Nurse Practitioner/Physician Assistant - Lake Norman Cardiology

Duke Careers • Mooresville, NC

3d • Onsite

About The Position

The Advanced Practice Provider (APP) is an Acute Nurse Practitioner (ACNP) or Physician Assistant (PA) who provides direct patient care services and performs medical acts as an NP or PA, under the supervision of the supervisory physician to patients on the cardiology service. This position will work with cardiology patients in the Cardiology Service including general cardiology, Electrophysiology (EP), and Heart Failure (HF) patients. Areas of clinical work include Duke Health Lake Norman inpatient units, Emergency Department, Observation units, and Cath lab. The Cardiology APP performs admissions, and physical exams, stress testing, collects and documents data, conducts diagnostic and therapeutic procedures within scope, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, and provides direct patient care services. The Cardiology APP contributes to excellence in patient care, research, and teaching, and provides leadership to the organization.

Requirements

• Graduate of ARC accredited Master’s Degree or Doctoral Degree Physician Assistant program (for PA).
• Graduate of accredited MSN or DNP Acute Care Nurse Practitioner program for adult care (for NP).
• Unrestricted medical license issued by NCMB to practice as PA (for PA).
• Unrestricted RN licensure issued by or recognized by the NCBON with approval to practice as an NP (for NP).
• Federal and State DEA with full prescriptive authority.
• PA-C certification (for PA).
• ACNP or AGACNP certification (for NP).
• 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

• At least one year of provider experience in cardiology setting.
• Relevant nursing experience or clinical rotations (for new or recent graduates).

Responsibilities

• Evaluate new patients consults and established consult patients as well as diagnose, treat and manage common conditions in the cardiovascular patient population.
• Perform an appropriate history and physical exam on all assigned patients. Write progress notes; prepare patient workups and summaries noting pertinent positive and negative findings; a psychosocial history will be obtained relevant to patient care. Assume responsibility for developing therapeutic relationships with patients.
• Facilitate and order diagnostic studies including echocardiograms, cardiolite stress test, magnetic resonance imaging and cardiac catheterization if indicated, review with attending MD.
• Assist Cath Lab APP with Pre/Post procedural area and phase of care.
• Order and schedule laboratory studies and diagnostic procedures. Explain necessity, preparation, and nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient and family.
• Work closely with the inpatient rounding teams including attendings, APP’s, to appropriately allocate workload based on daily census, clinical and operational needs.
• Assist in the training of new employees, students and fellow trainees, to the limits of competence, and actively participate in educational conferences.
• Discharge all assigned admitted/procedural/surgical patients, as directed by the Attending physician, including, but not limited to, dictating discharge summary, patient education, patient wound care instructions, and prescriptions and entering discharge orders.
• In collaboration with attending and/or hospitalist, 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 hospitalist, 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.
• Analyze clinical practice patterns so as to provide the best medical care and to increase effectiveness and efficiency.
• 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.

Benefits

• Competitive compensation
• Comprehensive benefits plans
• Convenient work hours
• Opportunities for career advancement
• Annual CME funding
• Access to high-quality Duke CME offerings including APP Grand Rounds and a professional advancement program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level