management oversight; relationship management with delegated case management organizations under VBC and risk contracts; and general day-to-day team supervision, mentoring, and performance management. The Manager supervises seven to eight direct and dotted-line reports and promotes individualized, goal-directed case management aligned with departmental and health system policies. Job Description ESSENTIAL FUNCTIONS 1 - Oversees CMS TEAM Program case management and preferred SNF network performance. a - Provides operational oversight of case management activities supporting the CMS TEAM episodic bundle program, including pre-operative outreach, post-discharge follow-up, and ED return monitoring for LEJR and hip fracture surgical episodes. b - Manages preferred SNF partner relationships, including coordination of embedded CM specialist rounding, SNF pathway compliance monitoring, and performance tracking against length-of-stay targets and SNF-to-ED transfer rates. c - Partners with the ACMO and surgical service line leaders to identify TEAM bundle performance gaps and develop proactive case management interventions. d - Monitors SNF-associated quality indicators including HAI prevention, Foley catheter protocols, antibiotic stewardship, and C-diff detection to reduce downstream impacts on VBP, Leapfrog, and CMS star ratings. 2 - Provides case management and social work oversight for SSMC and SSH ambulatory practices. a - Oversees case management and social work services across SSMC and other SSH ambulatory practices, ensuring proactive identification and management of high-risk patients including complex chronic care, SDOH needs, and care transitions. b - Rounds regularly with ambulatory nursing and practice leadership to assess case management and social work needs, coordinate team resources, and address emerging care gaps. c - Ensures appropriate and timely utilization of community resources including VNA, DME, Meals on Wheels, and behavioral health services for ambulatory patients requiring transitional or ongoing support. d - Oversees primary and specialty care referral processes to ensure timely access and continuity of care for managed populations. 3 - Provides guidance and oversight for Workers’ Compensation case management. a - Provides dotted-line supervisory guidance to Workers’ Compensation RN case managers in Employee Health, ensuring consistent application of case management principles and SSH policies. b - Serves as a clinical resource for complex Workers’ Compensation cases, facilitating coordination among Employee Health, treating providers, and third-party payers. c - Monitors Workers’ Compensation case management practices against regulatory requirements and occupational health best practices, escalating concerns to the ACMO as appropriate. 4 - Manages relationships with delegated and third-party case management organizations under VBC and risk contracts. a - Under the direction of the ACMO, maintains collaborative working relationships with delegated case management organizations supporting SSH’s Medicare ACO population and other value-based care contracts. b - Monitors performance accountability of external case management partners, ensuring alignment with SSH quality, utilization, and care coordination goals. c - Serves as operational liaison between SSH ambulatory case management and external organizations, facilitating communication and care handoffs for shared patients. d - Maintains working knowledge of VBC contract structures, Medicare ACO population health requirements, and third-party payer case management programs relevant to SSH’s risk portfolio. 5 - Leads day-to-day team operations, staff supervision, and professional development. a - Supervises, mentors, and develops all ambulatory case managers and social workers; conducts performance appraisals, sets individual goals, and implements progressive discipline in accordance with HR policies as needed. b - Manages daily staffing, workload distribution, and scheduling to ensure adequate coverage across all ambulatory case management functions. c - Orients and trains new staff using SSH orientation and competency frameworks; develops individualized annual educational plans based on staff needs assessments. d - Facilitates regular team meetings to review case complexity, clinical skill development, productivity, and operational priorities. e - Maintains chart audit and documentation review processes in support of quality, compliance, and continuous improvement standards. f - Provides coverage for the ACMO and represents the department at interdisciplinary meetings and organizational committees as needed. Technology and Learning a - Participates in continued learning and possesses 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.

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 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

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 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. General Description of the Job Class Apply ionizing radiation to the patient (inclusive of pediatric, adult, and geriatric populations) in accordance with the prescription and instructions of the Radiation Oncologist and under the general supervision of the Chief Therapist. Duties and Responsibilities of this Level Deliver accurately the prescribed planned course of radiation therapy with minimal supervision. Check prescription, diagnosis, chart and patient identification. Explain procedure to patient, means of communication during treatment and procedure to follow if emergency arises during treatment. *Reinforce Radiation Oncologist's advice to patient regarding reactions to treatment and their care. Prepare room and equipment for patient according to prescription regarding immobilization devices, field size, treatment distance, lead protection devices, etc. Transfer patient safely to treatment couch, giving special care to catheters, intravenous drips, etc. Check daily treatment time and delivers prescribed dose. *Maintain visual and audible communication with the patient during treatment. Maintain patient markings. Observe patient for unusual reactions and events and report accurate information to the nursing staff and/or Radiation Oncologist. Observe radiation safety measures for patient and personnel. Perform simulations. Assist in tumor localization procedures, preparation of immobilization devices, etc. Assist in dosimetry procedures (i.e. Prescription calculations). Obtain weekly port films and present such at chart rounds for review by Radiation Oncology staff. Assume weekly on- call status on a rotation basis. (Applies to Duke staff therapist only) Perform and document daily accelerator warm-up and QA procedures.(DRH and RCH) Maintain records of daily treatment and other records as required by department quality assurance and quality improvement activities. Perform mold room duties.(DRH and RCH) Secure and maintain supplies. Secure x-ray and lab reports as needed. Report erratic operation of equipment to Chief Radiation therapist, Radiation Physicist and/or Medical Engineer. Particpate in departmental PI (Performance Improvement) activities. Assist in the hiring and orienting of new personnel. Attend weekly QA rounds, monthly therapy meetings, and educational in-services. Incorporate department and hospital policies and procedures into care provided. Required Qualifications at this Level Education Satisfactory completion of a 24 month course in radiology technology and a 12 month course in radiation therapy technology; or Satisfactory completion of a 24 month course in radiation therapy technology; or Registered nurse who has satisfactorily completed a 12-month course in radiation therapy technology; or Satisfactory completion of a Bachelor of Science degree in radiation therapy. Experience One year clinical training in Radiation Therapy. Degrees, Licensure, and/or Certification Current licensure as required by state or national authority and/or certification or board eligible in Radiation Therapy by the American Registry of Radiology Technology. Maintain ARRT certification in radiation therapy with a minimum of documented 12 hours of continuing education. Knowledge, Skills, and Abilities Knowledge in principles, practices and procedures involved in the operation of ionizing radiographic and radiation therapy equipment. Knowledge of the human anatomy and proper positioning of the patient to provide treatment as prescribed. Ability to administer CPR in a medical emergency. Distinguishing Characteristics of this Level N/A 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.

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 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.