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Pediatric Critical Care Nurse Practitioner or Physician Assistant

Work Arrangement: 
Requisition Number:  144488
Regular or Temporary:  Regular

Durham, NC, US, 27710

Personnel Area:  DUKE HOSPITAL
Date:  Aug 3, 2022

Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.


U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.


Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.


In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.


Duke Nursing Highlights:


  • Duke University Health System is designated as a Magnet® organization
  • Nurses from each hospital are consistently recognized each year as North Carolina’s Great 100 Nurses.
  • Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
  • Duke University Health System has 6000 + registered nurses
  • Quality of Life: Living in the Triangle!
  • Relocation Assistance!


Occ Summary

The Critical Care Nurse Practitioner (CCNP) is a member of the intensive care team and has as his/her primary responsibility the management of a caseload of critically ill complex (multi-organ) patients in an intensive care setting. The CCNP is under the direct supervision of the ICU supervising physician or designated back-up physicians. The CCNP has specialized skill and knowledge related to the unique ICU setting in which s/he practices (e.g. ICN, PICU, PBMT unit, Neuro ICU, etc.) and performs physical exams, collects and documents data, conducts approved diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, and provides direct patient care services in a specific ICU or step-down unit. The CCNP contributes to excellence in patient care, research, teaching, consulting, and provides leadership to the organization and nursing profession.

Work Performed

patient. policies. opportunities. education. Provide direct clinical services for critically ill neonates, pediatric, or adult patients with multi-organ trauma or multi-system failure, according to established protocols and utilizes evidence-based clinical practice standards under the supervision of the ICU supervising physician. Obtain patient health histories and complete physical examinations. Document findings noting pertinent normal and abnormal findings. Order and interpret appropriate diagnostic and laboratory tests. Explain the necessity, preparation, nature and anticipated effects of procedure(s) to patients, patient's family, staff, and healthcare learners. Perform approved therapeutic or diagnostic procedures based upon patient's clinical status. Document patient preparation and response to procedure(s). Formulate and implement treatment plan for acute illness management in collaboration with the designated primary supervising physician and/or attending back-up physician(s). Document in medical records and appropriate narrative summaries. Utilize prescriptive privileges as allowed by the North Carolina Boards of Medical Examiners and Nursing. Document all prescriptions in patient's medical record. Assess patient for change in status and institute appropriate interventions. Initiate necessary emergency interventions to stabilize Provide family-centered care by communicating with the family regarding the changing health care needs of their infant, child, or family member. Assesses family adaptation, coping skills and the need for crisis or other intervention. Utilize current research and evidence-based decision-making in all clinical practice.Incorporate clinical research findings in the development and implementation of standards of care. Support IRB approved clinical research/trials though a variety of activities including but not limited to: obtaining consent; ordering diagnostic tests; recording laboratory & diagnostic results; administering therapeutic interventions; and documenting and reporting patient outcomes including toxicities or adverse events. Perform and participate in quality/performance improvement activities and clinical research. Serve as a clinical expert and leadership consultant to nursing, members of the healthcare team and to the larger community. Participate in and support accreditation, compliance, and regulatory activities of the organization. Identify educational needs of the family and participate in teaching Assess educational needs, plan, provide, and evaluate educational programs for nursing staff, interdisciplinary Precept new nurse healthcare team, and community. practitioners, other advanced practice nurses, and healthcare learners. Participate in the development, review, and evaluation of CCNP practice protocols within legal guidelines in compliance with DUHS Role model advanced practice professional nursing ethical decision-making, critical thinking, and problem-solving skills. through conduct, appearance, communication, mutual respect, leadership, Demonstrate responsibility for professional practice through active participation in professional organizations and continuing Enhance the body of knowledge of nursing or area of specialization through exchange of ideas and knowledge in professional organizations, oral presentations, posters, research activities, and written publications.

Knowledge, Skills and Abilities


Level Characteristics


Minimum Qualifications


Work requires completion of an accredited Nurse Practitioner program, preferred. with a Master's degree in Nursing. Critical Care / Acute Care NP Master's or completion of ACNP/CCNP post-Master's program strongly


1 Year of Experience in an ICU setting (RN or NP), 3 years of experience strongly preferred.

Degrees, Licensures, Certifications

Must have current or compact RN licensure in the state of North Carolina. BLS required. National certification as a NP required prior to or within 6 months of employment. Certification as an Acute Care or Critical Care Nurse Practitioner strongly preferred.


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.


Nearest Major Market: Durham
Nearest Secondary Market: Raleigh