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Emergency Medicine Advanced Practice Provider (APP)

Critical Care Physician Assistant or Critical Care Nurse Practitioner

Job Location

Duke Raleigh Hospital

Job Summary

The Emergency Medicine Advanced Practice Provider (APP) is a member of the ED team and his/her primary responsibility is the management of acutely ill and/or injured patients in the emergency room setting. The ED APP is under the direct supervision of the ED supervising physician or designated back-up physicians. The APP performs physical exams, collects and documents data, conducts approved diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, and provides direct patient care services in the Emergency Department. The APP contributes to excellence in patient care, research, teaching, consulting, and provides leadership to the organization and to the APP profession.

Job Duties and Responsibilities include:

• Provide direct clinical services for acutely ill and injured patients according to established protocols
• Utilizes evidence-based clinical practice standards under the supervision of the ED supervising physician
• Obtain patient health histories and complete physical examinations.
• Document findings in the EHR, noting pertinent normal and abnormal findings.
• Order and interpret appropriate diagnostic and laboratory tests through the EHR system.
• 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 to include wound suturing and orthopedic splinting.
• Document patient preparation and response to procedure(s).
• Utilize prescriptive privileges as allowed by NC licensure. Document all prescriptions in patient's medical record.
• Assess patient for change in status and institute appropriate interventions.
• Initiate necessary emergency interventions to stabilize patient.
• Provide family-centered care by communicating with the family regarding the patient's condition.
• Assess 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.
• Perform and participate in quality/performance improvement activities and clinical research.
• Serve as a clinical expert and leadership consultant to 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 the development, review, and evaluation of emergency care medical management 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.
• Other related duties as needed.

Job Eligibility Requirements

Education

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

NP Graduate of accredited MSN or DNP Nurse Practitioner's Program to treat all ages (i.e., FNP, ENP)

License

PA: Current and unrestricted medical license issued by NCMB with authorization to practice as a Physician Assistant

NP: Current and unrestricted RN license issued by or recognized by the NCBON with authorization to practice as a Nurse Practitioner

Certification

PA: PA-C

NP: NP certification to treat all ages, e.g., FNP or ENP.

Experience

PA: Emergency Medicine experience strongly preferred, but will consider relevant PA experience such as EMS/Paramedic

NP: Emergency Medicine NP experience strongly preferred, but will also consider RN with 3 years Emergency Medicine RN experience

Job Hours

The Emergency Department is staffed 24/7 with a mix of physicians and APPs. APP shifts are 10 hours rotating days, nights, and weekends. Full-time 1.0 FTE = 16 shifts /month.

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.