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Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

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)

Advanced Practice Provider - NP or PA / INPATIENT Palliative Care

Job Location - Duke University Hospital, Palliative Care Service

Job Summary

The Palliative Care Advanced Practice Provider (APP) provides direct patient care services and performs medical acts under the supervision of the supervisory physician to patients >18 years of age requiring palliative care and symptom management.  The APP performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, and prescribes appropriate interventions and medications.  The Palliative Care APP contributes to excellence in patient care, research, teaching, and provides leadership in the organization.

Job Duties and Responsibilities

• In collaboration with attending palliative care physicians; diagnose, plan treatment, set priorities, and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care.
• Provide and coordinate clinical care through established protocols and under the supervising physician or backup physician who is either on site or available by pager.
• Assess patients for change in status and institute appropriate interventions. Initiate emergency interventions 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 to provide optimal palliative care care and to increase effectiveness and efficiency.
• Communicate verbally and in writing all pertinent patient information to referring team,  supervising MD,interdisciplinary team members, patient resource manager, home health agency, a hospice agency and other relevant healthcare providers as needed.
• 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.
• In partnership with the interdisciplinary team (IDT), prioritize establishing patient's goals of care (GOC), including completion of Advanced Care Plan
• Implement a specific plan of palliative care to alleviate suffering and promote the physical, emotional, psychological, and spiritual needs of the patient and family. Pertinent areas addressed should pertain to the reason for referral
• Utilize prescriptive privileges only for identified patient population and in accordance with DUH and NC Board of Nursing/NC Medical Board regulations.
• 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.

Job Eligibility Requirements

Education          

NP:         Graduate of accredited MSN or DNP Nurse Practitioner Program

PA:         Graduate of accredited Master's Degree  or Doctoral Degree Physician Assistant Program

Certification

NP:         Any NP certification that treats adults (FNP, ANP, AGNP, AGACNP, etc.)

PA:         PA-C

Licensure

NP:         Must have unrestricted RN licensure issued by NCBON with authorization to practice as NP

PA:         Must have unrestricted license issued by the NCMB with authorization to practice as a PA

Both:     Federal and State DEA independent license with prescriptive authority

Experience:

NP or PA: APP experience is not required, but 2+ years' experience as an APP, caring for seriously ill patients is strongly preferred

Job Hours

Monday - Friday, 8am  - 5pm

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.

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About Duke University Health System

As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.

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