Nurse Practitioner or Physician Assistant - Cardiology Hospitalist

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About 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. 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

JOB SUMMARY

The Advanced Practice Provider (APP) is a Nurse Practitioner (NP) or Physician Assistant (PA) who provides direct patient care services and performs medical acts as a Nurse Practitioner or Physician Assistant, under the supervision of the supervisory physician to patients on the cardiology service. This position will work with cardiology patients and will rotate with all of the cardiology services including general cardiology, Electrophysiology (EP), Advanced Heart Failure (HF), Ventricular Assist Device (VAD) and the Heart Transplant teams.

Areas of clinical work include: all Duke University Hospital inpatient units, Emergency Department, the Cardiovascular Short Stay Unit, and all Hospital based Cardiology clinics. NP or PA performs admission, 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, and provides direct patient care services.

The Cardiology APP contributes to excellence in patient care, research, teaching, and provides leadership to the organization

JOB DUTIES and RESPONSIBILTIES

• The ACNP/PA will evaluate new patients, consult and established patients on the cardiovascular service as well as diagnose, treat and manage common conditions in the cardiovascular patient population.
• Perform an appropriate history and physical exam on all assigned patients. The ACNP/PA will write progress notes; prepare patient workups and summaries noting pertinent positive and negative findings; a psychosocial history will be obtained relevant to patient care. The ACNP/PA will assume responsibility for developing therapeutic relationships with patients.

• Facilitate and order diagnostic studies including echocardiograms, cardiolite stress test, magnetic resonance imaging and cardiac catheterization if indicated, review with attending MD.

• Order and schedule laboratory studies and diagnostic procedures. Explain necessity, preparation, and nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient and family.

• Work closely with the inpatient rounding teams including attendings, APP’s, residents and Fellows to appropriately allocate workload based on daily census, clinical and operational needs.
• Assist in the training of new employees, students and fellow trainees, to the limits of competence, and actively participate in educational conferences.
• Discharge all assigned admitted/procedural/surgical patients, as directed by the Attending physician, including, but not limited to, dictating discharge summary, patient education, patient wound care instructions, and prescriptions and entering discharge orders.

• In collaboration with attending and/or residents, round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care.
• Provide and coordinate clinical care for service specific patients through established protocols and under the hospitalist supervising physician or back up physician who is either on site or available by pager.
• Collaborate with the chief resident, residents, fellows, attending other NP/PA colleague’s nurses, and patient resource managers to formulate treatment plans and monitor patient progress.
• Perform procedures specific to the work environment after demonstrated competency and within…