Nurse Practitioner or Physician Assistant - Palliative Care @ DRAH

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 Raleigh Hospital, A Campus of Duke University Hospital

Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of Duke Healthas four hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care.

Job Location

Duke Raleigh Hospital

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 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 for adult care

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

PA: Current and unrestricted license issued by the NCMB with authorization to practice as a PA

Both: Federal and State DEA independent license with prescriptive authority

Experience:

Both: 2+ years APP experience, caring for seriously ill patients is strongly preferred

Physical and mental requirements:

• Able to clearly articulate scope of practice and practices within those guidelines as an NP/PA in the state of North Carolina and within the Duke University Health System (DUHS)
• 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, and 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 Hours

Monday - Friday, 8am - 5pm