Nurse Practitioner or Physician Assistant - Pediatric Cardiothoracic Surgery

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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.

Job Location

Duke University Hospital, Children's Hospital

Job Summary

The Duke Hospital Pediatric Cardiothoracic Surgery (CT surgery) Advanced Practice Provider (APP) provides / coordinates clinical practice for congenital cardiovascular patients. In conjunction with the Pediatric Cardiovascular and CT Surgery teams, the APP provides medical services to patients both inpatient and outpatient by collecting and documenting patient data, conducting or ordering diagnostic and therapeutic procedures, providing direct patient care services, ordering and scheduling laboratory and imaging studies, participating in surgical consultations, assisting in the operating room or on Ex-OR cases when needed, and entering STS data. The APP contributes to excellence in patient care, research, teaching, and provides leadership to the organization.

The APP will be utilized in the management of congenital heart disease patients at Duke University Health System in the operating room and the inpatient and outpatient setting. Practice locations include inpatient units at Duke Hospital and outpatient clinics at the Children's Health Center.

Job Duties and Responsibilities

Clinical Expert

• In collaboration with attending(s) and / or fellow / residents, 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 supervising physician or back up physician who is either on site or available by pager.
• Collaborate with the residents, fellows, attending, other APP colleagues, nurses, and other staff 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
• Postoperative 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.
• Analyze clinical practice patterns to provide the best medical care and to increase effectiveness and efficiency.
• 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.
• Utilize prescriptive privileges only for identified patient population.
• 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, fellow, resident and / or intern at the end of the shift.
• Provide evidence base clinical care to pediatric patients cared for by the division of PCCM
• Gather pertinent information systematically and skillfully from all sources : History, diagnostic tests, comprehensive physical exams, behavioral and developmental assessments.
• Bill appropriately for all APP services.

Educator :

Research Utilization and Investigation :

Consultant :

Professional Leadership and Development :

Job Eligibility Requirements

Education

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

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

Certification

NP : PNP-ACs with a RN First Assist (RNFA) are the only NPs to be considered

PA : PA-C

Licensure

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

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

Both : State and Federal DEA unrestricted prescriptive authority

Experience

Prior experience as a Nurse Practitioner / Physician Assistant in a pediatric acute care clinical setting strongly preferred with preference for a cardiac-specific background but new graduates are welcome to apply. Prior OR / surgical experience required.

Life support : BLS required

PALS required

Recommended : ACLS

Physical and mental requirements :

Job Hours

Primary hours will five 8-hour days throughout Monday-Friday. This position does not require responsibilities for night shift, weekends, holidays or call.

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.