Clinical Nurse II-Mohs Surgery
Durham, NC, US, 27707
Duke Health Integrated Practice
https://careers.dukehealth.org/us/en/dhip
Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of Duke Health's mission across the state of North Carolina.
Clinical Nurse II-Mohs Surgery
Job Location:
5324 McFarland Dr #400, Durham, NC 27707
Job Summary:
The Mohs Surgery Clinical Nurse independently plans and provides professional nursing care for patients in the Mohs Ambulatory Clinic setting in accordance with the medical and nursing plans of care along with established policies and procedures. He/She provides nursing services to patient and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.
Job Duties and Responsibilities:
- Provide direct patient care for Mohs patients; intake & prep patients for Mohs layers and reconstructive surgery, assist providor with surgeries, provide patient education to patients and family members, post-op care to return patients, instrument processing, patient notification, tray prep, nurse triage.
- Assess the environment and make recommendations to ensure optimal patient comfort, safety and compliance with various regulatory bodies; OSHA, JCAHO, etc.
- Complete daily assignments for the completion of indirect patient care tasks required to support direct patient care activities. These tasks include but are not limited to; telephone messaging, cleaning and packaging instruments, room supply stocking/cleaning, uploading photographs in the photo database, upcoming surgery charts, and place orders as needed.
- Able and ready to act as a nurse preceptor for new hires. Assist with new staff competencies and skills development as outlined in the unit specific competency based orientation checklists and policies & procedures.
- Participate in your own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. These items include; OESO/LMS trainings due in September, BLS, Nursing Licensure. This also includes attendance in the mandatory monthly Mohs staff meetings and nursing meetings.
- Cultivate exemplary customer service throughout the organization; promote effective communication skills to include, but not limited to problem solving, assertiveness, and support for team members, feedback, active listening and conflict resolution.
- Monitor clinic flow and identify measures to facilitate the movement of patients through all aspects of their visit. Inform HCA, NM or Nurse Team Lead of prolonged delay.
- Collaborate together and with the NM or Team lead to restructure assignments in the event of staff “call-out’s” to maintain patient care and daily clinic operation.
- Collaborate with clinic leadership to ensure equipment and supplies are readily available for patient care. Monitor supply and medication inventory. Ensure no medications or supplies are expired. Report and discard expired per policy. Alert specific personnel mentioned above when supplies are needed.
- Recognize that our patients, families and coworkers have a sense of urgency and show them that we value their time, ensuring they never feel they are an interruption of our work, but rather the reason we are here.
- Perform other related duties incidental to the work described herein.
Job Eligibility Requirements:
- Work requires graduation from an accredited BSN or Associate's Degree in Nursing or Nursing Diploma program.
- All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within five years of their start date.
- Twelve months of appropriate clinical experience is required. At a managers discretion employees with 6 months of experience who are exceptional performers may be eligible for this level.
- Must have current or compact RN licensure in the state of North Carolina. BLS required.
Job Schedule:
The schedule for this position is day shifts, Monday-Friday, with no weekends or holidays. Shifts will be scheduled as 4-10 hour shifts.
Nearest Major Market:DurhamNearest Secondary Market:Raleigh
Freqently Asked Questions
In Durham, NC, a Clinical Nurse II-Mohs Surgery typically benefits from current RN licensure in North Carolina and BLS certification. Additionally, specialized training in ambulatory surgery nursing and familiarity with OSHA and JCAHO regulations enhance a nurse's qualifications in this outpatient surgical setting.
Clinical Nurse IIs in Mohs Surgery focus heavily on patient prep, assisting with layered skin cancer surgeries, and post-op care specific to reconstructive processes. Unlike general outpatient surgery nursing, this role demands detailed instrument processing and photo documentation unique to Mohs procedures.
Success hinges on precise patient assessment, efficient triage, adept intraoperative support, and strong communication skills to educate patients and families. Familiarity with clinic flow management and regulatory compliance also play critical roles in delivering seamless outpatient Mohs surgical care.
Given Duke University’s prestigious reputation and the specialized nature of Mohs Surgery nursing, competition remains moderately high. Candidates with at least a year's clinical experience and active NC RN licensure who demonstrate ambulatory surgery proficiency are most sought after.
Duke University promotes professional growth through mandatory competencies, ongoing education including BLS and nursing licensure renewals, and opportunities to serve as preceptors. Participation in monthly staff meetings fosters continual skill enhancement and integration into the ambulatory surgery community.
Yes, managing patient flow involves coordinating multiple surgical layers and reconstructive steps, requiring close communication with team leads. Nurses must anticipate delays, redistribute workloads during staff absences, and ensure equipment readiness to maintain smooth outpatient clinic operations.
A Clinical Nurse II in Mohs Surgery in Durham generally earns between $70,000 and $85,000 annually, reflecting regional healthcare salary norms. This range aligns competitively with other outpatient surgery nursing roles in the Raleigh-Durham area, factoring in specialized skills and experience.
Durham’s urban layout and traffic patterns can influence commute durations, especially during peak hours. Nurses often consider proximity to 5324 McFarland Dr #400 or utilize public transit options to balance timely arrivals with work-life demands.
Duke’s position integrates advanced clinical responsibilities within a renowned academic health system, emphasizing autonomy in patient care and participation in specialized ambulatory surgical protocols. Its focus on Mohs layered surgeries and reconstructive nursing sets it apart from general outpatient surgery nursing roles.
New hires are expected to rapidly assimilate into a fast-paced surgical environment, maintain required certifications, assist with instrument processing, and support team-based problem-solving. They must also engage in continuous education and act as preceptors to maintain high clinical standards.
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