Nurse Practitioner or Physician Assistant - Inpatient Vascular 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 and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency / trauma center, an endo-surgery center, and more.

Job Location

Duke University Hospital

Job Summary

The Duke Vascular Surgery Hospitalist Advanced Practice Provider (NP or PA-C) provides direct patient care services for surgically and medically ill vascular surgery patients in Duke Hospital, the DMP or in the clinic in collaboration with physicians. The NP or PA 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, may assist in the operating room and provides direct patient care services. The Nurse Practitioner or Physician Assistant contributes to excellence in patient care, research, education and provides leadership in the organization.

Job Duties and Responsibilities

• In collaboration with attending surgeon(s) and / or 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 hospitalist supervising physician or back up physician who is either on site or available by pager.
• Collaborate with the chief resident, residents, fellows, attending other NP / PA colleague's 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.
• 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 so as 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, resident and / or intern at the end of the shift

The NP / PA may order and / or perform the following procedures :

Administration of infusion therapy / oral medications including : but not limited to

Other related duties to include education, research utilization and investigation, consultations and leadership are expected from APPs in this position.

Job Eligibility Requirements

Education

PA : Graduate of ARC accredited Physician Assistant Program. Master's or Doctoral degree strongly preferred.

NP : Graduate of an accredited MSN or DNP Acute Care / Critical Care Nurse Practitioner program.

Certification

PA : PA-C

NP : ACNP or AGACNP is REQUIRED.

Licensure

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

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

Both : Federal and State Prescriptive Authority

Experience :

1 or more years APP experience in a similar setting is preferred but not required

OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND / OR EXPERIENCE

Physical and mental requirements :

Job Hours

12-hour shifts providing daytime coverage Monday - Saturday (1 weekend per month on average).

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

PHYSICIAN ASSISTANT

Job Level : I1

Duke is an Affirmative Action / 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, sexual orientation, or veteran 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.