Critical Care Nurse Practitioner or Physician Assistant - Medical Intensive Care (MICU)

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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 Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Job Location

Duke University Hospital, MICU

Job Summary

The Duke Hospital Medical Intensive Care Unit (MICU) Nurse Practitioner (NP)/Physician Assistant (PA) (NP/PA) provides direct patient care services for complex critically ill adult patients in the Medical Intensive Care setting in collaboration with and under the supervision of the MICU attending physicians.  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 and Responsibilities

• Perform patient history, physical exams, and develop treatment plans
• Participate in daily, team-based ICU rounds
• Consult and collaborate with specialty teams
• Manage all aspects of patient care and progression with physician oversight
• Perform and/or assist with advanced procedures, including but not limited to:
• Chest tube placement and removal
• Wound care management
• Airway management and mechanical ventilation
• Central line and arterial line placement
• Paracentesis and thoracentesis
• Flexible bronchoscopy
• NG tube placement
• Manage acute patient decompensations and emergencies

Job Eligibility Requirements

Education

PA:       Graduate of ARC accredited Physician Assistant Program. Master's or Doctoral degree is strongly preferred.  

NP:       Graduate of an accredited MSN or DNP Acute Care / Critical Care Nurse Practitioner program for adult care.

Both:    Completion of Critical Care Fellowship is strongly preferred.

Certification 

PA:       PA-C

NP:       CCNP, ACNP or AGACNP only.  (Acute Care Certification is REQUIRED.)

Licensure   

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

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

Both:    Federal and State Prescriptive Authority

Experience

PA:       Minimum 1 year experience as PA in an adult critical care setting OR completion of a Critical Care Fellowship

NP:       Minimum 3 years' experience as a registered nurse in a critical care setting plus 1 year NP experience with a Medical or Pulmonary Focus is preferred

OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE

Physical and mental requirements

• Able to clearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant 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.

Life support requirements:

BLS

ACLS

Job Hours

• Rotating 24-hour shifts, including days, nights, weekends, and holidays.
• Schedule may be adjusted by leadership to meet patient care and departmental needs.

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.