Career Central

Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance (based on eligibility)

Pediatric Critical Care Medicine (PCCM) Advanced Practice Provider (APP)

Position summary

The Duke Hospital Pediatric Critical Care Medicine Advanced Practice Provider (APP), includes both Nurse Practitioner (NP) and/or Physician Assistant (PA), provides direct patient care services for critically ill pediatric patients aged 0-21 with acute, complex, critical, and chronic illness across a variety of care settings. It is appropriate for the APP to provide care for an aging pediatric patient beyond the age of 21 with a pediatric condition for a limited period of time.  Pediatric Critical Care medicine APPs will care for patients in the Pediatric Intensive Care unit (PICU), Pediatric Cardiac Intensive Care unit (PCICU), and Pediatric Progressive Care Unit (PPCU).  In addition, APPs will provide critical care management on the Rapid Response and Code blue teams.

Utilizing acquired knowledge of physiology, pathophysiology and pharmacology, the PCCM APP exercises independent decision making in the assessment, diagnosis and development of the plan of care for patients on the PCCM service. In collaboration and consultation with the supervising physician, the PCCM APP contributes to excellence in patient care.  As an advanced practice provider, the PCCM APP is additionally involved in education, consultation, research and leadership throughout the Duke Health System, organization and profession. 

Position requirements

Education

NP:       Graduate of accredited MSN or DNP Pediatric Acute Care Nurse Practitioner Program.

PA:       Graduate of ARC accredited Physician Assistant Program, Master's Degree preferred.

Licensure

NP:      Current unrestricted licensure as a Registered Nurse issued by the NCBON with authorization to practice as an NP.

PA:       Current license issued by the NCMB with authorization to practice as a Physician Assistant.

Certification

NP:       Pediatric Acute Care Nurse Practitioner certification (PNP-AC)

PA:       PA-C

Experience

Nurse Practitioner/Physician Assistant experience in a pediatric acute care clinical setting strongly preferred.  2+ years of ICU nursing experience is also preferred.  

Life support

BLS

PALS

Recommended: ACLS

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

Hours

Rotating 12 hours shifts to provide 24hour/day 7 day a week coverage. Schedule may be modified by the clinical or leadership team when needed.

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.

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About Duke University Health System

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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