Duke University Health System
Neonatal Critical Care Nurse Practitioner (NNP) or Physician Assistant - NICU
Duke University Health System, Durham, North Carolina, United States, 27703
Neonatal Critical Care Nurse Practitioner (NNP) or Physician Assistant - NICU
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. Neonatal Critical Care Nurse Practitioner (NNP) or Physician Assistant - NICU
NNP and PA applicants with 2 years neonatal APP experience or more are eligible for a $10,000 Commitment bonus. Relocation Assistance is also available. Job Location: Duke University Hospital / NICU Job Summary The Neonatal APP provides direct patient care services and performs medical procedures under the supervision of a supervisory physician to infants (birth through 2 years of age) in specialized neonatal units to include Intensive Care Nurseries, Intermediate Care Nurseries, and the Special Care Nurseries in the Duke University Health System. Job Duties And Responsibilities
In collaboration with the attending of service and/or fellows, 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 under the hospitalist supervising physician or backup physician, who is either on site or available by pager. Collaborate with fellows, attending, other APP colleagues, 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 a change in status and institute appropriate interventions. Initiate emergency interventions to stabilize the patient until physician support arrives. Post-procedural stabilization and management. Develop patient care pathways, protocols, and guidelines for managing specific problems in conjunction with physicians and other members of the health care team. Communicate verbally and in writing all pertinent patient information to the supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers. Document in the patients' medical records all relevant data, including, but not limited to, diagnostic test results, laboratory results, patients' condition and response to therapies/interventions, and communications with the supervising MD. 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 attending, APP, or fellow at the end of the shift. Assess educational needs of the patient-care staff and provide one-on-one and formal education as needed. Assess the educational needs of the patients/families and provide culturally sensitive patient/family education interventions as indicated. 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. 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. Participate in interdisciplinary quality improvement and/or research activities. Provide expertise and resource information to other healthcare providers, patients and families, and the community at large related to pediatric diseases, procedures, interventions, and conditions. Develop, implement, and evaluate standards of care/practice guidelines/policies and procedures/care maps/protocols within the area of specialization. Maintain all professional requirements for licensure and certification. Job Eligibility Requirements Education NP: Graduate of an accredited MSN or DNP Neonatal Nurse Practitioner Program PA: Graduate of an accredited Master's Degree or Doctoral Degree Physician Assistant Program plus a Neonatal APP Fellowship Certification NP: Neonatal Nurse Practitioner (NNP) PA: PA-C Both: BLS, NRP mandatory before hire License NP: Current and unrestricted RN license issued by or recognized by the NCBON with approval to practice as NP PA: Current and unrestricted medical license issued by the NCMB with approval to practice as PA Both: Fed & State DEA license Experience NP: 3 years RN experience as a neonatal nurse, 1-year NNP experience preferred PA: 1 year PA experience through neonatal fellowship or as a neonatal provider Job Hours Primary hours will be rotational, covering 24 hours / 7 days per week, including nights, weekends, and holidays. 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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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. Neonatal Critical Care Nurse Practitioner (NNP) or Physician Assistant - NICU
NNP and PA applicants with 2 years neonatal APP experience or more are eligible for a $10,000 Commitment bonus. Relocation Assistance is also available. Job Location: Duke University Hospital / NICU Job Summary The Neonatal APP provides direct patient care services and performs medical procedures under the supervision of a supervisory physician to infants (birth through 2 years of age) in specialized neonatal units to include Intensive Care Nurseries, Intermediate Care Nurseries, and the Special Care Nurseries in the Duke University Health System. Job Duties And Responsibilities
In collaboration with the attending of service and/or fellows, 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 under the hospitalist supervising physician or backup physician, who is either on site or available by pager. Collaborate with fellows, attending, other APP colleagues, 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 a change in status and institute appropriate interventions. Initiate emergency interventions to stabilize the patient until physician support arrives. Post-procedural stabilization and management. Develop patient care pathways, protocols, and guidelines for managing specific problems in conjunction with physicians and other members of the health care team. Communicate verbally and in writing all pertinent patient information to the supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers. Document in the patients' medical records all relevant data, including, but not limited to, diagnostic test results, laboratory results, patients' condition and response to therapies/interventions, and communications with the supervising MD. 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 attending, APP, or fellow at the end of the shift. Assess educational needs of the patient-care staff and provide one-on-one and formal education as needed. Assess the educational needs of the patients/families and provide culturally sensitive patient/family education interventions as indicated. 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. 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. Participate in interdisciplinary quality improvement and/or research activities. Provide expertise and resource information to other healthcare providers, patients and families, and the community at large related to pediatric diseases, procedures, interventions, and conditions. Develop, implement, and evaluate standards of care/practice guidelines/policies and procedures/care maps/protocols within the area of specialization. Maintain all professional requirements for licensure and certification. Job Eligibility Requirements Education NP: Graduate of an accredited MSN or DNP Neonatal Nurse Practitioner Program PA: Graduate of an accredited Master's Degree or Doctoral Degree Physician Assistant Program plus a Neonatal APP Fellowship Certification NP: Neonatal Nurse Practitioner (NNP) PA: PA-C Both: BLS, NRP mandatory before hire License NP: Current and unrestricted RN license issued by or recognized by the NCBON with approval to practice as NP PA: Current and unrestricted medical license issued by the NCMB with approval to practice as PA Both: Fed & State DEA license Experience NP: 3 years RN experience as a neonatal nurse, 1-year NNP experience preferred PA: 1 year PA experience through neonatal fellowship or as a neonatal provider Job Hours Primary hours will be rotational, covering 24 hours / 7 days per week, including nights, weekends, and holidays. 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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