Critical Care Nurse Practitioner or Physician Assistant - Emergency Medicine

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 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 ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. Job Location Duke Regional Hospital Job Summary 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. Job Duties and Responsibilities include:

• 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 though 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 incompliance 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 organizations, oral presentations, posters, research activities, and written publications.
• Other related duties as needed.

Job Eligibility Requirements Education PA: Graduate of accredited Physician Assistant program, Master?s Degree or Doctoral Degree preferred. NP Graduate of accredited MSN or DNP Nurse Practitioner?s Program to treat all ages (i.e., FNP; FNP with ENP ideal) Certification PA: PA-C NP: NP certification to treat all ages, e.g., FNP or FNP/ENP. Must acquire ENP certification within 12-18 months if currently a FNP only. License PA: Current unrestricted medical license issued by NCMB with authorization to practice as a Physician Assistant NP: Current unrestricted RN license issued by or recognized by the NCBON with authorization to practice as a Nurse Practitioner Experience PA: Emergency Medicine experience strongly preferred, but will consider new grad with relevant experience such as EMT/Paramedic RN: Emergency Medicine NP experience strongly preferred, but will also consider new grad NP with 3 years Emergency Medicine RN experience and/or EMT/Paramedic/Medic experience. 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 Full Time - x16 ten hour shifts/month. Rotating days, nights, and weekends. Option for weekends and nights

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.

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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.

As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.

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