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Cardiothoracic Service and Electrophysiology Lab / Cath Lab APP, NP or PA

Regular Full Time Durham, North Carolina
Requisition Number: 208923

Duke Regional Hospital Duke Regional Hospital offers the personal touch and hometown feel of a community hospital while serving as an essential arm of internationally recognized Duke University Health System. Duke Regional has served Durham, Orange, Person, Granville and Alamance counties for more than 45 years. To be successful at caring for our community and have a strong reputation among patients who seek our care, we have 3,500 team members who work together to provide exceptional, compassionate and equitable healthcare 24/7. We are a place of learning and acceptance for team members just starting their careers, as well as an institution of family culture and professional development for employees who have served for decades in our hospital units.Duke Regional has 388 inpatient beds and offers a comprehensive range of medical, surgical and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. We also offer care at our Duke Rehabilitation Institute, Davis Ambulatory Surgical Center, Duke Ambulatory Surgery Center Arringdon, Health Services Center, and Duke Behavioral Health Center North Durham. In fiscal year 2021, Duke Regional Hospital admitted 16,422 patients, performed 18,152 surgeries and welcomed 2,673 babies into the world. U.S. News & World Report ranked Duke Regional Hospital as #9 in North Carolina and #4 in the Raleigh-Durham area for 2021-22. The Human Rights Campaign consistently names us a Healthcare Equality Leader, and we are a Joint Commission-accredited and Magnet-designated hospital.

Cardiothoracic (CT) Service and Electrophysiology Lab/Cardiac Cath Lab APP

Physician Assistant or Nurse Practitioner

Job Summary
The CT Advanced Practice Provider [APP- Nurse Practitioner (NP) or Physician Assistant (PA)] provides direct patient care services for the cardiac cath and electrophysiology (EP) labs as well as the Cardiothoracic Service. This APP provider is assigned four (4) days a week to the Cardiothoracic Service seeing pre-op, post-op, and CT consult patients and assigned  one (1) day a week is spent in the Cardiac Cath/EP Lab; however, this APP may be required to flex to another service if there is a need due to patient volumes. The CT APP works in the hospital and in a clinic setting.  This position will work with CT surgeons, EP cardiologists, interventional cardiologists and the cath lab/EP lab allied health and nursing staff.  The CT APP performs consults, histories, 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 post procedure, and provides direct patient care services. 

Job Responsibilities

  • Provide direct patient care to cardiothoracic surgery patients by collecting and documenting histories, completing consults, performing physical exams, creating patient care plans, and prescribing medications as well as proper documentation of services rendered.
  • Order, review, and interpret laboratory results/imaging results and communicate to patients and other members of the care team
  • See post-op CT surgery patient in clinic setting one afternoon a week.
  • Coordinate all aspects of care of elective and non-elective cardiac catheterization/electrophysiology procedures including consent, pre-procedure notes, coordinate add-ons, same day post-cath procedure checks, and discharges (same and next day).
  • Ensure appropriate documentation and quality indicators for pre- and post- procedures
  • Serve as a leader and conduit for communication between consulting services, cath lab team, and multi-disciplinary team to ensure appropriate flow for cath lab schedule
  • Appropriately educate patients and families on consent and ensure registry-based metrics are completed and documented
  • Provide patient education and follow-up
  • Act as the liaison for the cath and EP registry team
  • Develop and implement quality improvement projects in conjunction with physician leadership
  • Coordinate and plan patient satisfaction projects in conjunction with physician and cath lab leaders, as needed

Minimum Qualifications

PA:      Graduate of an accredited PA Program, Master’s Degree program preferred.

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


PA:      License to practice as a PA issued by North Carolina Medical Board.

NP:      Current RN licensure issued by the NC Board of Nursing with approval to practice as an NP


PA:      Certified as PA-C through the National Commission on Certification of PAs (NCCPA)

NP:      Certified as an ACNP or AGACNP

PA or NP with at least one year of experience, as a NP/PA in a cardiology capacity is strongly preferred but willing to consider a new graduate, especially if he/she has 2 years’ experience in cardiology, cardiothoracic, cardiac cath lab or EP lab as an RN or a vascular/interventional tech prior to PA-C certification.


Physical and Mental Requirements

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


  • Monday – Friday, 8am – 5pm
  • No weekends, no holidays, no call.

Job Level: I1

Duke is an Affirmative Action/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, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the 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.

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