Pediatric Heart Center APP Fellowship - Physician Assistant or PNP-AC (NEW GRADS WELCOME TO APPLY)
Company: Duke Health
Location: Durham
Posted on: November 11, 2024
Job Description:
At Duke Health, we're driven by a commitment to compassionate
care that changes the lives of patients, their loved ones, and the
greater community. No matter where your talents lie, join us and
discover how we can advance health together. -About Duke University
Hospital -Pursue your passion for caring with Duke University
Hospital in Durham, North Carolina, which is consistently ranked
among the best in the United States and is the number one hospital
in North Carolina, according to U.S. News and World Report for
2023-2024. Duke University Hospital is the largest of Duke Health's
three hospitals and features 1048 patient beds, 65 operating rooms,
as well as comprehensive diagnostic and therapeutic facilities,
including a regional emergency/trauma center, an endo-surgery
center, and more. - - -This opportunity will not start until July
1, 2025. -Seeking PA or PNP-AC recent graduates or those that will
graduate by May 2025. -Job Location - Duke University Hospital -Job
SummaryThe Duke Pediatric Heart Center Advanced Practice Provider
(NP or PA-C) Fellowship rotates through clinical settings in the
pediatric heart center, which includes inpatient and outpatient
locations. - There will be heavy emphasis in the pediatric cardiac
intensive care unit (PCICU), PICU, and pediatric cardiac stepdown.
- The APP Heart Center fellow will work alongside APPs and MDs to
provide direct patient care services for newborn congenital heart,
surgical, and medically ill pediatric heart center patients from
birth to young adults at Duke University Hospital or in the clinics
in collaboration with APPs, cardiologists, and surgical physicians.
- The APP Fellow 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. - The APP Fellow contributes to excellence in
patient care, research, teaching, and learns to provide leadership
in the organization. - -Goals of Pediatric Heart Center
fellowship:
Acquire a deep and broad knowledge
base of the common congenital heart anomalies and disease
processes for which patients are
hospitalized, understanding the pathophysiology, various presenting
clinical presentations and disease prognosisDevelop a diverse
differential diagnosis and respective diagnostic and treatment plan
based upon thepatient's presenting symptoms along with
evidence-based and cost-effective medical careManage patients
effectively throughout the whole hospital stay, including
admission, daily rounds and continuing evaluation, and dismissal,
while remaining cognizant of the patient's or families emotional,
physical and spiritual needsLearn practice management, including
strategies in training APPs and APP studentsDevelop keen verbal
skills to effectively communicate with colleagues, physicians,
patients and ancillary staff to ultimately become a key part of the
inpatient health care delivery team -Job Duties and
ResponsibilitiesClinical Expert:
- In collaboration with cardiology
attendings, PCICU attendings, surgeon(s) and/or APPs, 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 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 APP, attending, resident
and/or intern at the end of the shift -
- Educator:
- 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/procedure education in
patients' medical record.
- Implement and evaluate appropriate educational programs for
DUHS patient care staff and other healthcare providers as
appropriate.
- Role model and precept healthcare learners through contractual
agreements. -
- Research Utilization and
Investigation:
- 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. -
- Consultant: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 MDsDevelop, 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. -
- Professional Leadership and Development:
- Role model advanced practice professionalism through conduct,
communication, dress, leadership, ethical decision-making, critical
thinking and problem solving skills.
- Participate in at least one professional organization.
- Demonstrate responsibility for professional practice through
active participation in the Cardiology department, CAP Department,
and professional organizations. - Meet Continuing Education
requirements as designated by the NC Medical Board and/or NC
Nursing Board. - Maintain professional certification.
- Enhance the body of knowledge in area of specialization through
written publications, oral presentations, posters, continuing
education, etc.
- Maintain all professional requirements for licensure and
certification
- Attend educational conferences regularly, morbidity and
mortality conferences, code reviews, NP monthly meetings and attend
twice a year adult congenital sessions. - -
- When caring for adults with congenital heart disease, plan for
situations beyond expertise, consult with and refer to other health
care providers as appropriate. - -Job Eligibility
RequirementsEducation (MUST GRADUATE BY May 31, 2025)PA: - - - - -
- - - Graduate of ARC accredited Physician Assistant Program,
Masters or DMSc degree preferredNP: - - - - - - - - Graduate of
accredited MSN or DNP Pediatric Acute Care Nurse Practitioner
Program -CertificationPA: - - - - - - - - PA-CNP: - - - - - - - -
PNP-AC -LicensePA: - - - - - - - - Current unrestricted medical
license issued by the NCMB with authorization to practice as PANP:
- - - - - - - - Current unrestricted RN license issued or
recognized by the NCBON with authorization to practice as NP
-Experience:New PA or PNP-AC grads welcome to apply, no APP
experience required -Life support: - - - - - - - - - - - BLS
(required) - - - - - - - - - - - - PALS (required)ACLS
(recommended) -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 HoursPrimary hours will be 14 shifts a month, 12-hour shifts,
including days, nights, weekends and holidays. - Flexibility is
required to meet clinical needs of the service. - - - - - - 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 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. -
Keywords: Duke Health, Greensboro , Pediatric Heart Center APP Fellowship - Physician Assistant or PNP-AC (NEW GRADS WELCOME TO APPLY), Healthcare , Durham, North Carolina
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