Nurse Practitioner/Physician Assistant - Abdominal Transplant Surgery

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.
• Practice locations can include Duke Health’s four hospitals or over 140 primary care and specialty care clinics throughout North Carolina.

Job Location

Duke University Hospital, Abdominal Transplant Surgery

Job Summary

The Duke Abdominal Transplant Surgery Hospitalist Advanced Practice Provider (NP or PA-C) provides direct patient care services for surgically and medically ill adult transplant and general surgery patients in Duke Hospital, 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, teaching and provides leadership in the organization.  This position has no operating room responsibilities.

Job Duties and Responsibilities 

• Utilize assessment, diagnostic and clinical skills and knowledge in order to provide clinical care to patients during their admission.
• Perform necessary diagnostic and therapeutic procedures (within the scope of practice of the supervising physician). 
• Conduct and obtain patient histories, perform physicals examination, monitor patient progress, order appropriate medications, laboratory studies and diagnostic procedures. 
• Document the patient’s course of treatment at the direction of the supervising physician:
  • History/ Physical/Admissions
  • Problem List and Plan of Care
  • Daily Progress Note
  • Procedure Note
  • Interval Notes
  • Discharge Summary

• Facilitate daily rounds in the unit.
• Collaborate with consulting services, physicians and nursing staffs in order to provide a longitudinal continuity of care
• Participate in meeting the educational requirements of students, medical residents, fellows and other members of the health care team
• Collaborate with the nurse manager in the identification of problems and their resolution in order to assure the providing of safe, cost effective patient care
• Assure proper charges have been posted and appropriate documentation provided
• Participate in quality improvement initiatives for the unit.

Job Eligibility Requirements

Education

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 for adults.

Certification

PA:         PA-C

NP:         ACNP or AGACNP is REQUIRED.

Licensure

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 DEA with unrestricted Prescriptive Authority

Experience

PA:         1 or more years as a Physician Assistant in an inpatient hospitalist or surgical setting is strongly desired.

NP:         Three years minimum as a registered nurse, with minimum of one year experience as an Acute Care NP, preferably in an inpatient hospitalist or surgical setting.   

OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE

Physical and mental requirements:

• 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

Job Hours

In this PRN position you would be able to pick up 12-hour shifts, including day and night shift options.

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.