Critical Care Physician Assistant - Emergency Medicine (NIGHT SHIFT)

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About Duke Regional Hospital

Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina, which ranks as the number four hospital in the Raleigh-Durham, North Carolina area, accordingto U.S. News and World Report for 2023-2024. Duke Regional Hospital is the second largest of Duke Health's three hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.

Job Location:    Duke Regional Hospital – Durham, North Carolina

Job Summary

The Critical Care Physician Assistant (CCPA) is a key member of the Emergency Department Team at Duke Regional.  The CCPA is used to their full potential working collaboratively within the Emergency Department to provide direct patient care services, which includes:  performing physical exams, collecting and documenting data, conducting diagnostic and therapeutic procedures, ordering laboratory studies and professional consultations, prescribing appropriate interventions, medications and coordinating the care of patients.  The CCPA also provides direct clinical services for critically ill patients with multi-organ trauma or multi-system disease /failure, according to established protocols and utilizes evidence-based clinical practice standards under the supervision of the ED supervising physician.

Job Duties and Responsibilities:

• Provide direct clinical patient care services for acutely ill and injured patients according to established protocols.
• Perform approved diagnostic and therapeutic procedures based upon patient's clinical status.
• Formulate and implement treatment plan for acute illness management in collaboration with the designated supervising physician and/or attending physician.
• Obtain patient health histories and complete physical examinations.
• Order and interpret appropriate diagnostic and laboratory tests/procedures.
• Provide medical assessment, diagnostic determination and clinical management necessary to ensure appropriate clinical disposition of Emergency Department patients.  
• Perform procedures specific to the work environment after demonstrated competency and within the guidelines of scope of practice and credentialing protocols.
• Initiate necessary emergency interventions in an effort to stabilize patients.
• 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.
• Utilize prescriptive privileges for prescribing, ordering and or administering drugs within prescribing authority.
• Provide family-centered care by direct contact and consultation with patient, patient’s family members, friends, advocates and others to ensure effective communication of patient status and care plans.
• Accurate and timely completion of all clinical and professional records and documentation to assure compliance with local, state and federal regulatory, licensure and accreditation requirements.
• Work to create a positive work culture within the department and cross-departmental teams.
• Communicate with consulting providers as appropriate to facilitate necessary ongoing care and treatment of patients.
• Assess educational needs of the patient and/or patient’s family and provide culturally sensitive patient/family education interventions as indicated.  Use non-technical language when educating patients and families.  Document all education in patients’ medical record.
• Ability to work with others in a professional, cooperative and collaborative manner.

Job Eligibility Requirements

Education

• Graduate of accredited Master’s Degree or Doctoral Degree Physician Assistant program

Certification

• PA-C only (no NP’s being considered for this position)
• BLS certification is required.

License

• Unrestricted medical license issued by the NCMB with authorization to practice as a PA
• Fed/State DEA prescriptive authority

Experience

• Emergency Medicine experience strongly preferred, but will consider relevant experience such as EMS/Paramedic/Medic.

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

The Emergency Department is staffed 24/7 with a mix of physicians and APPs.   APP shifts are 10 hours.  This position is for a full-time, 1.0 nocturnist = 14 shifts /month.  

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.