Pediatric Nurse Practitioner To Pediatric-Acute Care Nurse Practitioner Fellowship

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 University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life:
  Living in the Triangle!
• Relocation Assistance (based on eligibility)

Duke University Hospital

The Duke Pediatric Nurse Practitioner (PNP) to Pediatric-Acute Care Nurse Practitioner (PNP-AC) Advanced Practice Provider (APP) Fellowship is designed to support Pediatric Nurse Practitioners with a current family or primary care certification gain acute care certification to practice in intensive care units or stepdown units at Duke Hospital. This role coincides with acute care educational training at the Duke School of Nursing or other recognized accredited pediatric acute care training institution while concurrently obtaining supervised acute care clinical hours on the wards.

The educational and clinical hours prepare the fellow to obtain the appropriate requirements to be eligible for pediatric-acute care certification by the completion of the program.

Specific timelines for this particular example case includes:

• Fall semester (8/2026 - 12/2026) = at least 1 didactic course with 1-2 days of clinical in a non-ICU setting
• Spring semester (1/2027 - 5/2027) = at least 1 didactic course with minimum 112 supervised clinical hours in ICU setting
• Summer semester (5/2027 - 8/2027) = at least 1 didactic course with minimum 160 supervised clinical hours in ICU setting

For this specific example, the PNP to PNP-AC fellow will undergo clinical hours with the Heart Center non-ICU services, Pediatric Intensive Care Unit (PICU), and Pediatric Cardiac Intensive Care Unit (PCICU) with the goal of transitioning to the PCICU as a full time employee upon acute care credentialing.

The PNP to PNP-AC Fellow will work alongside APPs and MDs to provide direct patient care services for medically ill pediatric patients from birth to young adults at Duke University Hospital or in the clinics in collaboration with APPs, medical physicians, and surgical physicians. The PNP to PNP-AC Fellow 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 PNP to PNP-AC Fellow contributes to excellence in patient care, research, teaching, and learns to provide leadership in the organization.

• Acquire a deep and broad knowledge base of the common anomalies and disease processes for which patients are hospitalized, understanding the pathophysiology, various presenting

clinical presentations and disease prognosis

• Develop a diverse differential diagnosis and respective diagnostic and treatment plan based upon the patient's presenting symptoms along with evidence-based and cost-effective medical care
• Manage patients effectively throughout the whole hospital stay, including admission, daily rounds and continuing evaluation, and dismissal, while remaining cognizant of the patient's or families emotional, physical and spiritual needs
• Learn practice management, including strategies in training APPs and APP students
• Develop keen verbal skills to effectively communicate with colleagues, physicians, patients and ancillary staff to ultimately become a key part of the inpatient health care delivery team