Nurse Practitioner/Physician Assistant: Duke Radiology - Nuclear Medicine Division

As a part of Duke Health’s outpatient clinic network, you will enjoy competitive compensation, comprehensive benefits plans, convenient work hours, and many opportunities for career advancement. Become a part of a team that values and invests in you.

Duke Advanced Practice Highlights:

• The nation’s first Physician Assistant Program was created at Duke in 1965 and is consistently ranked No. 1 in the country.
• The Duke School of Nursing is consistently ranked as one of the top nursing schools and their MSN and DNP programs offers eight advanced practice registered nurse majors and specialty certifications, as well as post master’s certificates and certification alignment programs.
• Commitment to ongoing learning for APPs through annual CME funding and access to high-quality Duke CME offerings including APP Grand Rounds and a professional advancement program.  APPs are leaders in multiple arenas within Duke.
• Duke offers APPs opportunities to practice within team based integrative care in a tremendous variety of specialties.  APPs are expected to work to top of scope in order to contribute to Duke’s missions which include clinical practice, education, and research.
• Practice locations can include Duke Health’s three hospitals or over 140 primary care and specialty care clinics throughout North Carolina.

Job location

Duke University Hospital - Duke Medical Pavilion - 10 Medicine Circle - Durham, NC

We are seeking an Advanced Practice Provider to join our Duke Department of Radiology Nuclear Medicine Division at Duke University Hospital in Durham, NC to work in partnership with our physicians and team of Advanced Practice Providers to deliver exceptional and innovative patient care by collecting and documenting data, conducting diagnostic and therapeutic procedures, ordering and scheduling laboratory studies and professional consultations, and providing direct patient care services. 

Job hours

Primary hours Monday through Friday, 7AM to 4PM; however, flexibility in scheduling is expected and may be required, based on clinical needs, patient volumes, access initiatives, or operational requirements. Your hours may include extended morning or evenings (i.e., before am or after pm). Final schedule and site assignments will be coordinated with your supervisor and communicated in advance. No call or weekend work required

Job Duties and Responsibilities

Description

• Perform and interprets cardiac stress testing on inpatients and outpatients in the Department of Radiology Division of Nuclear Cardiology at Duke University Medical Center and PET department in the Duke Cancer Center.  
• Interview and examine patients prior to diagnostic testing to screen for indications and contraindications of stress testing.
• Notify and present recommendations to the ordering physicians.
• May perform and assist in Nuclear Medicine procedures i.e. lymphoscintigraphies, giving Lasix to renal scans, giving CCK for HIDA scans, etc. 
• Perform exercise perfusion studies and pharmacologic stress studies using Dipyridamole and Regadenoson as stress agents. Sestimibi, Thallium, Tetrofosmin, and Rubidium are used as standard imaging agents. 
• Notify and present recommendations to the ordering physicians.
• Perform emergency lifesaving measures as necessary when indicated.

Job Duties

• Elicit brief history and physical examination pertaining to the cardiovascular system, including medications, past medical history, cardiac risk factors, and history of present illness.
• Educate patients regarding potential risks of the study, procedures, and requirements.
• Screen patients to determine if the attending physician ordered the proper test (exercise vs. pharmacologic stress) and to determine which pharmacologic agent is most appropriate based upon patient’s medical history and exam.
• Acquire patient consent prior to stress testing, explaining risks and benefits of procedures. 
• Perform exercise stress testing while continuously monitoring the electrocardiogram.
• Enter data in reporting software after stressing patients. Must be proficient in reading ECGs.
• Monitor the electrocardiogram, blood pressure, and pulse ox when indicated, during pharmacologic stress testing.  Entering data in reporting software.
• Instruct nuclear technologist when to inject isotopes during stress testing.
• Initiate lifesaving measures as required during stress testing.  Direct the staff during a code using advanced cardiac life support until the EMS or Code Team arrive.
• Interpret the stress electrocardiograms upon completion of the test.
• Assist with stress testing for clinical research projects conducted by the attending physicians in the department.
• Teach PA students, nursing students, radiology residents, cardiology fellows and visiting physicians in the techniques and procedures used during standard stress testing.
• Maintain emergency drug boxes with appropriate drugs, monitor code carts, narcotics, defibrillators, and the glucometer in conjunction with the pharmacy.  Complete review documents on potential future Lutathera and Azedra patients for PRMO review.  Assist with therapies i.e. giving normal saline for Pluvictos, order and give amino acids for Lutathera and edotreotide patients, order and give anti-emetics as needed. 

Job Eligibility Requirements

Education           

• Nurse Practitioners:  Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing.
• Physician Assistants:  Completion of an accredited Physician Assistant program. A Bachelor's degree required; Master's degree strongly preferred.

Certification 

• BLS/ACLS required

 License                

• Nurse Practitioners: Must have current or compact RN licensure in the state of North Carolina. National certification as a NP required.
• Physician Assistants: Must be licensed in the state of NC and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants.
• DEA license required.

Relevant Education and/or Experience

• Prefer 1+ years of experience as a Nurse Practitioner or Physician Assistant in cardiology, nuclear medicine or other related services. Or an equivalent combination of relevant education and/or experience.
• Proven focus on delivering patient-centered care and collaborating with team members at all levels to provide a seamless patient experience.

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 essential job 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.