Duke University

Private research university in Durham, NC

Advanced Practice Provider - Duke Hospital Pediatric General Surgery

Advanced Practice ProvidersUpdated on Nov 14

Full-timeDurham, NC, USANo salary listedIn-person

About the Job

Requirements

Nurse Practitioner candidates must complete an accredited Nurse Practitioner program and hold a master's degree in Nursing.
Physician Assistant candidates must complete an accredited Physician Assistant program and hold a bachelor's degree; a master's degree is strongly preferred.
Pediatric Acute Care Nurse Practitioner candidates must graduate from an accredited DNP or MSN Pediatric Acute Care Nurse Practitioner program.
Pediatric Advanced Practice Provider experience is strongly preferred.
Pediatric Advanced Care Nurse Practitioner candidates must have current or compact Registered Nurse licensure in North Carolina and national Nurse Practitioner certification before employment or within six months of employment.
Physician Assistant candidates must be licensed in North Carolina and certified by the National Commission on Certification of Physician Assistants.
Basic Life Support certification is required.
Pediatric Advanced Care Nurse Practitioner and Physician Assistant candidates must have Pediatric Advanced Life Support and Advanced Cardiovascular Life Support certification recommended.
The role requires flexibility to meet clinic needs.

Responsibilities

Provide direct patient care for critically ill, complex patients aged 0–21 in the emergency room, post-anesthesia care unit, pediatric wards, intensive care nursery, pediatric cardiac intensive care unit, pediatric intensive care unit, operating room, and clinic, collaborating with and working under pediatric general surgeons.
Perform physical examinations, collect and document data, take patient histories, and record findings in patient records.
Perform diagnostic and therapeutic procedures to help physicians diagnose medical and surgical problems and prescribe treatment and services; record normal and abnormal data for physician review.
Write progress notes and prepare patient workups and summaries, noting pertinent positive and negative findings; obtain psychosocial histories relevant to patient care and develop therapeutic relationships with patients.
Order and schedule laboratory studies, diagnostic procedures, and professional consultations; explain the necessity, preparation, nature, and anticipated effects of scheduled procedures to patients.
Perform wound vacuum changes, biopsies, surgical drain care and removal, central line care, and gastrostomy tube care.
Monitor patient progress, report progress to the supervising physician, maintain progress records, and consult the supervising physician when progress does not meet anticipated or predetermined criteria.
Coordinate patient care and discharge, prescribe appropriate interventions and medications, and assist in the operating room.
Participate in basic science and clinical research projects conducted by the supervising physician; prepare statistical reports and analyses describing progress and adverse trends and making recommendations or conclusions.
Train new personnel and teach students and residents techniques and procedures unique to the clinical setting.
Contribute to patient care, research, teaching, and organizational leadership.

Desired Qualifications

At least one year of Advanced Practice Provider experience in pediatrics is strongly preferred.
A master's degree is strongly preferred for Physician Assistant candidates.
Pediatric Advanced Care Nurse Practitioner and Physician Assistant candidates are recommended to have Pediatric Advanced Life Support and Advanced Cardiovascular Life Support certification.

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.

Duke Health Integrated Practice

Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.

Duke Nursing Highlights:

Duke University Health System is designated as a Magnet organization
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
Duke University Health System has 6000 + registered nurses
Quality of Life: Living in the Triangle!
Relocation Assistance (based on eligibility)

Job Summary

The Duke Hospital Pediatric General Surgery Advance Practice Provider (NP or PA) provides direct patient care services for critically ill complex (multi-organ) patients (aged 0-21 years) in a variety of care setting including the ER, PACU, pediatric wards, ICN, PCICU, PICU, OR, and clinic setting in collaboration with and under the supervision of the pediatric general surgeons. There may be rare occasions for which it would be appropriate for a CPNP to provide care for a patient beyond the age of 21 for a limited/specified period of time.

The pediatric General Surgery NP/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, assist in the operating room, and provides direct patient care services. The pediatric General Surgery APP contributes to excellence in patient care, research, teaching, and provides leadership to the organization.

Job Duties & Responsibilities

Perform diagnostic and therapeutic procedures to assist physician in diagnosing medical and surgical problems and prescribing necessary treatment and services for quality patient care; record the normal and abnormal data for review by the physician.

Take patient histories, conduct physical examinations, and record the date in the patient's record; write progress notes; prepare patient workups and summaries noting pertinent positive and negative findings; obtain psychosocial history relevant to patient care, and assume responsibility for developing therapeutic relationships with patients.

Order and schedule laboratory studies and diagnostic procedures; explain necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.

Carry out therapeutic procedures such as wound vac changes, performing biopsies, surgical drain care and removal, central line care, and g-tube care; monitor progress of patients, report progress to supervising physician, and maintain record of each patient's progress, consulting with supervising physician when patient's progress does not meet anticipated and/or predetermined criteria.

Participate in basic science and clinical research projects conducted by supervising physician; prepare statistical reports and analyses setting forth progress, adverse trends and appropriate recommendations or conclusions. Train new personnel. Participate in teaching students and residents in techniques and procedures which are unique to specific clinical setting.

Job Eligibility Requirements

Education

Nurse Practitioners: Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing.
Physician Assistants: Completion of an accredited Physician Assistant program. A Bachelor's degree required; Master's degree strongly preferred.

Certification

PALS & ACLS recommended.

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 prior to or within 6 months of employment.
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.

Experience

1+ years of APP experience in pediatrics strongly preferred.
NP candidates must be a graduate of an accredited DNP or MSN Pediatric Acute Care Nurse Practitioner program.

Job Hours

Monday-Friday, day shift, with flexibility to meet clinic 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, sex (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.

About the Company

Duke University

Private research university in Durham, NC

Duke University is a research university offering undergraduate, graduate, and professional education alongside interdisciplinary research and health care.

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