Nurse Practitioner or Physician Assistant - Duke Raleigh Thoracic Surgery Clinic

Duke Raleigh Thoracic Surgery Clinic 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.

Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.

We are seeking an Advanced Practice Provider in our Duke Raleigh Thoracic Surgery Clinic located in Raleigh, NC to work in collaboration with attending physicians, collect and document data, conduct diagnostic and therapeutic procedures, order and schedule laboratory studies and professional consultations, and provide direct patient care services. Primary hours will be Monday through Friday, day shift, with hours flexible to meet the needs of the patients.

• Perform triage and diagnostic and therapeutic procedures to assist physician in diagnosing medical and surgical problems and prescribing necessary treatment and services for quality patient care; record the normal and abnormal data for review by the physician.
• Take patient histories, conduct physical examinations, and record the date in the patient's record; write progress notes; prepare patient workups and summaries noting pertinent positive and negative findings; obtain psychosocial history relevant to patient care, and assume responsibility for developing therapeutic relationships with patients.
• Order and schedule laboratory studies and diagnostic procedures; explain necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.
• Monitor progress of patients, report progress to supervising physician, and maintain record of each patient's progress, consult with supervising physician when patient's progress does not meet anticipated and/or predetermined criteria.
• Participate in basic science and clinical research projects conducted by supervising physician; prepare statistical reports and analyses setting forth progress, adverse trends and appropriate recommendations or conclusions. Review the work of lower rated employees; train new personnel. Participate in teaching students and residents in techniques and procedures which are unique to specific clinical setting.
• Analyze clinical practice patterns so as to provide the best medical care and 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 relevant healthcare providers.
• 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.
• Carry out therapeutic procedures such as surgical first assisting, wound care, and removal of chest tubes, sutures, and pleurx catheters.
• Perform in-patient rounding on thoracic surgery patients at Duke Raleigh Hospital.

Education

• Nurse Practitioners:
  Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing.
• Physician Assistants:
  Completion of an accredited Physician Assistant program. A Bachelor's degree required;
  Master's degree strongly preferred.

Certification

• RNFA certification required for NP applicants
• ACLS certification required within 3 months of hire
• BLS required.

License

• Nurse Practitioners:
  Must have current or compact RN licensure in the state of North Carolina. BLS required. National certification as a NP required prior to or within 6 months of employment.
• Physician Assistants:
  Must be licensed in the state of NC, and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants.

Desired Experience

• 1+ years of APP experience strongly preferred.

Job Hours

Monday-Friday, day shift, with flexibility to meet clinic needs