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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 Urology Surgery Hospitalist Advanced Practice Provider (NP or PA-C) provides direct patient care services for urologic adult and adolescent patients on an intermediate and/or step-down unit or in the clinic in collaboration with residents and surgeons. The NP/PA 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, may assist in the operating room and provides direct patient care services. The Nurse Practitioner/Physician Assistant contributes to excellence in patient care, research, teaching and provides leadership in the organization.

Job Duties and Responsibilities

Inpatient Duties

• Daily inpatient rounding on primary and consult teams
• Assist with daily progress notes
• Take first call on primary urology patients
• Review and order diagnostic and lab studies
• Provide patient and family education
• Provides continuity of care by working collaboratively with the multi-disciplinary teams
• Assist with admissions
• Perform discharges
• Manage/Change/Apply wound vacs, surgical site dressings, catheters, urologic shunts
• Assist in maintaining and improving Quality Metrics
• Provide collaborative and cost-effective care.

Outpatient Duties

• No outpatient coverage currently.
• Outpatient follow up clinic could be incorporated into this clinical role in the future.  

Job Eligibility Requirements

Education

NP:  Graduate of accredited MSN or DNP Nurse Practitioner program for adult care, acute care preferred.

PA:  Graduate of an accredited Physician Assistant program. Master’s Degree or DSc Degree strongly preferred. 

Licensure  

NP:  Current unrestricted RN license issued or recognized by the NCBON with approval to practice as aNP.

PA:  Current unrestricted medical license issued by the NCMB with approval to practice as a PA.

Certification 

NP:  National certification as a Nurse Practitioner for adult care, AGACNP or ACNP strongly preferred.

PA:  PA-C

Experience

1+ years APP inpatient experience preferred but new grads with relevant clinical rotations and/or RN or other clinical role with relevant experience are welcome to apply.

Life support:

BLS Required

ACLS recommended but not required

Physical and mental requirements:

• Able to clearly articulate scope of practice, and practices within those guidelines as an APP in the state of North Carolina and within the Duke University Health System. 

• 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 & 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 schedule will be four 10-hour shifts per week. No on-call or weekend responsibilities. The APPs, along with the Division Chief, will develop a schedule that is mutually amenable. Schedule may be changed by administrative or clinical leadership to meet department needs.

Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe 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.