ED CRITICAL CARE PA or NP - PRN

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.

Emergency Medicine Advanced Practice Provider (APP) - Critical Care Physician Assistant or Critical Care Nurse Practitioner - PRN

Practice Location:    Duke Regional Hospital – Durham, North Carolina

Position Summary-

The Critical Care Physician Assistant (CCPA)/Critical Care Nurse Practitioner (CCNP) is a key member of the Emergency Department Team at Duke Regional.  The Critical Care APP is used to their full potential working collaboratively within the Emergency Department to provide direct patient care services, which includes:  performing physical exams, collecting and documenting data, conducting diagnostic and therapeutic procedures, ordering laboratory studies and professional consultations, prescribing appropriate interventions, medications and coordinating the care of patients.  The CC APP also provides direct clinical services for critically ill 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 ED supervising physician.

Duties include-

• Provide direct clinical patient care services for acutely ill and injured patients according to established protocols.
• Perform approved diagnostic and therapeutic procedures based upon patient's clinical status.
• Formulate and implement treatment plan for acute illness management in collaboration with the designated supervising physician and/or attending physician.
• Obtain patient health histories and complete physical examinations.
• Order and interpret appropriate diagnostic and laboratory tests/procedures.
• Provide medical assessment, diagnostic determination and clinical management necessary to ensure appropriate clinical disposition of Emergency Department patients.  
• Perform procedures specific to the work environment after demonstrated competency and within the guidelines of scope of practice and credentialing protocols.
• Initiate necessary emergency interventions in an effort to stabilize patients.
• Document in the patients’ medical record all relevant data including but not limited to results of diagnostic tests; laboratory results; patients’ condition and response to therapies/interventions.
• Utilize prescriptive privileges for prescribing, ordering and or administering drugs within prescribing authority.
• Provide family-centered care by direct contact and consultation with patient, patient’s family members, friends, advocates and others to ensure effective communication of patient status and care plans.
• Accurate and timely completion of all clinical and professional records and documentation to assure compliance with local, state and federal regulatory, licensure and accreditation requirements.
• Work to create a positive work culture within the department and cross-departmental teams.
• Communicate with consulting providers as appropriate to facilitate necessary ongoing care and treatment of patients.
• Assess educational needs of the patient and/or patient’s family and provide culturally sensitive patient/family education interventions as indicated.  Use non-technical language when educating patients and families.  Document all education in patients’ medical record.
• Ability to work with others in a professional, cooperative and collaborative manner.

Minimum Qualifications to Apply - Education, License, Certification, Experience

Critical Care Physician Assistant-

• Completion of an accredited Physician Assistant program.  A Bachelor’s degree required; Master’s degree strongly preferred.
• Requires an unrestricted license issued by North Carolina Medical Board (NCMB) with authorization to practice as a Physician Assistant.
• Must be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants (NCCPA).
• BLS certification is required.
• Emergency Medicine experience strongly preferred; relevant experience such as EMT/Paramedic/Medic helpful.

Critical Care Nurse Practitioner-

• Work requires completion of an accredited Nurse Practitioner program, with a Master’s degree in Nursing.
• Must have current or compact RN licensure in the state of North Carolina.  National certification as a Nurse Practitioner required.
• BLS certification required.
• Emergency Medicine experience strongly preferred; RN experience in Emergency Medicine helpful.

Experience-

One year as a Physician Assistant or Nurse Practitioner in a critical care setting required.

Work Schedule-

The Emergency Department is staffed 24/7 with a mix of physicians and APPs.  APP shifts are 10 hours rotating days, nights and weekends.

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.