Advanced Practice Provider

Duke Health Integrated PracticeDuke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.Duke Nursing Highlights:Duke University Health System is designated as a Magnet organization. Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification. Duke University Health System has 6000 + registered nurses. Quality of Life: Living in the Triangle! Relocation Assistance (based on eligibility).Occ SummaryThe Nurse Practitioner (NP) has as their primary responsibility the management of a caseload of patients who are typically not in critical care inpatient settings or patients in an ambulatory primary care or specialty clinic setting. The NP works collaboratively with the supervising physician or designated back-up physicians. The NP provides direct patient care services including but not limited to physical exams, collects & documents data, orders and conducts approved diagnostic and therapeutic procedures, orders and scheduled laboratory studies, orders and/or conducts professional consultations and prescribes appropriate interventions and medications. The NP contributes to excellence in patient care, research, teaching, consulting, and provides leadership to the organization and healthcare professions.Work PerformedProvide direct clinical services for neonatal, pediatric, or adult patients who require either a non-critical care inpatient setting or an ambulatory primary care or specialty clinic setting, according to established protocols and utilizes evidence-based clinical practice standards in collaboration with the supervising physician. Obtain patient health histories and complete physical examinations. Document findings noting pertinent normal and abnormal findings. Order and interpret appropriate diagnostic and laboratory tests. Explain the necessity, preparation, nature, and anticipated effects of procedure(s) to patients, patient's family, staff, and healthcare learners. Perform approved therapeutic or diagnostic procedures based upon patient's clinical status. Document patient preparation and response to procedure(s). Formulate and implement treatment plan for acute illness management in collaboration with the designated primary supervising physician and/or attending back-up physician(s). Document in medical records and appropriate narrative summaries. Utilize prescriptive privileges as allowed by the North Carolina Boards of Nursing. Document all prescriptions in a patient's medical record. Assess patient for change in status and institute appropriate interventions. Initiate necessary emergency interventions to stabilize patients. Provide family-centered care by communicating with the family regarding the changing health care needs of their infant, child, or family member. Assesses family adaptation, coping skills and the need for crisis or other intervention. 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 documenting and reporting patient outcomes including toxicities or adverse events. Perform and participate in quality/performance improvement activities and clinical research. Serve as a clinical expert and leadership consultant to nursing, members of the healthcare team and to the larger community. Participate in and support accreditation, compliance, and regulatory activities of the organization. Identify educational needs of the family and participate in teaching opportunities. Assess educational needs, plan, provide, and evaluate educational programs for nursing staff, interdisciplinary healthcare team, and community. Participate in precepting nurse practitioners, other healthcare team members, and healthcare learners. Participate in the development, review, and evaluation of NP practice protocols within legal guidelines in compliance with DUHS policies. Role model professionalism through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, and problem-solving skills. Demonstrate responsibility for professional practice through active participation in professional organizations and continuing education. Enhance the body of knowledge of nursing and/or area of specialization through exchange of ideas and knowledge in professional organizations, oral presentations, posters, research activities, and written publications.Minimum QualificationsEducation Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing. Experience None required above education/training requirement. 3 years of RN experience strongly preferred. OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE Degrees, Licensures, Certifications Must have current or compact RN licensure & NP approval to practice in the state of North Carolina. BLS required. National certification as a NP required.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 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.