Critical Care Nurse Practitioner or Physician Assisant - Critical Care

Duke Careers•Durham, NC

1d•Onsite

About The Position

At Duke Health, the Critical Care Advanced Practice Provider (APP) is a vital member of the intensive care team at Duke Raleigh Hospital, a 204-bed facility in Raleigh, North Carolina, which is part of Duke University Hospital. The APP's primary responsibility involves managing a caseload of critically ill, complex (multi-organ) patients within an intensive care setting. This role operates under the direct supervision of an ICU supervising physician or designated back-up physicians. The APP is expected to perform physical exams, collect and document data, conduct approved diagnostic and therapeutic procedures, order and schedule laboratory studies and professional consultations, prescribe appropriate interventions and medications, and deliver direct patient care services in a specific ICU. The APP also contributes to patient care excellence, research, teaching, consulting, and provides leadership to the organization and the APP profession.

Requirements

PA: Graduate of an ARC accredited Master’s Degree or Doctoral Degree Physician Assistant Program
NP: Graduate of an accredited MSN or DNP Acute Care Nurse Practitioner Program for adults
PA: PA-C certification
NP: AGACNP or ACNP certification
PA: Current and unrestricted medical license issued by NCMB with authorization to practice as PA
NP: Current and unrestricted RN License issued by or recognized by the NCBON with authorization to practice as NP
Both: Federal and State DEA with unrestricted prescriptive authorization
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 problems
Able 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 skills
Able to record activities, document assessments & interventions; prepare reports and presentations
Able to use computer and learn new software programs
Able to provide leadership in clinical area of expertise and in meeting organizational goals
Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations
Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds
Able to remain focused and organized
Able to work collaboratively with all levels of personnel

Nice To Haves

1+ year critical care PA experience
New grad with relevant PA electives or clinical background (for PA)
1+ year critical care NP experience
New grad with 2+ years’ critical care RN experience (for NP)

Responsibilities

Provide direct clinical services for critically ill adult patients with multi-organ trauma or multi-system disease /failure, according to established protocols
Utilize evidence-based clinical practice standards under the supervision of the ICU supervising physician
Obtain patient health histories and complete physical examinations
Document findings, noting pertinent normal and abnormal findings
Order and interpret appropriate diagnostic and laboratory tests
Explain the necessity, preparation, nature and anticipated effects of procedure(s) to patients, patient's family, staff, and healthcare learners
Perform approved therapeutic or diagnostic procedures based upon patient's clinical status
Document patient preparation and response to procedure(s)
Formulate and implement treatment plan for acute illness management in collaboration with the designated primary supervising physician and/or attending back-up physician(s)
Document in medical records and appropriate narrative summaries
Utilize prescriptive privileges as allowed by NC licensure
Document all prescriptions in patient's medical record
Assess patient for change in status and institute appropriate interventions
Initiate necessary emergency interventions to stabilize patient
Provide family-centered care by communicating with the family regarding the changing health care needs of their family member
Assess family adaptation, coping skills and the need for crisis or other intervention
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
Support IRB approved clinical research/trials though a variety of activities including but not limited to: obtaining consent; ordering diagnostic tests; recording laboratory & diagnostic results; administering therapeutic interventions; and documenting and reporting patient outcomes including toxicities or adverse events
Perform and participate in quality/performance improvement activities and clinical research
Serve as a clinical expert and leadership consultant to members of the healthcare team and to the larger community
Participate in and support accreditation, compliance, and regulatory activities of the organization
Identify educational needs of the family and participate in teaching opportunities
Assess educational needs, plan, provide, and evaluate educational programs for nursing staff, interdisciplinary healthcare team, and community
Precept physician assistant students and other new healthcare learners
Participate in the development, review, and evaluation of critical care medical management practice protocols within legal guidelines incompliance with DUHS policies
Role model professionalism through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, and problem-solving skills
Demonstrate responsibility for professional practice through active participation in professional organizations and continuing education
Enhance the body of knowledge to the APP profession or other areas of specialization through exchange of ideas and knowledge in professional organizations, oral presentations, posters, research activities, and written publications