Nurse Practitioner​/Physician Assistant - Neuroscience ICU

Duke Hospital Neuroscience Icu Advanced Practice Provider

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.

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 Advanced Practice Highlights

• The nation's first Physician Assistant Program was created at Duke in 1965 and is consistently ranked No. 1 in the country.
• The Duke School of Nursing is consistently ranked as one of the top nursing schools and their MSN and DNP programs offers eight advanced practice registered nurse majors and specialty certifications, as well as post master's certificates and certification alignment programs.
• Commitment to ongoing learning for APPs through annual CME funding and access to high-quality Duke CME offerings including APP Grand Rounds and a professional advancement program. APPs are leaders in multiple arenas within Duke.
• Duke offers APPs opportunities to practice within team based integrative care in a tremendous variety of specialties. APPs are expected to work to top of scope in order to contribute to Duke's missions which include clinical practice, education, and research.
• Practice locations can include Duke Health's four hospitals or over 140 primary care and specialty care clinics throughout North Carolina.

Job Location

Duke University Hospital, Durham, NC

Job Summary

The Duke Hospital Neuroscience ICU Advanced Practice Provider (Nurse Practitioner/Physician Assistant) provides direct patient care services for critically ill complex (multi-organ) patients in an intensive care setting in collaboration with and under the supervision of the Neuro ICU Teams. The NP/PA performs 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 NP/PA contributes to excellence in patient care, research, teaching, and provides leadership to the organization.

Job Duties & Responsibilities

• Provide and coordinate clinical care for Neuro Critical Care patients in the Neuro ICU at Duke Hospital under established protocols and the supervision of a neuro intensivist (on-site or available by phone).
• Conduct daily rounds with the attending physician to assess, diagnose, plan treatment, and evaluate patient outcomes.
• Collaborate with residents and fellows to develop and monitor treatment plans.
• Perform and/or order the following procedures:
• Patient history and physical exam
• Laboratory, radiology, and diagnostic tests, including interpretation
• Management of acute patient decompensation
• Arterial and central line placement
• Peripheral IV catheter insertion
• Placement and management of NG tubes, G tubes, J tubes, and postpyloric tubes (Cortrak placement)
• Identify changes in patient status and initiate appropriate interventions, including emergency stabilization.
• Conduct preoperative evaluations and postoperative stabilization.
• Analyze clinical practice patterns to enhance efficiency and care quality.
• Communicate patient information with the supervising physician, nursing staff, and other healthcare providers.
• Document all relevant clinical data in patient records, including test results, patient status, and interventions.
• Prescribe medications and necessary medical devices, including Schedule II–V drugs.
• Assess and provide patient/family education, documenting all pre- and post-operative education.
• Serve as a mentor and preceptor for healthcare learners.
• Apply current research and evidence-based practices in clinical decision-making.
• Participate in quality improvement initiatives…