Nurse Practitioner or Physician Assistant - Fragility Fracture

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 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:

• Provide consult services with the following responsibilities:
• Provide clinical care management to fracture patients related to osteoporosis disease

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
• Pre-Operative Patient Education including expectations on care programs for osteoporosis and falls prevention and Fracture Related Infection (FRI).
• Post-operative phone calls to orthopaedic trauma patients to boost patient satisfaction and address common concerns
• Patient enrollment and maintenance of three orthopaedic trauma registries
  • Fragility Fracture and Osteoporosis Registry (AAOS Fracture and Trauma Registry)
  • Fracture Related Infection Database (Ortho c)
  • OTS Health Related Social Needs Equity Program
• Respond to discrete high frequency patient questions on pain management protocol, osteoporosis care program concerns, and HRSN in the 90-day post-operative period
• Facilitate Development of Data dashboard and Quality Metrics Report
• Fracture Liaison Coordination
• Implementation of Standardized Pathways for fragility fracture care, complex patient needs, Physical Therapy and HRSN; assist in developing patient discharge instructions and AVS for orthopaedic 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 providers, 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;…