Pediatric Epilepsy Monitoring - APP - Nurse Practitioner or Physician Assistant
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Pediatric Epilepsy Monitoring Unit (EMU) Advanced Practice Provider (APP)
Physician Assistant or Nurse Practitioner
Job Location – Duke University Hospital
The Pediatric Epilepsy Monitoring unit (EMU) Advanced Practice Provider (APP) provides direct patient care services and performs medical acts as a Nurse Practitioner under the supervision of the supervisory physician to patients admitted to the Pediatrics Epilepsy monitoring unit. The Nurse Practitioner collects history, performs physical exams, collects and documents data, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, and provides direct patient care services. The Pediatric Epilepsy Monitoring unit (EMU) Advanced Practice Provider (APP) contributes to excellence in patient care, research, teaching, and provides leadership in the organization.
Specific Job Responsibilities and Standards
- 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.
- 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.
- Assess educational needs of the patient-care staff and provide one-on-one as well as formal education as needed.
- Assess educational needs of the patients / families and provide culturally-sensitive patient/family education interventions as indicated. Use non-technical language when educating patients and families. Document all pre and post-op education in patients’ medical record.
- Implement and evaluate appropriate educational programs for DUHS patient care staff and other healthcare providers as appropriate.
- 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.
- Support IRB approved clinical research/trials though a variety of activities including but not limited to: obtaining consent; ordering diagnostic tests; recording laboratory & diagnostic results; administering therapeutic interventions; and reporting patient outcomes including toxicities or adverse events.
- Participate in interdisciplinary quality improvement and/or research activities.
- Participate in measuring and documenting outcomes.
- Provide expertise and resource information to other healthcare providers, patients and families, and the community at large related to cardiothoracic diseases, procedures, interventions, and conditions.
- Implement and evaluate appropriate educational programs for referring MDs
- Develop, implement and evaluate standards of care/practice guidelines/policies and procedures/care maps/protocols within area of specialization.
- Develop programs and projects in areas of expertise to facilitate the attainment of the goals and objectives of the Duke University Hospital and Duke University Health System.
Job Eligibility Requirements
PA: Graduate of ARC accredited Physician Assistant Program, Masters or DSc Degree preferred
NP: Graduate of accredited MSN or DNP Pediatric Nurse Practitioner Program.
PA: Current unrestricted medical license issued by NCMB with authorization to practice as a PA.
NP: Current unrestricted RN license issued by the NCBON with authorization to practice as a NP.
NP: PNP-AC or PNP-PC
APP experience preferred in similar capacity, but not required
Physical and mental requirements:
- Knowledge of professional nursing theory, clinical practice standards, and scope of an advanced practice clinical nurse specialist role. OR Able to clearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant / CNM in the state of North Carolina and within the Duke University Health System. OR NC statement OR LC statement
- 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
Primary hours will be Monday-Friday, 8am-5pm, and other hours as needed to fulfill the responsibilities of the position.
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.
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Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob 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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