Critical Care Nurse Practitioner or Physician Assistant - Emergency Medicine

About Duke Regional Hospital

Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight‑loss surgery, women's services, and heart and vascular services.

Duke Regional Hospital

The Emergency Room Advanced Practice Provider (APP) is a member of the ER team and his/her primary responsibility is the management of acutely ill and/or injured patients in the emergency room setting. The ER APP is under the direct supervision of the ER supervising physician or designated back‑up physicians. The APP performs physical exams, collects and documents data, conducts approved diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, and provides direct patient care services in the Emergency Department.

The APP contributes to excellence in patient care, research, teaching, consulting, and provides leadership to the organization and to the APP profession.

• Provide direct clinical services for acutely ill and injured patients according to established protocols
• Utilizes evidence‑based clinical practice standards under the supervision of the ER supervising physician
• Obtain patient health histories and complete physical examinations.
• Document findings in the EHR, noting pertinent normal and abnormal findings.
• Order and interpret appropriate diagnostic and laboratory tests through the EHR system.
• Explain the necessity, preparation, nature and anticipated effects of procedure(s) to patients, patient's family, staff, and healthcare learners.
• Perform approved therapeutic or diagnostic procedures based upon patient's clinical status to include wound suturing and orthopedic splinting.
• Document patient preparation and response to procedure(s).
• Utilize prescriptive privileges as allowed by NC licensure. Document all prescriptions in patient's medical record.
• Assess patient for change in status and institute appropriate interventions.
• Initiate necessary emergency interventions to stabilize patient.
• Provide family‑centered care by communicating with the family regarding the patient?s condition.
• Assess family adaptation, coping skills and the need for crisis or other intervention.
• Utilize current research and evidence‑based decision‑making in all clinical practice.
• Incorporate clinical research findings in the development and implementation of standards of care.
• Support IRB approved clinical research/trials through a variety of activities including but not limited to: obtaining consent; ordering diagnostic tests; recording laboratory & diagnostic results; administering therapeutic interventions; and documenting and reporting patient outcomes including toxicities or adverse events.
• Perform and participate in quality/performance improvement activities and clinical research.
• Serve as a clinical expert and leadership consultant to members of the healthcare team and to the larger community.
• Participate in and support accreditation, compliance, and regulatory activities of the organization. Identify educational needs of the family and participate in teaching opportunities.
• Assess educational needs, plan, provide, and evaluate educational programs for nursing staff, interdisciplinary healthcare team, and community. Precept NP/PA students and other new healthcare learners.
• Participate in the development, review, and evaluation of emergency care medical management practice protocols within legal guidelines in compliance with DUHS policies.
• Role model professionalism through conduct, appearance, communication, mutual respect, leadership, ethical decision‑making, critical thinking, and problem‑solving skills.
• Demonstrate responsibility for professional practice through active participation in professional organizations and continuing education. Enhance the body of knowledge to the APP profession or other areas of specialization through exchange of ideas and knowledge in professional…