Nurse Practitioner or Physician Assisant - Pulmonary Medicine / Lung Transplant

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.

 

 

 

Job Location

Duke University Hospital

 

Job Summary

The Duke Hospital Pulmonary Medicine/Transplant Advanced Practice Provider (APP) provides direct inpatient care services for seriously ill complex (multi-organ) patients on the pulmonary medicine/transplant service under the supervision of the pulmonary transplant attending physician.   The APP 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, assist in the bronchoscopy suite, and provides direct patient care services. This position does not include operating room responsibilities. Outpatient clinic responsibilities may grow over time. The Nurse Practitioner / Physician Assistant contributes to excellence in patient care, research, teaching, and provides leadership to the organization.

 

Job Duties and Responsibilities

• Provide /coordinate clinical practice for pulmonary medicine/transplant patients at Duke Hospital being followed by the pulmonary medicine transplant service through established protocols and under the supervision of the pulmonologist who is either on site or available by phone.
• In collaboration with attending pulmonologist, round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of the pulmonary medicine/transplant patient care
• Collaborate with the chief resident, residents and fellows to formulate treatment plans and monitor patient progress
• May order and/or perform the following procedures:
  • Patient history and perform physical exam
  • Laboratory, radiology, and/or diagnostic procedures/tests
  • Interpretation of laboratory, basic radiographic and diagnostic tests
  • Chest tube management and removal
  • Evaluation of pleurovacs (chest tube drainage systems)
  • Blood sampling via central venous lines (CVLs) including:
    • Temporary central catheters
    • Tunneled catheters
    • Implantable vascular access devices
    • Line placement for peripheral venous access
    • Suture / Staple removal
    • Application of dressings, bandages, wound vacs
    • Simple debridement
    • Manage cantor tubes, NG tubes, G tubes, J tubes including insertion of postpyloric and nasogastric tubes/cortrak placement.
    • Manage support devices, including (but not limited to) hemovac, JP drains,  wound vac
    • Management of acute