Nurse Practitioner or Physician Assistant - Interventional and Diagnostic Radiology

Duke Careers•Durham, NC

8h•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 Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of the four Duke Health hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care. JOB LOCATION Duke Raleigh Hospital, A Campus of Duke University Hospital, Department of Radiology, Community Division, 3400 Wake Forest Road, Raleigh, NC 27609 JOB SUMMARY The Radiology APP team works in collaboration with an attending radiologist, providing expertise in radiologic procedures and imaging evaluations. The APP exercises autonomy in decision-making and is involved in all phases of patient care, including pre-procedure consultation, radiologic interventions, and post-procedure follow-up. The APP provides direct patient care, including physical examination, collection and documentation of medical data, diagnostic and therapeutic procedures, ordering of laboratory studies, ordering and conducting of consultations, and prescription of appropriate medications. The APP demonstrates excellence in patient care, teaching, consultation, and leadership within the organization.

Requirements

PA: Graduate of ARC accredited Physician Assistant program, Masters’s or Doctoral Degree preferred
NP: Graduate of accredited MSN or DNP Acute Care Nurse Practitioner program for adult care.
PA: PA-C
NP: AGACNP or ACNP only
PA: Current unrestricted license issued by the NCMB with approval to practice as PA
NP: Current unrestricted RN license issued by or recognized by the NCBON with approval to practice as an NP.
Both: Federal and State DEA unrestricted prescriptive authority
Both: One-year related APP experience is preferred but will consider new grad, especially if there is 3 years RN or Imaging experience.
Able to clearly articulate scope of practice 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 to solve complex problems
Able to communicate clearly and work collaboratively with patients, families, healthcare team, physicians, leadership, and others
Able to process and prioritize information, perform health assessments, treatments, and follow-up
Able to perform procedures standing while wearing a lead apron
Able to use fine motor skills
Able to document assessments and interventions.
Able to prepare reports and present them to the supervising Radiologist.
Able to use radiology computer (PACS) and learn new software programs, including the EMR and voice recognition to create reports.
Able to provide leadership in clinical area of expertise and in meeting organizational goals
Able to respond to and treat allergic reactions to contrast

Responsibilities

Elicit history and conduct physical examination pertaining to an indicated procedure, including medications, allergies, past medical history, imaging studies, risk factors, and history of present illness
Educate patients regarding necessity, requirements, preparation, anticipated effects, and risks of the study or procedure
Obtain informed consent prior to procedures, explaining risks, benefits, and alternatives.
Evaluate images, document findings, and review preliminary reports with a supervising radiologist
Provide patient education and support
Assess and treat allergic contrast reactions on DRAH campus
Contrast extravasation management
Clinic coverage shared with other APPs once weekly for new consults and follow-up
Utilize current research and evidence-based decision-making in clinical practice
Provide clinical expertise in new patient evaluation and ongoing patient management in interventional radiology, including:
Collaboration with the healthcare team in comprehensive evaluation and workup of referrals
Scheduling new and established patients in the interventional radiology outpatient clinic
Conducting and presenting outpatient, inpatient, and ED consultations
Assessment of appropriateness of interventions
Order, schedule, follow up, and document appropriate imaging and laboratory tests
Ordering and scheduling appropriate interventional radiology procedures, including coordination with other medical specialties and healthcare entities
Postprocedural follow up with assessment of response to and recovery from interventions, to include inpatient rounding and outpatient follow up, with documentation
Assessment of home health needs and coordination of outpatient services
Telephone and electronic communication triage including patient referrals, general inquiries and long-term follow-up
May perform the following:
Patient history and physical exam
Venipuncture
Paracentesis, thoracentesis
Barium studies
Cystogram
Arthrogram
Interpretation of laboratory and imaging tests
Moderate sedation
Bone marrow aspiration and biopsy
Lumbar puncture and myelogram
Nasoenteric tube placement
Central venous catheter placement, access, and removal
Administration of infusion therapy
External hemorrhage control
Wound/ostomy care
Suture/staple removal
Sentinel node injection
Manage lines and tubes, including drains, enteral tubes, central venous catheters
Other similar procedures under fluoroscopic or ultrasound guidance