Career Central

Duke Regional Hospital has served Durham, Orange, Person, Granville and Alamance counties and the surrounding communities for nearly 40 years. With more than 1,900 employees, its focus is on providing outstanding medical care with compassionate, personalized service in a comfortable community hospital setting. Duke Regional Hospital has 369 inpatient beds and offers a comprehensive range of medical, surgical and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services, and also offers care at the Duke Rehabilitation Institute and Davis Ambulatory Surgical Center. In fiscal year 2018, Duke Regional Hospital admitted 16,299 patients and had 165,953 outpatient visits in fiscal year 2017.

U.S. News & World Report ranked Duke Regional Hospital as #10 in North Carolina and #4 in the Raleigh-Durham area for 2018-19.

Critical Care APP - Physician Assistant or Nurse Practitioner

Position Summary

The Critical Care Advanced Practice Provider (APP) is a member of the intensive care team and his/her primary responsibility is the management of a caseload of critically ill complex (multi-organ) patients in an intensive care setting. The APP is under the direct supervision of the ICU 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 a specific ICU. The APP contributes to excellence in patient care, research, teaching, consulting, and provides leadership to the organization and to the APP profession.

Work Performed

Provide direct clinical services for critically ill adult patients with multi-organ trauma or multi-system disease /failure, according to established protocols and utilizes evidence-based clinical practice standards under the supervision of the ICU supervising physician. Obtain patient health histories and complete physical examinations. Document findings, noting pertinent normal and abnormal findings. Order and interpret appropriate diagnostic and laboratory tests. 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. Document patient preparation and response to procedure(s). Formulate and implement treatment plan for acute illness management in collaboration with the designated primary supervising physician and/or attending back-up physician(s). Document in medical records and appropriate narrative summaries. 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 changing health care needs of their family member. 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 physician assistant students and other new healthcare learners. Participate in the development, review, and evaluation of critical 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.

Minimum Qualifications to Apply

Education

• PA - Completion of an accredited Physician Assistant program, minimum Bachelor's degree required;.
• NP – Completion of an accredited Adult-Geriatric Acute Care Nurse Practitioner (AGACNP) Program

Experience

• PA – Will consider new grad with relevant PA electives or clinical background
• NP – Will consider new grade with 2 years' critical care RN experience

Certification

• PA-C or AGACNP

Additional Preferred qualifications

• Masters or Doctorate Degree in provider area of study
• For PAs, 1+ year experience as Physician Assistant in Critical Care Unit
• For NPs, 1+ year experience as Nurse Practitioner in Critical Care Unit

Duke is an Affirmative Action/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, sexual orientation, or veteran 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 essentialjob 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.