About The Position

The Duke University Hospital (DUH) Ventricular Assist Device (VAD) APP/VAD Coordinator collaborates with patients and the multidisciplinary team to formulate and carry out a plan of care for patients being evaluated for or post ventricular assist device implant in the inpatient and outpatient settings in collaboration with the Heart Failure medicine and cardiothoracic surgery teams. The VAD NP/PA performs physical exams, collects, documents, and analyzes clinical data, conducts and interprets diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, provides direct patient care services, and provides education to staff, patients, significant others, and the community. The NP/PA contributes to excellence in patient care in the inpatient and outpatient clinic settings, research, teaching, and provides leadership to the organization.

Requirements

  • Graduate of accredited MSN or DNP nurse practitioner program for adult care (for NP)
  • Graduate of ARC accredited Master’s Degree or Doctoral Degree Physician Assistant Program (for PA)
  • Current unrestricted RN license issued by or recognized by the NCBON with authorization to practice as a NP (for NP)
  • Current unrestricted medical license issued by the NCMB with authorization to practice as PA (for PA)
  • National Certification as a NP for adult care, e.g., AGNP, AGACNP, ANP, FNP (for NP)
  • PA-C certification (for PA)
  • VAD Coordinator APP experience preferred, but will consider new grad NP with two years of post-orientation nursing experience caring for durable VAD patients
  • Other clinical experience that is desirable includes past employment in a cardiac area such as cardiothoracic or coronary care intensive care unit, a cardiac step-down unit or progressive care unit, the cardiac catheterization or electrophysiology lab, a heart failure unit, or a clinical research unit
  • Must have BLS and ACLS certification

Responsibilities

  • Conducts rounds and assesses patients with VADS
  • Performs history and physical exams
  • Writes notes and orders
  • Performs pre-VAD insertion evaluations
  • Collaborates with establishing plan of care with multidisciplinary team
  • Arranges transitions of care across the health care spectrum
  • Orders, monitors, and interprets inpatient and outpatient tests and diagnostic procedure results to improve patient outcomes and prevent complications and readmissions
  • Cares for patients in the inpatient and outpatient settings with responsibilities including office visits, outpatient laboratory monitoring and medication titration, follow-up phone calls, and triage
  • Provides expert consultation on multiple VAD systems, including basic care, parameters and troubleshooting, for patients and staff at DUH
  • Collaborates care practices during normal working hours and while covering on call responsibilities
  • Provides training to patients (pre and post implant and in evaluation phases), caregivers, students, residents, and other clinicians on VAD systems, including alarm management, troubleshooting, and management of VAD-related issues
  • Collaborates with the INTERMACS database and research coordinators to ensure timely screening, consent, and monitoring of clinical trial patient outcomes
  • Actively participates in program quality improvement initiatives and research projects to improve outcomes using evidence based care

Benefits

  • Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military status
  • Duke aspires to create a community built on collaboration, innovation, creativity, and belonging

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What This Job Offers

Job Type

Full-time

Education Level

Master's degree

Number of Employees

5,001-10,000 employees

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