Nurse Practitioner or Physician Assistant - Behavorial Health / Psychiatry

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 and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

 

Pediatric Psychiatry and Behavioral Sciences Advanced Practice Provider (APP)

Nurse Practitioner or Physician Assistant

 

Job Location

Duke University Hospital

 

Job Summary

 The Psychiatric Advanced Practice Provider (APP) will provide direct, specialized mental health care to children and adolescents requiring psychiatric evaluation and management who are in the emergency department or admitted to Duke University Hospital. The APP performs physical and mental health exams, gathers comprehensive medical histories from patients and their families, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, and provides direct patient care services. The APP will work closely with physicians and other team members to provide comprehensive care to address the unique mental health needs of pediatric psychiatry patients. The APP contributes to excellence in patient care, research, and teaching, and provides leadership in the organization.

 

Job Duties and Responsibilities

Clinical Expert

•  In collaboration with attending Pediatric Psychiatry physicians, 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 and under the supervising physician or backup physician who is either on-site or available by pager.
• Collaborate with residents, fellows, attendings, other APP colleagues, nurses, patient resource managers, and other health professional team members to formulate treatment plans and monitor patient progress.
• 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 the best medical care and to increase effectiveness and efficiency.
• 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 patient’s medical record all relevant data including but not limited to results of diagnostic tests; laboratory results; patients’ condition and response to therapies/interventions; and communications with the supervising MD.
• Utilize prescriptive privileges only for the identified patient population and in accordance with Duke University Hospital and the NC Board of Nursing/NC Medical Board.
• 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 APP advanced skills.
• Maintain a report of the daily census in the EMR in collaboration with other team members and provide handoff reports for those covering in the evening and on the weekends.

Educator:

• Assess the 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.  Use non-technical language when educating patients and families.  Document all pre and post-op education in patients’ medical records.
• 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.

 

Research Utilization and Investigation:

• Utilize current research and evidence-based decision-making in all clinical practice.
• Incorporate