Duke University

Private research university in Durham, NC

Nurse Practitioner or Physician Assistant - Pediatric Critical Care

Advanced Practice ProvidersUpdated on Nov 14

Full-timeDurham, NC, USAIn-person

About the Job

Requirements

For the nurse practitioner pathway, graduate from an accredited Master of Science in Nursing or Doctor of Nursing Practice Pediatric Acute Care Nurse Practitioner program.
For the physician assistant pathway, graduate from an accredited ARC-accredited Physician Assistant program.
Nurse practitioner applicants must hold PNP-AC or PNP-AC/PC certification; family nurse practitioners and PNP-PCs are not being considered.
Physician assistant applicants must hold PA-C certification.
Nurse practitioner applicants must hold a current unrestricted registered nurse license issued by or recognized by the North Carolina Board of Nursing, with authorization to practice as a nurse practitioner.
Physician assistant applicants must hold a current medical license issued by the North Carolina Medical Board, with authorization to practice as a physician assistant.
Both pathways require unrestricted state and federal Drug Enforcement Administration prescriptive authority.
Applicants must hold Basic Life Support and Pediatric Advanced Life Support certifications.
Applicants must clearly articulate their scope of practice and practice within applicable North Carolina and Duke University Health System guidelines.
Applicants must independently seek resources and work collaboratively to solve complex problems.
Applicants must communicate clearly with patients, families, visitors, healthcare teams, physicians, administrators, leaders, and others.
Applicants must use sensory and cognitive functions to process and prioritize information and perform health assessments, treatment, and follow-up.
Applicants must use fine motor skills; record activities; document assessments and interventions; and prepare reports and presentations.
Applicants must be able to use a computer and learn new software programs.
Applicants must provide leadership in their clinical area of expertise and in meeting organizational goals.
Applicants must navigate the hospital and health system to provide clinical expertise to specific patient populations.
Applicants must withstand prolonged standing and walking and be able to move or lift at least 50 pounds.
Applicants must remain focused and organized and work collaboratively with all levels of personnel.

Responsibilities

Provide direct patient care to critically ill pediatric patients aged 0–21 with acute, complex, critical, and chronic illness across varied care settings.
Provide care for an aging pediatric patient beyond age 21 for a limited period when the patient has a pediatric condition.
Care for patients in the Pediatric Intensive Care Unit, Pediatric Cardiac Intensive Care Unit, or Pediatric Progressive Care Unit.
Provide critical care management on Rapid Response and Code Blue teams.
Use knowledge of physiology, pathophysiology, and pharmacology to independently assess and diagnose patients and develop plans of care on the Pediatric Critical Care Medicine service.
Collaborate and consult with the supervising physician to contribute to patient care.
Participate in education, consultation, research, and leadership throughout the Duke Health System, organization, and profession.
Work rotating 12-hour shifts to provide coverage 24 hours a day, 7 days a week; the clinical or leadership team may modify the schedule when needed.

Desired Qualifications

A master's degree or doctoral degree is preferred for physician assistant applicants.
Nurse practitioner or physician assistant experience in a pediatric acute care clinical setting is strongly preferred.
Two or more years of intensive care unit nursing experience is preferred.
Advanced Cardiovascular Life Support certification is recommended.

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.

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)

***This position is eligible for a $10,000 Commitment bonus, & Relocation Assistance is also available ***

Job Location

Duke University Hospital

Job Summary

The Duke Hospital Pediatric Critical Care Medicine Advanced Practice Provider (APP), includes both Nurse Practitioner (NP) and/or Physician Assistant (PA), provides direct patient care services for critically ill pediatric patients aged 0-21 with acute, complex, critical, and chronic illness across a variety of care settings. It is appropriate for the APP to provide care for an aging pediatric patient beyond the age of 21 with a pediatric condition for a limited period of time.  Pediatric Critical Care medicine APPs will care for patients either in the Pediatric Intensive Care unit (PICU), Pediatric Cardiac Intensive Care unit (PCICU), or Pediatric Progressive Care Unit (PPCU). In addition, APPs will provide critical care management on the Rapid Response and Code blue teams.

Utilizing acquired knowledge of physiology, pathophysiology and pharmacology, the PCCM APP exercises independent decision making in the assessment, diagnosis and development of the plan of care for patients on the PCCM service. In collaboration and consultation with the supervising physician, the PCCM APP contributes to excellence in patient care. As an advanced practice provider, the PCCM APP is additionally involved in education, consultation, research and leadership throughout the Duke Health System, organization and profession.

Job Eligibility Requirements

Education

NP: Graduate of accredited MSN or DNP Pediatric Acute Care Nurse PractitionerProgram.

PA: Graduate of ARC accredited Physician Assistant Program, Master’s Degree or Doctoral Degree preferred.

Certification

NP: PNP-AC or PNP-AC/PC. FNPs and PNP-PCs are not being considered for this position.

PA: PA-C

Licensure

NP: Current unrestricted RN license issued by or recognized by the NCBON with authorization to practice as an NP.

PA: Current medical license issued by the NCMB with authorization to practice as a Physician Assistant.

Both: State and Federal DEA unrestricted prescriptive authority

Experience

Nurse Practitioner/Physician Assistant experience in a pediatric acute care clinical setting strongly preferred. 2+ years of ICU nursing experience is also preferred.

Life support

BLS

PALS

Recommended: ACLS

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

Rotating 12 hours shifts to provide 24hour/day 7 day a week coverage. Schedule may be modified by the clinical or leadership team when needed.

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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