Nurse Practitioner or Physician Assistant - Inpatient Pain Mngt Service

Nurse Practitioner Or Physician Assistant - Inpatient Pain Management Service

The Duke Inpatient Pain Service Advanced Practice Provider (NP or PA-C) provides direct patient care services to patients admitted to Duke University Hospital or within Duke Clinics for all age groups (adult and occasionally pediatrics) in collaboration with the attending physician, fellows, resident and APPs. The NP or 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, may assist in the operating room and provides direct patient care services. The Nurse Practitioner or Physician Assistant contributes to excellence in patient care, research, teaching and provides leadership in the organization. This position has no operating room responsibilities.

Procedures performed by IPS APP Team:

• Epidural Removal
• Peripheral Nerve Catheter Removal
• Pain Catheter Repair
• Bolus via CADD Pump
• Bolus Epidural Catheter with Fentanyl
• Attach and manage the Nimbus Pump
• Change Dressing over Pain Cather Site

Job duties and responsibilities include but are not limited to the following:

• In collaboration with attending surgeon(s) and/or residents, round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care.
• Provide and coordinate clinical care for service specific patients through established protocols and under the hospitalist supervising physician or back up physician who is either on site or available by pager.
• Collaborate with the chief resident, residents, fellows, attending other NP/PA colleague's nurses, and patient resource managers to formulate treatment plans and monitor patient progress.
• Perform procedures specific to the work environment after demonstrated competency and within the guidelines of scope of practice and credentialing protocols.
• Assess patients for change in status and institute appropriate interventions. Initiate emergency interventions in an effort to stabilize the patient until physician support arrives.
• 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' medical record 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.
• Prescriptive authority for prescribing, ordering, and or administering drugs; including (but not limited to) schedule II, III, IV, and V drugs and necessary medical devices.
• Role model competence in all nurse practitioner / physician assistant advanced skills
• Give daily handoff to appropriate attending, resident and/or intern at the end of the shift

Job eligibility requirements:

Education:

NP: Graduate of accredited Nurse Practitioner program, acute care preferred but will consider other adult NPs in conjunction with relevant experience.

PA: Graduate of ARC accredited Physician Assistant program

Certification:

NP: ACNP or AGACNP preferred, will consider AGNP and FNP with relevant experience

PA: PA-C

Licensure:

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

PA: Current unrestricted medical license issued by the NCMB with approval to practice as PA. Both: Federal and State DEA prescriptive authority

Experience:

Experience in medical/surgical management as an advanced practice provider for at a minimum of 1 years is preferred, but not required.

Physical and mental requirements:

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

This position covers NIGHT shift only, working 12-hour shifts (6pm-6am, Monday Saturday). Schedule is made in collaboration with other APP team members. Some weekend and holiday coverage is required.