Nurse Practitioner - Wound Care​/Threatened Limb Loss

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Duke University Hospital

The APP augments a physician's ability to provide a thorough evaluation of a patient's medical/surgical history. Responsibilities include providing direct patient care services and performs medical acts as an APP under the supervision of the supervisory physician to patients >12 years of age of patients with lower extremity wounds and amputations. Will be responsible for caring for patients on the Threatened Limb/Limb Loss Team, primarily inpatient with some outpatient.

• Physical exams
• Collects and documents data
• Conducts diagnostic and therapeutic procedures
• Orders and schedules laboratory studies and professional consultations
• Rounds on in-patients
• Clinic responsibilities
• Operating Room responsibilities
• Prescribes appropriate interventions and medications, and provides direct patient care services.
• Provides leadership in the care of patients seen within vascular, diabetic, dysvascular and orthopedic trauma.
• Utilization of clinical expertise to provide preoperative and postoperative care, counseling, and teaching to patient and family.
• Educating nurses to ensure knowledge and competency in basic wound and lower extremity management; and working collaboratively with the multidisciplinary team to plan and coordinate care. The APP is an integral part of multiple teams, as a clinician, educator, consultant, leader, and investigator.
• Work with a supervising physician
• Any other related duties required to service pre-surgical and/or pre-anesthesia care

• Education
• NP:
  Graduate of accredited MSN or DNP Nurse Practitioner program for adult care.
• PA:
  Graduate of arc accredited masters or doctoral degree physician assistant program.
• Licensure
• NP:
  Current unrestricted RN license issued by or recognized by the NCBON with approval to practice as an NP.
• PA:
  Current unrestricted medical license issued by the NCMB with approval to practice as a PA.
• Both:
  Federal and State DEA prescriptive authority
• Certification
• NP: FNP, ANP, AGNP, ACNP, AGACNP
• Must also have RNFA in addition to NP certification. If you don't currently have RNFA, you must get within 1 year of hire.
• Must also have WOC certification in addition to NP certification. If you don't currently have WOC certification, you must get within 1 year of hire.
• PA: PA-C
• Experience
• 1 year APP experience in wound care is preferred but not required
• Operating Room/Surgical experience is also preferred.
• 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 teams, physicians, administrators, leadership, and others.
• Able to use sensory and cognitive functions to process and prioritize information, and 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 a computer and learn new software programs.
• Able to provide leadership in clinical areas 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

Primary hours will be Monday-Friday 8 hour days and other hours as needed to fulfill the responsibilities of the position.

Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—a 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.

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