Nurse Practitioner or Physician Assistant - Fragility Fracture

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 the four Duke Health hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo‑surgery center, and more.

Duke Clinic 1H Ortho Trauma

Implement APP driven care coordination system in conjunction with Ortho Trauma providers emphasizing health equity and higher risk patient needs within 1H Orthopaedic Trauma Clinic that is comprised of the following:

and act as a liaison to existing DUHS and community resources.

Specific to Fragility Fracture Position

• HRSN Screening on intake for all 1H Ortho Trauma Patients with corresponding entry of NCCARE
  360 and PHMO referrals for positive responders
• Appointment coordination for patients with an emphasis on liaison representation to Population Health services and to Endocrinology, Infectious Disease, and Plastic Surgery/Wound Care services

• Implementation of Standardized Pathways for fragility fracture care, complex patient needs, Physical Therapy and HRSN; assist in developing patient discharge instructions and AVS for othopaedic trauma patients related to osteoporosis care and follow up.

• In collaboration with attending physician(s), the NP/PA performs triage, physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies, diagnostic procedures and professional consultations, prescribes appropriate interventions and medications, coordinates the care of patients, and provides direct patient care services.
• Analyze clinical practice patterns so as to provide the best medical care and to increase effectiveness and efficiency.
• Initiate referrals to other health care provides, and/or consults with the attending physician or the collaborating physician
• Assume responsibility and accountability for managing independent patient load/clinic if deemed needed.
• Be available to assess add-ons in the clinic.
• Communicate verbally and in writing all pertinent patient information to supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers.
• Triages outpatient phone calls and coordinates all necessary paperwork in support of direct patient care. Communicate with family members regarding patient care and concerns; provide patient care support and follow up to ensure patient care is coordinated/communicated effectively; provide clinical instruction and oversight to nursing staff. Ensures appropriate communication with all referring physicians. Works with support staff and central Hub to maximize efficiency in clinic scheduling.
• Provide timely documentation in the electronic medical record of all relevant data including results of diagnostic tests; laboratory results; patients' condition and response to therapies/interventions; communications with physician colleagues.
• Communicate with patient and family any care plans, reason for procedures/meds, results of procedures, etc.

PA:
Graduate of ARC accredited Physician Assistant Program, Master's or Doctoral Degree preferred

NP:
Graduate of MSN or DNP Nurse Practitioner Program for adult care

PA: PA-C

NP:
Certification for the care of adults, e.g., AGNP, AGPCNP, ACNP, AGACNP, FNP, ANP

PA:
Current unrestricted medical license issued by NCMB with approval to practice as PA

NP:
Current unrestricted RN License issued or recognized by NCBON with approval to practice as NP

1+ years APP experience is required

• Able to clearly articulate scope of practice and practices within those guidelines as an NP/PA in the state of North Carolina and within the Duke University Health System (DUHS)
• Able to independently seek out resources and work collaboratively to solve complex problems
• Able to…