Nurse Practitioner or Physician Assistant - Vascular Surgery Hospitalist

Overview

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.

Job Location

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 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, 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 other NP/PA colleague?s 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 in an effort 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 members of the health care team.
• Analyze clinical practice patterns so as to provide the best medical care and to 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 but not limited to results of diagnostic tests; laboratory results; patients  condition and response to therapies/interventions; communications with supervising MD.
• Utilize prescriptive privileges only for identified patient population.
• Prescriptive authority for prescribing, ordering, and or administering drugs; including (but not limited to) schedule II, III, IV, and V drugs and necessary medical devices.
• Role model competence in all nurse practitioner / physician assistant advanced skills.
• Give daily handoff to appropriate attending, resident and/or intern at the end of the shift

The NP/PA may order and/or perform the following procedures:

• Patient history and perform physical exam
• Patient discharges
• Laboratory, radiology, and/or 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 cantor tubes, NG tubes
• Manage support devices, including (but not limited to) hemovac, JP drains, arterial lines, NPWT/Wound Vacs
• Removal of superficial foreign bodies
• Application of dressings and bandages.
• Inhalation therapy or medications to alleviate the distress of dyspnea or shortness of breath.
• Venipuncture for blood sampling
• Blood sampling via central venous lines, including:

• • Administration of infusion therapy/ oral medications including: but not limited to
  • Anticoagulants
  • Analgesics, Narcotics, including Patient Controlled Analgesia
  • Antibiotics
  • Antifungals
  • Antivirals
  • Antiarrhythmic
  • Antihypertensive
  • Immunosuppressant
  • IV Fluids
  • Electrolytes
  • Benzodiazepines
  • Muscle relaxants
  • Local anesthetics
  • Blood products - Packed Red Blood Cells and / or Platelets

Other related duties to include education, research utilization and investigation, consultations and leadership are expected from APPs in this position.

Education

PA:
Graduate of ARC accredited Physician Assistant…