Nurse Practitioner/Physician Assistant – Duke Pediatric General Surgery

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 Hospital & Duke Children’s Health Center, 2301 Erwin Road, Durham, NC

Duke Lenox Baker Children’s Hospital, 3000 Erwin Road, Durham, NC

Job Summary

The Duke Hospital Pediatric General Surgery Advance Practice Provider (NP or PA) provides direct patient care services for critically ill complex (multi-organ) patients (aged 0-21 years) in a variety of care setting including the ER, PACU, pediatric wards, ICN, PCICU, PICU, OR, and clinic setting in collaboration with and under the supervision of the pediatric general surgeons. There may be rare occasions for which it would be appropriate for a CPNP to provide care for a patient beyond the age of 21 for a limited/specified period of time. 

The pediatric General Surgery NP/PA performs 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, assist in the operating room, and provides direct patient care services. The pediatric General Surgery APP contributes to excellence in patient care, research, teaching, and provides leadership to the organization.

Job Duties & Responsibilities

• Perform diagnostic and therapeutic procedures to assist physician in diagnosing medical and surgical problems and prescribing necessary treatment and services for quality patient care; record the normal and abnormal data for review by the physician.
• Take patient histories, conduct physical examinations, and record the date in the patient’s record; write progress notes; prepare patient workups and summaries noting pertinent positive and negative findings; obtain psychosocial history relevant to patient care, and assume responsibility for developing therapeutic relationships with patients.
• Order and schedule laboratory studies and diagnostic procedures; explain necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.
• Carry out therapeutic procedures such as wound vac changes, performing biopsies, surgical drain care and removal, central line care, and g-tube care; monitor progress of patients, report progress to supervising physician, and maintain record of each patient’s progress, consulting with supervising physician when patient’s progress does not meet anticipated and/or predetermined criteria.
• Participate in basic science and clinical research projects conducted by supervising physician; prepare statistical reports and analyses setting forth progress, adverse trends and appropriate recommendations or conclusions. Train new personnel. Participate in teaching students and residents in techniques and procedures which are unique to specific clinical setting.

Job Eligibility Requirements

Education 

• Nurse Practitioners: Work requires completion of an accredited Nurse Practitioner program, with a Master’s degree in Nursing.
• Physician Assistants: Completion of an accredited Physician Assistant program. A Bachelor’s degree required; Master’s degree strongly preferred.

Certification 

• PALS & ACLS recommended.
• BLS required.

License 

• Nurse Practitioners: Must have current or compact RN licensure in the state of North Carolina. BLS required. National certification as a NP required prior to or within 6 months of employment.
• Physician Assistants: Must be licensed in the state of NC, and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants.

Experience 

• 1+ years of APP experience in pediatrics strongly preferred.
• NP candidates must be a graduate of an accredited DNP or MSN Pediatric Acute Care Nurse Practitioner program.

Job Hours

Monday-Friday, day shift, with flexibility to meet clinic needs

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 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.

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