Nurse Practitioner or Physician Assistant - Pediatric Abdominal Transplant Surgery

Nurse Practitioner or Physician Assistant – Pediatric Abdominal Transplant Surgery

Requisition Number: 263890
Regular or Temporary:
Regular

Location:

Durham, NC 27710

The Duke Pediatric Abdominal Transplant Surgery Advanced Practice Provider (NP or PA) provides direct patient care services for medically and surgically ill pediatric (aged 0‑21 years) patients on an intensive care, intermediate and/or step‑down unit or in the transplant and hepatology clinics in collaboration with residents and surgeons. The APP performs physical exams, orders and schedules laboratory studies, prescribes medications, coordinates care and discharge, and contributes to excellence in patient care, research, teaching and leadership.

Clinical Expert

• Collaborate with attending, residents and fellows to assess, diagnose, plan treatments, set priorities and evaluate effectiveness and cost efficiency of patient care.
• Provide and coordinate clinical care for service‑specific patients under hospitalist supervising physician or backup physician available by pager.
• Collaborate with chief resident, residents, fellows, attending, APP colleagues, nurses and patient resource managers to formulate treatment plans and monitor progress.
• Perform procedures specific to the work environment after demonstrated competency and within scope of practice and credentialing protocols.
• Assess patients for change in status and institute appropriate interventions; initiate emergency interventions to stabilize the patient until physician support arrives.
• Postoperative stabilization and management.
• Develop patient care pathways, protocols and guidelines for management of specific problems in conjunction with physicians and other members of the health care team.
• Analyze clinical practice patterns to increase effectiveness and efficiency.
• Communicate verbally and in writing all pertinent patient information to supervising MD, nursing staff, patient resource manager, home health agency and other providers.
• Document in the medical record all relevant data including diagnostic test results, patient condition and response to therapies/interventions and communications with supervising MD.
• Utilize prescriptive privileges only for identified patient population.
• Prescriptive authority for prescribing, ordering and/or administering drugs including schedule II, III, IV and V drugs and necessary medical devices.
• Model competence in all advanced practice skills and give daily handoff to appropriate attending, APP, resident and/or intern at the end of the shift.
• Assess educational needs of the patient‑care staff and provide one‑on‑one and formal education as needed.
• Assess cultural‑sensitive patient/family education interventions using non‑technical language and document all education in the medical record.
• Implement and evaluate appropriate educational programs for DUHS patient care staff and other healthcare providers as appropriate.
• Role model and precept healthcare learners through contractual agreements.

Research Utilization and Investigation

• Utilize current research and evidence‑based decision‑making in all clinical practice.
• Incorporate clinical research findings in the development and implementation of standards of care.
• Support IRB‑approved clinical research/trials through activities including obtaining consent, ordering diagnostic tests, recording laboratory and diagnostic results, administering therapeutic interventions and reporting patient outcomes including toxicities or adverse events.
• Participate in interdisciplinary quality improvement and/or research activities.
• Participate in measuring and documenting outcomes.

Consultant

• Provide expertise and resource information to other healthcare providers, patients and families and the community on pediatric diseases, procedures, interventions and conditions.
• Implement and evaluate appropriate educational programs for referring MDs.
• Develop, implement and evaluate standards of care, practice guidelines, policies and procedures and care maps within area of specialization.
• Develop programs and projects in areas of expertise to facilitate the attainment of the goals and objectives of Duke…