Nurse Practitioner/Physician Assistant - Neurosurgery

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 Health hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Duke Advanced Practice Highlights:

• The nation’s first Physician Assistant Program was created at Duke in 1965 and is consistently ranked No. 1 in the country.
• The Duke School of Nursing is consistently ranked as one of the top nursing schools and their MSN and DNP programs offers eight advanced practice registered nurse majors and specialty certifications, as well as post master’s certificates and certification alignment programs.
• Commitment to ongoing learning for APPs through annual CME funding and access to high-quality Duke CME offerings including APP Grand Rounds and a professional advancement program.  APPs are leaders in multiple arenas within Duke.
• Duke offers APPs opportunities to practice within team based integrative care in a tremendous variety of specialties.  APPs are expected to work to top of scope in order to contribute to Duke’s missions which include clinical practice, education, and research.

Job Location

Duke University Hospital, Durham, NC

Job Summary

The Duke Inpatient Neurosurgery Advanced Practice Provider (APP) provides direct patient care services to neurosurgery patients for all age groups (adult and pediatric) in collaboration with the attending physicians, fellows, residents and other APPs.  The APP 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 care, and provides direct patient care services. The APP contributes to excellence in patient care, research, teaching, and provides leadership to the organization.

• 100% inpatient
• No operating room responsibilities
• No on-call responsibilities
• Includes pediatric and adult patient covering all neurosurgical patient including tumor, spine and, neurovascular

Job Duties & Responsibilities

Procedures performed:

• Lumbar Puncture
• Lumbar Drain management
• Shunt flow study
• Shunt adjustment
• Wound closure
• Shunt / Reservoir Tap

Job Eligibility Requirements

Education           

• Nurse Practitioners: Graduate of DNP or MSN Nurse Practitioner program for acute care adult and pediatric care.
• Physician Assistants: Graduate of ARC accredited Master’s Degree or Doctoral Degree Physician Assistant program

Certification

• Nurse Practitioners: Dual certification required in both Adult Acute Care and Pediatrics or Family Medicine, i.e., ACNP or AGACNP + FNP or PNP
• Physician Assistants: PA-C

• BLS required.

License

• Nurse Practitioners: Must have current or compact RN licensure in the state of North Carolina. BLS required. National certification as a NP required.
• Physician Assistants: Must be licensed in the state of NC and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants.
• Both: DEA licensure with full prescriptive authority required.

Experience

• One year of APP experience is preferred but not required.

Physical and mental requirements

• Able to clearly articulate scope of practice, and practices within those guidelines as a 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

Job Hours

Hours are 12-hour day shifts with occasional weekend and holiday coverage.  Schedule may be changed by administrative or clinical leadership to meet department needs.

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, (including pregnancy and pregnancy related conditions), sexual orientation, or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.