Nurse Practitioner or Physician Assistant - Vascular Surgery Hospitalist

Duke Health is committed to compassionate care that changes the lives of patients, their loved ones, and the community. Join us to advance health together.

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, 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 and an endo-surgery center.

Duke University Hospital

The Duke Vascular Surgery Hospitalist Advanced Practice Provider (NP or PA-C) provides direct patient care services for surgically and medically ill vascular surgery patients in Duke Hospital, the DMP, or in the clinic 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 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, education, and provides leadership in the organization.

• In collaboration with attending surgeon(s) and/or residents, round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care.
• Provide and coordinate clinical care for service-specific patients through established protocols and under the hospitalist supervising physician or back-up physician who is either on site or available by pager.
• Collaborate with the chief resident, residents, fellows, attending NP/PA colleagues, nurses, and patient resource managers to formulate treatment plans and monitor patient progress.
• Perform procedures specific to the work environment after demonstrated competency and within the guidelines of scope of practice and credentialing protocols.
• Assess patients for change in status and institute appropriate interventions. Initiate emergency interventions to stabilize the patient until physician support arrives.
• Postoperative stabilization and management.
• Develop patient care pathways, protocols, and guidelines for the management of specific problems in conjunction with physicians and other health care team members.
• Analyze clinical practice patterns to provide the best medical care and increase effectiveness and efficiency.
• Communicate verbally and in writing all pertinent patient information to supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers.
• Document in the patient’s medical record all relevant data including diagnostic test results, laboratory results, patient condition and response to therapies, and communications with supervising MD.
• Utilize prescriptive privileges for identified patient populations.
• Prescriptive authority for prescribing, ordering, and/or administering drugs, including schedule II–V drugs and necessary medical devices.
• Role model competence in all NP/PA advanced skills.
• Provide daily handoff to appropriate attending, resident, and/or intern at the end of the shift.

• Patient history and physical examination
• Patient discharges
• Laboratory, radiology, and diagnostic procedures/tests
• Interpretation of laboratory, radiographic, and diagnostic tests
• Critical thinking skills
• EKG interpretation
• Suture/Staple removal
• Application of dressings, bandages, NPWT
• Simple debridement
• Manage and insert cannulas/tubes (e.g., NG tubes)
• Manage support devices, including hemovac, JP drains, arterial lines, NPWT/Wound Vacs
• Removal of superficial foreign bodies
• Application of dressings and bandages
• Inhalation therapy or medications to alleviate dyspnea or shortness of breath
• Venipuncture for blood sampling
• Blood sampling via central venous lines, including administration of infusion therapy and medications…