Nurse Practitioner or Physician Assistant - VAD COORDINATOR

Duke University•Durham, NC

77d•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 Location Duke University Hospital Job Summary 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

NP: Graduate of accredited MSN or DNP nurse practitioner program for adult care
PA: Graduate of ARC accredited Master's Degree or Doctoral Degree Physician Assistant Program
NP: National Certification as a NP for adult care, e.g., AGNP, AGACNP, ANP, FNP
PA: PA-C
NP: Current unrestricted RN license issued by or recognized by the NCBON with authorization to practice as a NP.
PA: Current unrestricted medical license issued by the NCMB with authorization to practice as 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.
Must have BLS and ACLS certification
Able to clearly articulate scope of practice and practices within those guidelines as an NP 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, students, vendors, 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 computer and learn new software programs
Able to record activities, document assessments, and interventions; prepare reports and presentations.
Able to provide leadership in clinical area of expertise and in meeting organizational goals
Able to navigate DUH 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

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.

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