Critical Care Nurse Practitioner or Physician Assistant - Cardiothoracic ICU (CTICU)

Duke Careers•Durham, NC

20h•Onsite

About The Position

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 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 Summary The Duke Hospital Cardiac Intensive Care Unit (CICU) Advanced Practice Provider (APP) provides direct patient care services for complex, critically ill patients in the intensive care setting. Care is provided through collaboration with the attending cardiologist and multidisciplinary team. The APP performs physical exams, collects and documents data, performs diagnostic and therapeutic procedures, including A-lines, Central lines, orders laboratory studies, partners with consultants, prescribes appropriate interventions and medications, and coordinates patient care. The CICU APP contributes to excellence in patient care, research, teaching, and provides leadership to the organization.

Requirements

NP: Graduate of an accredited MSN or DNP Acute Care Nurse Practitioner Program for Adult Critical Care.
PA: Graduate of an ARC-accredited Master's or Doctoral Degree Physician Assistant Program
NP: ACNP, AGACNP (no other APRN certifications will be considered)
PA: PA-C
NP: Unrestricted RN license issued by or recognized by the NCBON with authorization to practice as an NP
PA: Unrestricted medical license issued by the NCMB with authorization to practice as a PA
Both: Federal and State DEA with unrestricted prescriptive authority
Rotation in a high-acuity ICU unit as a student is required
Able to clearly articulate the scope of practice and practices within those guidelines as an NP/PA in the state of North Carolina and within the Duke University Health System (DUHS)
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, and interventions; prepare reports and presentations.
Able to use a computer and learn new software programs
Able to provide leadership in the 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

Critical Care Fellowship Training preferred
1+ years’ APP experience in a high acuity CICU/Critical care setting is preferred

Responsibilities

Provide /coordinate clinical care for cardiac patients at Duke Hospital, being followed primarily in the Cardiac Intensive Care Unit setting but also throughout Duke Hospital through established protocols and under the supervision of the cardiologist and/or back-up supervising physician who is either on site or available by pager.
Patient rounding in collaboration with attending cardiologist/Fellow, rounds daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of cardiac patient care
Collaborate with the chief resident, residents, and fellows to formulate treatment plans and monitor patient progress.
Perform procedures when indicated: full list will be shared upon request or at time of interview.
Assess patients for change in status and institute appropriate interventions. Initiates emergency interventions to stabilize the patient until physician support arrives.
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 the supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers.
Document in the patients’ chart 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 the identified patient population.
Role models competence in all nurse practitioner/physician assistant advanced skills.