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About Duke Regional Hospital
Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina, which ranks as the number four hospital in the Raleigh-Durham, North Carolina area, accordingto U.S. News and World Report for 2023-2024. Duke Regional Hospital is the second largest of Duke Health's three hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.
Emergency Medicine Advanced Practice Provider (APP)
Critical Care Physician Assistant or Critical Care Nurse Practitioner
Job Location
Duke Regional Hospital
Job Summary
The Emergency Medicine Advanced Practice Provider (APP) is a member of the ED team and his/her primary responsibility is the management of acutely ill and/or injured patients in the emergency room setting. The ED APP is under the direct supervision of the ED supervising physician or designated back-up physicians. The APP performs physical exams, collects and documents data, conducts approved diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, and provides direct patient care services in the Emergency Department. The APP contributes to excellence in patient care, research, teaching, consulting, and provides leadership to the organization and to the APP profession.
Job Duties and Responsibilities include:
Provide direct clinical services for acutely ill and injured patients according to established protocols
Utilizes evidence-based clinical practice standards under the supervision of the ED supervising physician
Obtain patient health histories and complete physical examinations.
Document findings in the EHR, noting pertinent normal and abnormal findings.
Order and interpret appropriate diagnostic and laboratory tests through the EHR system.
Explain the necessity, preparation, nature and anticipated effects of procedure(s) to patients, patient's family, staff, and healthcare learners.
Perform approved therapeutic or diagnostic procedures based upon patient's clinical status to include wound suturing and orthopedic splinting.
Document patient preparation and response to procedure(s).
Utilize prescriptive privileges as allowed by NC licensure. Document all prescriptions in patient's medical record.
Assess patient for change in status and institute appropriate interventions.
Initiate necessary emergency interventions to stabilize patient.
Provide family-centered care by communicating with the family regarding the patient's condition.
Assess family adaptation, coping skills and the need for crisis or other intervention.
Utilize current research and evidence- based decision-making in all clinical practice.
Incorporate clinical research findings in the development and implementation of standards of care.
Perform and participate in quality/performance improvement activities and clinical research.
Serve as a clinical expert and leadership consultant to members of the healthcare team and to the larger community.
Participate in and support accreditation, compliance, and regulatory activities of the organization. Identify educational needs of the family and participate in teaching opportunities.
Assess educational needs, plan, provide, and evaluate educational programs for nursing staff, interdisciplinary healthcare team, and community.
Participate in the development, review, and evaluation of emergency care medical management practice protocols within legal guidelines in compliance with DUHS policies.
Role model professionalism through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, and problem-solving skills.
Demonstrate responsibility for professional practice through active participation in professional organizations and continuing education.
Other related duties as needed.
Job Eligibility Requirements
Education
PA: Graduate of accredited Master's Degree or Doctoral Degree Physician Assistant program
NP Graduate of accredited MSN or DNP Nurse Practitioner's Program to treat all ages (i.e., FNP, ENP)
License
PA: Unrestricted license issued by NCMB with authorization to practice as a Physician Assistant
NP: Unrestricted RN license issued by or recognized by the NCBON with authorization to practice as a Nurse Practitioner
Certification
PA: PA-C
NP: NP certification to treat all ages, e.g., FNP or ENP.
Experience
PA: Emergency Medicine experience strongly preferred, but will consider relevant PA experience such as EMS/Paramedic
RN: Emergency Medicine NP experience strongly preferred, but will also consider RN with 3 years Emergency Medicine RN experience
Job Hours
The Emergency Department is staffed 24/7 with a mix of physicians and APPs.
CRITICAL CARE PHYSICIAN ASSISTANT Job Level: I2
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