Nurse Practitioner or Physician Assistant - Vascular Surgery Hospitalist

Duke Careers•Durham, NC

1d•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 the four Duke Healthhospitals 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 Vascular Surgery Hospitalist Advanced Practice Provider (NP or PA-C) provides direct patient care services for surgically and medically ill vascular surgery patients in Duke Hospital, the DMP or in the clinic in collaboration with physicians. The NP or PA performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, may assist in the operating room and provides direct patient care services. The Nurse Practitioner or Physician Assistant contributes to excellence in patient care, research, education and provides leadership in the organization.

Requirements

PA: Graduate of ARC accredited Physician Assistant Program. Master’s or Doctoral degree strongly preferred.
NP: Graduate of an accredited MSN or DNP Acute Care / Critical Care Nurse Practitioner program.
PA: PA-C
NP: ACNP or AGACNP is REQUIRED.
PA: Current unrestricted medical license issued by NCMB with authorization to practice as a PA
NP: Current unrestricted RN license issued by or recognized by the NCBON with authorization to practice as an NP.
Both: Federal and State Prescriptive Authority
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 or more years APP experience in a similar setting is preferred but not required
OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE

Responsibilities

In collaboration with attending surgeon(s) and/or residents, round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care.
Provide and coordinate clinical care for service specific patients through established protocols and under the hospitalist supervising physician or back up physician who is either on site or available by pager.
Collaborate with the chief resident, residents, fellows, attending other NP/PA colleague’s nurses, and patient resource managers to formulate treatment plans and monitor patient progress.
Perform procedures specific to the work environment after demonstrated competency and within the guidelines of scope of practice and credentialing protocols.
Assess patients for change in status and institute appropriate interventions. Initiate emergency interventions in an effort to stabilize the patient until physician support arrives.
Postoperative stabilization and management.
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 so as to provide the best medical care and to increase effectiveness and efficiency.
Communicate verbally and in writing all pertinent patient information to supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers.
Document in the patients’ medical record 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 identified patient population.
Prescriptive authority for prescribing, ordering, and or administering drugs; including (but not limited to) schedule II, III, IV, and V drugs and necessary medical devices.
Role model competence in all nurse practitioner / physician assistant advanced skills.
Give daily handoff to appropriate attending, resident and/or intern at the end of the shift
Patient history and perform physical exam
Patient discharges
Laboratory, radiology, and/or diagnostic procedures/tests
Interpretation of laboratory, radiographic and diagnostic tests
Critical thinking skills
EKG interpretation
Suture / Staple removal
Application of dressings, bandages, NPWT
Simple debridement
Manage and insert cantor tubes, NG tubes
Manage support devices, including (but not limited to) hemovac, JP drains, arterial lines, NPWT/Wound Vacs
Removal of superficial foreign bodies
Application of dressings and bandages.
Inhalation therapy or medications to alleviate the distress of dyspnea or shortness of breath.
Venipuncture for blood sampling
Blood sampling via central venous lines, including:
Administration of infusion therapy/ oral medications including: but not limited to Anticoagulants Analgesics, Narcotics, including Patient Controlled Analgesia Antibiotics Antifungals Antivirals Antiarrhythmic Antihypertensive Immunosuppressant IV Fluids Electrolytes Benzodiazepines Muscle relaxants Local anesthetics Blood products – Packed Red Blood Cells and / or Platelets