Nurse Practitioner or Physician Assistant - Durham - Duke Health

Description

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 the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Duke Nursing Highlights:

Duke University Health System is designated as a Magnet organizationNurses 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 registered nurses Quality of Life:
Living in the Triangle Relocation Assistance (based on eligibility)

Pediatric Transplant and Cellular Therapy Hospitalist Advanced Practice ProviderNurse Practitioner / Physician Assistant 60;Job Location – Duke University HospitalJob SummaryThe Duke Pediatric Transplant and Cellular Therapy Advanced Practice Provider (NP/PA) provides direct patient care services to children 0–30 years in an inpatient and outpatient setting in collaboration with the attending physician, APPs, and fellows.

There may be occasions for which it would be appropriate for a CPNP to provide care for a patient beyond the age of 21 for a limited/specified period of time. The APP performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, and provides direct patient care services.

The APP contributes to excellence in patient care, research, teaching, and provides leadership to the organization.

60;Job Duties and ResponsibilitiesIn collaboration with the attending of service and/or fellows, round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care.

Provide and coordinate clinical care for service specific patients through established protocols and under the hospitalist supervising physician or back up physician who is either on site or available by pager.

Collaborate with fellows, attending, other APP colleagues, nurses, and patient resource managers to formulate treatment plans and monitor patient progress.

Perform procedures specific to the work environment after demonstrated competency and within the guidelines of scope of practice and credentialing protocols.

Assess patients for change in status and institute appropriate interventions. Initiate emergency interventions in an effort to stabilize the patient until physician support arrives.
Post-procedural stabilization and management.

Develop patient care pathways, protocols and guidelines for the management of specific problems in conjunction with physicians and other members of the health care team.

Communicate verbally and in writing all pertinent patient information to supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers.

Document in the patients' medical record all relevant data including but not limited to results of diagnostic tests; laboratory results; patients' condition and response to therapies/interventions; communications with supervising MD.Prescriptive authority for prescribing, ordering, and or administering drugs; including (but not limited to) schedule II, III, IV, and V drugs and necessary medical devices.

Role model competence in all nurse practitioner / physician assistant advanced skills.
Give daily handoff to appropriate attending, APP, or fellow at the end of the shift.
Assess educational needs of the patient-care staff and provide one-on-one as well as formal education as needed.
Assess educational needs of the patients / families and provide culturally-sensitive patient/family education interventions as indicated.
Use non-technical language when educating patients and families.
Document all education in patients' medical record.
Implement and evaluate appropriate educational programs for DUHS patient care staff and other healthcare providers as

model and precept healthcare learners through contractual agreements.
Utilize current research and evidence-based decision-making in all clinical practice.
Incorporate clinical research findings in the development and implementation of standards of care.
Participate in interdisciplinary quality improvement and/or research activities.

Provide expertise and resource information to other healthcare providers, patients and families, and the community at large related to pediatric diseases, procedures, interventions, and conditions.

Develop, implement and evaluate standards of care/practice guidelines/policies and procedures/care maps/protocols within area of

all professional requirements for licensure and certification 60;Job Eligibility Requirements Education

NP:
Graduate of accredited MSN or DNP Pediatric Nurse Practitioner program, Acute Care

PA:
Graduate of ARC accredited Physician Assistant Program, preferably Master's or Doctoral Degree

60;Certification

NP:
PNP-AC or PNP-AC/PC

PA:
PA-C 60;Licensure


NP:
Current unrestricted RN license issued by or recognized by the NCBON with authorization to practice as an NP


PA:
Current unrestricted medical license issued by the NCMB with authorization to practice as a PA.

60;ExperienceExperience as a pediatric advanced practice provider for at a minimum of 1 year strongly recommended, preferably in the acute care setting.

Prior oncology experience preferred.


60;Physical and mental requirements:

Able to clearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant in the state of North Carolina and within the Duke University Health System.

Able to independently seek out resources and work collaboratively to solve complex problemsAble to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others.

Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up.

Able to use fine motor skillsAble to record activities, document assessments & interventions; prepare reports and presentationsAble to use computer and learn new software programsAble to provide leadership in clinical area of expertise and in meeting organizational goalsAble to navigate the Hospital and DUHS to provide clinical expertise to specific patient populationsAble to withstand prolonged standing and walking with the ability to move or lift at least fifty poundsAble to remain focused and organizedAble to work collaboratively with all levels of personnel 60;Job HoursAverage 40 hours/week with a schedule of day, night, weekend, and holiday coverage.

Schedule may be changed by administrative or clinical leadership to meet department needs.

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.