DRH Nocturnist PHYSICIAN ASSISTANT or Nurse Practitioner
Duke University Health System
Location: Durham, North Carolina
Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 190249
Duke Regional Hospital Duke Regional Hospital offers the personal touch and hometown feel of a community hospital while serving as an essential arm of internationally recognized Duke University Health System. Duke Regional has served Durham, Orange, Person, Granville and Alamance counties for more than 45 years. To be successful at caring for our community and have a strong reputation among patients who seek our care, we have 3,500 team members who work together to provide exceptional, compassionate and equitable healthcare 24/7. We are a place of learning and acceptance for team members just starting their careers, as well as an institution of family culture and professional development for employees who have served for decades in our hospital units.Duke Regional has 388 inpatient beds and offers a comprehensive range of medical, surgical and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. We also offer care at our Duke Rehabilitation Institute, Davis Ambulatory Surgical Center, Duke Ambulatory Surgery Center Arringdon, Health Services Center, and Duke Behavioral Health Center North Durham. In fiscal year 2021, Duke Regional Hospital admitted 16,422 patients, performed 18,152 surgeries and welcomed 2,673 babies into the world. U.S. News & World Report ranked Duke Regional Hospital as #9 in North Carolina and #4 in the Raleigh-Durham area for 2021-22. The Human Rights Campaign consistently names us a Healthcare Equality Leader, and we are a Joint Commission-accredited and Magnet-designated hospital.
Duke Regional Hospital
Hospital Medicine Program
Hospital Medicine Advanced Practice Provider – Nocturnist
The Duke Regional Hospital Medicine Advanced Practice Provider (APP) provides direct patient care services for acutely ill inpatients in an intermediate level care or observation care setting, in collaboration with and under the supervision of the Duke Regional Hospital Medicine physicians. The duties of the Hospital Medicine APP will include admitting patients from the Emergency Department to the DRH Hospital Medicine service, transferring patients from the ICU to the DRH Hospital Medicine service, and performing cross cover for patients admitted to the DRH Hospital Medicine service. The Hospital Medicine APP elicits patient histories, performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, assesses and responds to changes in patients' clinical status, prescribes appropriate interventions and medications, coordinates the care during admission and discharge of patients, and provides direct patient care services. The Hospital Medicine APP contributes to excellence in patient care, research, quality improvement/patient safety, teaching, and provides leadership to the organization.
PA: Work requires graduation from a Physician Assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessor agencies.
NP: Work requires completion of accredited graduate level Nurse Practitioner program.
PA: Licensure as a Physician Assistant in the state of North Carolina.
NP: Current licensure as a Registered Nurse in the state of North Carolina and approval to practice as an NP.
PA: National Commission on Certification of PAs (NCCPA) certification is required.
NP: National certification as an NP.
At least 1 year of clinical experience in an adult inpatient medical setting or emergency medicine setting is preferred but not required.
BLS and ACLS certification are required.
Familiarity using EPIC or another electronic medical record for clinical documentation is preferred.
Physical and mental requirements:
Able to clearly articulate scope of practice, and practice within those guidelines as a Physician Assistant/Nurse Practitioner in the state of North Carolina and within the Duke University Health System.
Able to demonstrate and maintain credentialing and licensing requirements of Duke Regional Hospital, including maintenance of state licensure and Federal DEA licensure.
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.
Shifts will be primarily night shifts (9pm-7am or 11pm-7am). Each PA/NP nocturnist will work an equivalent of 40 hours/week with equitable weekend and holiday coverage. Schedule and hours may be modified by the clinical or leadership team to meet the needs of the program.
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.
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.