Hospitalist Physician - Neonatal Intensive Care; NIGHTS​/NICU Nocturnist

Overview

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Job Location:
Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for . Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

This position will provide direct patient care services and medical management of infants under the age of 2, who are in the Neonatal intensive care unit at Duke University Hospital (DUH), while working closely with and under the supervision of a Neonatologist. This includes seeing patients in the level 4 and level 2 NICUs affiliated with Duke University Health System (DUHS).

In this role, providers will be expected to perform physical exam, collect and interpret patient related data, present patient related information on daily rounds, generate an assessment and care plan, implement diagnostic and therapeutic interventions, collaborate with consulting services, counsel family members, and prescribe medications, nutrition, and therapies for patients in the NICU, in conjunction with a multidisciplinary team. Other tasks include delivery room attendance, participation in neonatal resuscitation, performing common neonatal procedures, ventilator management along with respiratory therapists, participating in regular care meetings, and facilitating transitions in care and discharge home, along with NICU support staff, trainees and physicians.

• In collaboration with the attending physician and fellows, round daily on patients to assess, diagnose, plan treatment, set priorities, and evaluate the effectiveness and cost efficiency of patient care.
• Provide and coordinate clinical care for service-specific patients per established protocols and unit guidelines, under the supervision of attending physician, who is either on site or available by pager.
• Collaborate with fellows, residents, attendings, APP colleagues, nurses, dietitians, pharmacists, social workers, and patient care managers to formulate treatment plans, facilitate care progression, and monitor patient progress.
• Work collaboratively with NICU APP team members, sharing their model for workflow, documentation, handoff, and communication in the NICU
• Attend daily huddles in the NICU to discuss patient flow and situational awareness, weekly huddles to discuss care progression and discharge planning.
• Work closely with medical director and APP team leads of the NICU to understand standard protocols, guidelines and workflows in the NICU.
• Perform procedures specific to the work environment after demonstrating competency and within the scope of practice and credentialing protocols.
• Assess patients for a change in status, escalate concerns and institute appropriate interventions. Initiate emergency interventions to stabilize the patient until more support arrives.
• Post-procedural stabilization and management for patients returning to the NICU after a surgical or procedural intervention
• Assist with bedside surgeries in the NICU along with multidisciplinary NICU, surgery and anesthesia teams.
• Participate in developing patient care pathways, protocols, and guidelines for managing specific problems in conjunction with other members of the health…