Critical Care Nurse Practitioner or Physician Assistant - Medical Intensive Care (MICU)

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 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. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

 

Job Location

Duke University Hospital, MICU

 

Job Summary

The Duke Hospital Medical Intensive Care Unit (MICU) Nurse Practitioner (NP)/Physician Assistant (PA) (NP/PA) provides direct patient care services for complex critically ill adult patients in the Medical Intensive Care setting in collaboration with and under the supervision of the MICU attending physicians.  The NP/PA performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, and provides direct patient care services. The NP / PA contributes to excellence in patient care, research, teaching, and provides leadership to the organization.

 

Job Duties and Responsibilities

• Perform patient history, physical exams, and develop treatment plans
• Participate in daily, team-based ICU rounds
• Consult and collaborate with specialty teams
• Manage all aspects of patient care and progression with physician oversight
• Perform and/or assist with advanced procedures, including but not limited to:
• Chest tube placement and removal
• Wound care management
• Airway management and mechanical ventilation
• Central line and arterial line placement
• Paracentesis and thoracentesis
• Flexible bronchoscopy
• NG tube placement
• Manage acute patient decompensations and emergencies

 

Job Eligibility Requirements

Education

PA:       Graduate of ARC accredited Physician Assistant Program. Master’s or Doctoral degree is strongly preferred.  

NP:       Graduate of an accredited MSN or DNP Acute Care / Critical Care Nurse Practitioner program for adult care.

Both:    Completion of Critical Care Fellowship is strongly preferred.

 

Certification 

PA:       PA-C

NP:       CCNP, ACNP or AGACNP only.  (Acute Care Certification is REQUIRED.)

 

Licensure   

PA:       Current unrestricted medical license issued by NCMB with authorization to practice as a PA.

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

Both:    Federal and State Prescriptive Authority

 

Experience

PA:       Minimum 1 year experience as PA in an adult critical care setting OR completion of a Critical Care Fellowship

NP:       Minimum 3 years’ experience as a registered nurse in a critical care setting plus 1 year NP experience with a Medical or Pulmonary Focus is preferred

 

OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE

 

Physical and mental requirements

• Able to clearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant in the state of North Carolina and within the Duke University Health System. 

• 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