Nurse Practitioner or Physician Assistant - Cardiovascular Short Stay Unit

As a part of Duke Health’s outpatient clinic network, you will enjoy competitive compensation, comprehensive benefits plans, convenient work hours, and many opportunities for career advancement. Become a part of a team that values and invests in you.

Duke Advanced Practice Highlights:

• The nation’s first Physician Assistant Program was created at Duke in 1965 and is consistently ranked No. 1 in the country.
• The Duke School of Nursing is consistently ranked as one of the top nursing schools and their MSN and DNP programs offers eight advanced practice registered nurse majors and specialty certifications, as well as post master’s certificates and certification alignment programs.
• Commitment to ongoing learning for APPs through annual CME funding and access to high-quality Duke CME offerings including APP Grand Rounds and a professional advancement program.  APPs are leaders in multiple arenas within Duke.
• Duke offers APPs opportunities to practice within team based integrative care in a tremendous variety of specialties.  APPs are expected to work to top of scope in order to contribute to Duke’s missions which include clinical practice, education, and research.
• Practice locations can include Duke Health’s three hospitals or over 140 primary care and specialty care clinics throughout North Carolina.

JOB LOCATION

Duke University Hospital

JOB SUMMARY

The Advanced Practice Provider (APP) is a Nurse Practitioner (NP) or Physician Assistant (PA) who provides direct patient care services and performs medical acts as a Nurse Practitioner or Physician Assistant, under the supervision of the supervising physician, to patients on the cardiology service.  This position will work with cardiology patients with a primary focus on patients in the Cardiac Catheterization pre-procedural and post-procedural area. Areas of clinical work include all Duke University Hospital inpatient units, the Emergency Department, the Cardiovascular Short Stay Unit, and all Hospital-based Cardiology clinics.  NP or PA performs admission, and 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, and provides direct patient care services. The Cardiology APP contributes to excellence in patient care, research, and teaching, and provides leadership to the organization

JOB DUTIES and RESPONSIBILTIES

• The NP/PA will evaluate new patients, consults, and established patients on the cardiovascular service as well as diagnose, treat, and manage common conditions in the cardiovascular patient population.
• Perform an appropriate history and physical exam on all assigned patients. The NP/PA will write progress notes; prepare patient workups and summaries noting pertinent positive and negative findings; and obtain a psychosocial history relevant to patient care. The NP/PA will assume responsibility for developing therapeutic relationships with patients.

• Facilitate and order diagnostic studies, including echocardiograms, cardio lite stress test, magnetic resonance imaging, and cardiac catheterization if indicated, review with attending MD.
• Order and schedule laboratory studies and diagnostic procedures. Explain the necessity, preparation, nature, and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient and family.
• Work closely with the inpatient rounding teams, including attendings, Cath lab attending, APPs, residents, and Fellows to allocate workload based on daily census, clinical and operational needs.
• Assist in the training of new employees, students, and fellow trainees to the limits of competence, and actively participate in educational conferences.
• Participate in QI with the primary supervising physician weekly for the first month after initial hire, then monthly for the first six months of a new practice engagement, and a minimum of every six months thereafter.  Any complications will be monitored on a monthly basis through routine quality assurance conferences.
• Discharge EP short stay and COD patients as well as all assigned admitted/procedural/surgical patients, as directed by the Attending physician, including, but not limited to, completing discharge summary, patient education, wound care instructions, and prescriptions, and entering discharge orders.

JOB ELIGIBILITY REQUIREMENTS

Education

PA:       Graduate of ARC accredited Master’s Degree or Doctoral Degree Physician Assistant program.

NP:       Graduate of accredited MSN or DNP Acute Care Nurse Practitioner program for adult care.

Certification

PA:       PA-C

NP:       ACNP or AGACNP, no other NP certifications will be considered

Licensure  

PA:        Unrestricted medical license issued by NCMB with approval to practice as PA.

NP:        Unrestricted RN licensure issued by or recognized by the NCBON with approval to practice as an NP.

Both:     Federal and State DEA with full prescriptive authority

Experience

Strongly prefer candidate with at least one year of provider experience in cardiology setting,

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

Primary hours: The Cath lab APP position is a full-time salaried position, working a 40-hour work week.   (five 8 hours shifts per week, Monday to Friday)  Variations in hours and days of the week covered may be changed by Heart Center Leadership in consultation with the clinical service line leadership, based on service needs

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, (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