Nurse Practitioner or Physician Assistant - General and Acute Care Surgery

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 Regional Hospital

Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.

Job Location      

Duke Regional Hospital

Job Summary

The General Surgery/ACS Team Inpatient Advanced Practice Provider (APP) provides direct patient care services and performs medical acts under the supervision of the supervisory physician to patients on the General Surgery/ACS service at DRH. The APP performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies, radiologic studies, and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, and provides direct care to the patients on the General Surgery/ACS service. The General Surgery/ACS APP contributes to excellence in patient care, research, teaching, and provides leadership to the organization. 

Job Duties and Responsibilities

Inpatient

• Daily inpatient rounding on primary and consult teams


• Assist with daily notes


• Take first call on primary General Surgery/ACS patients


• Review and order diagnostic and lab studies


• Patient and Family education


• Provides continuity of care by working collaboratively with the multi-disciplinary teams


• Staff new consults for General Surgery/ACS at DRH


• Assist with admissions


• Perform discharges


• Manage/Change/Apply wound vacs


• Assist in maintaining and improving Quality Metrics


• Provide collaborative and cost-effective care.

Outpatient

• No outpatient coverage currently.

Job Eligibility Requirements

Education

NP:         Graduate of an accredited MSN or DNP Acute Care Nurse Practitioner program for adults.

PA:         Graduate of an ARC-accredited Physician Assistant program. Master’s or Doctoral Degree Preferred.

Certification 

NP:         Acute Care Nurse Practitioner for adults (ACNP or AGACNP) or Adult Nurse Practitioner (ANP or AGANP)

PA:         PA-C

Both:     BLS required

ACLS and ATLS strongly recommended but not required

Licensure 

NP:           Current unrestricted RN licensure issued by or recognized by NCBON with authorization to practice as an NP

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

Both:       Federal and State DEA with unrestricted prescriptive authority

Experience

NP:         2+ years RN experience in the clinical care of general surgery patients is strongly preferred.

1+ year NP experience preferred, ideally in general surgery capacity, but not required.

PA:         1+ year PA experience in the clinical care of trauma or general surgery strongly preferred but not required.

Physical and mental requirements:

•             Able to clearly articulate scope of practice, and practices within those guidelines as an APP in the state of North Carolina and within the Duke University Health System.

•             Able to independently seek out resources and work collaboratively to solve complex problems

•             Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others.

•             Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up.

•             Able to use fine motor skills

•             Able to record activities, document assessments & interventions; prepare reports and presentations;

•             Able to use computer and learn new software programs

•             Able to provide leadership in clinical area of expertise and in meeting organizational goals

•             Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations

•             Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds

•             Able to remain focused and organized

•             Able to work collaboratively with all levels of personnel

Job Hours

The schedule will be 14 (fourteen) 12 (twelve) hour shifts per month.  This is an M-F DAY shift role.  The APPs and ACS/General Surgery leadership will develop a schedule that is mutually amenable. Schedule may be changed by administrative or clinical leadership to meet department needs.