? (15h Left) Nurse Practitioner or Physician Assistant – Pediatric Cardiac Stepdown Position Available In Durham, North Carolina

Job Description:

Job Description At Duke Health, we’re driven by a commitment tocompassionate care that changes the lives of patients, their lovedones, and the greater community. No matter where your talents lie,join us and discover how we can advance health together. About DukeUniversity Hospital Pursue your passion for caring with DukeUniversity Hospital in Durham, North Carolina, which isconsistently ranked among the best in the United States. Thelargest of Duke Health’s four hospitals with 1062 patient beds, itfeatures comprehensive diagnostic and therapeutic facilities,including a regional emergency/trauma center, an endo-surgerycenter, and more. Job Location Duke University Hospital Job SummaryThe Duke Hospital Pediatric Critical Care Medicine Cardiac StepdownAdvanced Practice Provider (APP), including both Nurse Practitioner(NP) and/or Physician Assistant (PA), provides direct patient careservices for critically ill pediatric patients aged 0-21 withacute, complex, and chronic illness across a variety of caresettings. It is appropriate for the NP to provide care for an agingpediatric patient beyond the age of 21 with a pediatric conditionfor a limited period of time. Pediatric Cardiac Stepdown APPs willbe a part of the Pediatric Critical Care Medicine team and willcare for patients on the stepdown unit. Utilizing acquiredknowledge of physiology, pathophysiology and pharmacology, the PCCMAPP exercises independent decision making in the assessment,diagnosis and development of the plan of care for patients on thePCCM service. In collaboration and consultation with thesupervising physician, the

PCCM APP

contributes to excellence inpatient care. As an advanced practice provider, the

PCCM APP

isadditionally involved in education, consultation, research andleadership throughout the Duke Health System, organization andprofession. Job Duties and Responsibilities Clinical Expert

• Incollaboration with attending(s) and/or fellow/residents, rounddaily on patients to assess, diagnose, plan treatment, setpriorities and realistic outcomes, and evaluate the effectivenessand cost efficiency of patient care.
• Provide and coordinateclinical care for service specific patients through establishedprotocols and under the supervising physician or back up physicianwho is either on site or available by pager.
• Collaborate with theresidents, fellows, attending, other APP colleagues, nurses, andother staff to formulate treatment plans and monitor patientprogress.
• Perform procedures specific to the work environmentafter demonstrated competency and within the guidelines of scope ofpractice and credentialing protocols.
• Assess patients for changein status and institute appropriate interventions. Initiateemergency interventions in an effort to stabilize the patient
• Postoperative stabilization and management.
• Develop patient carepathways, protocols and guidelines for the management of specificproblems in conjunction with physicians and other members of thehealth care team.
• Analyze clinical practice patterns to providethe best medical care and to increase effectiveness and efficiency
• Communicate verbally and in writing all pertinent patientinformation to supervising MD, nursing staff, patient resourcemanager, home health agency, and other relevant healthcareproviders.
• Document in the patients’ medical record all relevantdata including but not limited to results of diagnostic tests;laboratory results; patients’ condition and response totherapies/interventions; communications with supervising MD.
• Utilize prescriptive privileges only for identified patientpopulation.
• Prescriptive authority for prescribing, ordering, andor administering drugs; including (but not limited to) schedule II,III, IV, and V drugs and necessary medical devices.
• Role modelcompetence in all nurse practitioner / physician assistant advancedskills.
• Give daily handoff to appropriate attending, APP, fellow,resident and/or intern at the end of the shift.
• Provide evidencebase clinical care to pediatric patients cared for by the divisionof PCCM
• Gather pertinent information systematically andskillfully from all sources: History, diagnostic tests,comprehensive physical exams, behavioral and developmentalassessments.
• Bill appropriately for all APP services.

Educator:

• Assess educational needs of the patient-care staff and provideone-on-one as well as formal education as needed.
• Assesseducational needs of the patients / families and provideculturally-sensitive patient/family education interventions asindicated. Use non-technical language when educating patients andfamilies. Document all education in patients’ medical record.
• Implement and evaluate appropriate educational programs for DUHSpatient care staff and other healthcare providers as appropriate.
• Role model and precept healthcare learners through contractualagreements.

Research Utilization and Investigation:

• Utilizecurrent research and evidence-based decision-making in all clinicalpractice.
• Incorporate clinical research findings in thedevelopment and implementation of standards of care.
• Support IRBapproved clinical research/trials though a variety of activitiesincluding but not limited to: obtaining consent; orderingdiagnostic tests; recording laboratory & diagnostic results;administering therapeutic interventions; and reporting patientoutcomes including toxicities or adverse events.
• Participate ininterdisciplinary quality improvement and/or research activities.
• Participate in measuring and documenting outcomes.
• Identifypotential areas for research

Consultant:

• Provide expertise andresource information to other healthcare providers, patients andfamilies, and the community at large related to pediatric diseases,procedures, interventions, and conditions.
• Implement and evaluateappropriate educational programs for referring MDs
• Develop,implement and evaluate standards of care/practiceguidelines/policies and procedures/care maps/protocols within areaof specialization.
• Develop programs and projects in areas ofexpertise to facilitate the attainment of the goals and objectivesof the Duke University Hospital and Duke University Health System

• Professional Leadership and Development:

• Role model advancedpractice professionalism through conduct, communication, dress,leadership, ethical decision-making, critical thinking and problemsolving skills.
• Participate in at least one professionalorganization.
• Demonstrate responsibility for professionalpractice through active participation in the CAP, and professionalorganizations. Meet Continuing Education requirements as designatedby the NC Medical Board and/or NC Nursing Board. Maintainprofessional certification.
• Enhance the body of knowledge in areaof specialization through written publications, oral presentations,posters, continuing education, etc.
• Maintain all professionalrequirements for licensure and certification
• Attend educationalconferences such as Heart Center Surgical conference, cardiologylectures, and neurodevelopmental rounds
• When caring for adultswith congenital heart disease, plan for situations beyondexpertise, consult with and refer to other health care providers asappropriate.

Job Eligibility Requirements Education:

NP:

Graduateof MSN or DNP Pediatric Acute Care Nurse Practitioner Program.

PA:

Graduate of Master’s or Doctoral Degree ARC accredited PhysicianAssistant program.

Licensure:

NP:

Current unrestricted RN licenseissued by or recognized by the NCBON with approval to practice asan NP.

PA:

Current unrestricted medical license issued by NCMB withapproval to practice as a PA.

Certification:

NP:

PNP-AC is required

PA:

PA-C Experience:

Prior experience as a NursePractitioner/Physician Assistant in a pediatric acute care clinicalsetting strongly preferred with preference for a cardiac-specificbackground. Registered Nurses with at least 2 years of ICU nursingexperience preferred. Physical and mental requirements

• Able toclearly articulate scope of practice, and practices within thoseguidelines as a Nurse Practitioner / Physician Assistant in thestate of North Carolina and within the Duke University HealthSystem.
• Able to independently seek out resources and workcollaboratively to solve complex problems
• Able to communicateclearly with patients, families, visitors, healthcare team,physicians, administrators, leadership, and others.
• Able to usesensory and cognitive functions to process and prioritizeinformation, perform health assessments, treatment, and follow-up
• Able to use fine motor skills
• Able to record activities,document assessments & interventions; prepare reports andpresentations
• Able to use computer and learn new softwareprograms
• Able to provide leadership in clinical area of expertiseand in meeting organizational goals
• Able to navigate the Hospitaland DUHS to provide clinical expertise to specific patientpopulations
• Able to withstand prolonged standing and walking withthe ability to move or lift at least fifty pounds
• Able to remainfocused and organized
• Able to work collaboratively with alllevels of personnel Job Hours Rotating 12-hour shifts to provideday and night coverage 7 days a week including holidays.

Schedulemay be modified by the clinical or leadership team. Duke is anEqual Opportunity Employer committed to providing employmentopportunity without regard to an individual’s age, color,disability, gender, gender expression, gender identity, geneticinformation, national origin, race, religion, sex (includingpregnancy and pregnancy related conditions), sexual orientation ormilitary status. Duke aspires to create a community built oncollaboration, innovation, creativity, and belonging. Ourcollective success depends onthe robust exchange of ideas—anexchange 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 andwelcome, that the contributions of all individuals are respected,and that all voices are heard. All members of our community have aresponsibility to uphold these values.

Essential Physical JobFunctions:

Certain jobs at Duke University and Duke UniversityHealth System may include essential job functions that requirespecific physical and/or mental abilities. Additional informationand provision for requests for reasonable accommodation will beprovided by each hiring department.