Critical Care Nurse Practitioner or Physician Assistant - Cardiothoracic Surgery ICU / CTICU NIGHTS

Critical Care Nurse Practitioner Or Physician Assistant - Cardiothoracic Surgery Icu / Cticu Nights

The Duke Hospital Cardiothoracic Intensive Care Unit (CTICU) Advanced Practice Provider (APP) provides direct patient care services for complex critically ill cardiothoracic surgery and Advanced Heart Failure patients, predominately in an intensive care setting, as well as other units within Duke University Hospital including the OR, PACU, Step-down units, inpatient units, emergency department (ED), and hospital-based clinic settings in collaboration with cardiac anesthesiology and under the supervision of the cardiothoracic surgeon(s) and the Medical Director of the CTICU. The APP 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.

Job responsibilities include:

• Provide/coordinate clinical care for cardiothoracic surgery patients at Duke Hospital being followed primarily in the Cardiothoracic Intensive Care setting through established protocols and under the supervision of the cardiothoracic surgeon or back-up supervising physician.
• Patient rounding in collaboration with attending cardiothoracic surgeon(s), cardiac anesthesiologist(s), CTICU intensivists, and Medical Director of the CTICU, round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of cardiothoracic patient care.
• Perform procedures when indicated.
• Collaborate with the chief resident, residents and fellows to formulate treatment plans and monitor patient progress.
• Assess patients for change in status and institute appropriate interventions. Initiates emergency interventions in an effort to stabilize the patient until physician support arrives.
• Preoperative evaluation; including (but not limited to) establishing diagnosis, and baseline status.
• Postoperative stabilization and management.
• Develop patient care pathways, protocols and guidelines for the management of specific problems in conjunction with physicians and other members of the health care team.
• 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.
• Document in the patients' chart all relevant data including but not limited to results of diagnostic tests; laboratory results; patients' condition and response to therapies/interventions; communications with supervising MD.
• Utilize prescriptive privileges only for identified patient population.
• Role models competence in all nurse practitioner / physician assistant advanced skills.

Job eligibility requirements include:

• Education: NP: Graduate of accredited MSN or DNP Acute Care Nurse Practitioner Program for adult care. PA: Graduate of accredited Masters or Doctorate Degree Physician Assistant Program
• License: NP: Unrestricted RN license issued by or recognized by the NCBON with authorization to practice as a NP. PA: Unrestricted medical license issued by the NCMB with authorization to practice as a PA
• Both: Federal and State DEA with prescriptive authority
• Certification: NP: ACNP, AGACNP (no other APRN certifications will be considered). PA: PA-C
• Experience: NP: 1 year experience in high acuity adult CTICU/ICU strongly preferred. PA: 1-year experience as PA in an adult high acuity critical care/CTICU setting OR a one-year Critical Care Fellowship

Job hours: 12 hour shifts / 7 days per week including holidays. 14 shifts per month. Night shift only.