Nurse Practitioner or Physician Assistant - Wound Care

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About Duke Raleigh Hospital, A Campus of Duke University Hospital

Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of Duke Health’s four hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care.

Job Location

Duke Raleigh Hospital – Wound Healing Clinic

Job Summary

The Wound Management APP (Nurse Practitioner or Physician Assistant) provides leadership and direct patient care services for patients with a variety of wounds. The wound care APP provides direct patient care in the inpatient and outpatient setting, performs physical exams, provides clinical expertise, collects and documents data, and conducts diagnostic and therapeutic procedures. In addition, the APP performs procedures, orders and schedules laboratory studies, serves as a professional consultant, coordinates care among the interdisciplinary teams, prescribes appropriate interventions and medications. The Wound Care APP works collaboratively with a variety of health care providers and teams in planning and the coordination of patient care. The Wound Care NP/PA contributes to excellence in patient care, research, teaching, and provides leadership to the organization.

Working Conditions

The work environment involves risk discomforts that are typical of an acute care setting to include working with patients under isolation and universal precautions. It requires safety precautions, ongoing education and health risk monitoring.  Contact with specimens, chemicals, sharps, radiation, technical equipment and fumes are possible.  Employees are required to wear personal protective attire according to hospital policies and OSHA guidelines.  The work activity and patient acuity levels can create a stressful atmosphere. 

JOB DUTIES and RESPONSIBILITIES

• The ACNP/PA will evaluate new patients, consult and established patients on the wound service as well as diagnose, treat and manage common conditions in the wound patient population.
• Perform an appropriate history and physical exam on all assigned patients. The ACNP/PA will write progress notes; prepare patient workups and summaries noting pertinent positive and negative findings; a psychosocial history will be obtained relevant to patient care. The ACNP/PA will assume responsibility for developing therapeutic relationships with patients.
• Facilitate and order diagnostic studies including vascular studies if indicated, review with attending MD.
• Order and schedule laboratory studies and diagnostic procedures. Explain necessity, preparation, and nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient and family.
• Work closely with the inpatient wound ostomy team, surgical podiatrist, APPs and other service lines to coordinate and facilitate patient care. 
• Assist in the training of new employees, students and fellow trainees, to the limits of competence, and actively participate in educational conferences.
• Collaborate with the supervising physician, attending, other NP/PA colleague’s, nurses, and wound ostomy team to formulate treatment plans and monitor patient progress.
• Perform procedures specific to the work environment after demonstrated competency and within the guidelines of scope of practice and credentialing protocols.

• Analyze clinical practice patterns so as to provide the best medical care and to increase effectiveness and efficiency.
• Prescriptive authority for prescribing, ordering, and or administering drugs; including (but not limited to) schedule II, III, IV, and V drugs and necessary medical devices.

Procedures performed may include but not limited to:

•             Sharp debridement

•             Punch biopsy

•             Shave biopsy

•             Incision & Drainage

•             Compression wrap application

•             Application of skin substitutes

•             Debridement of nails & callous

•             Suture placement

Job Eligibility Requirements

Education

PA:  Graduate of ARC accredited Physician Assistant program

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

Certification

PA:  PA-C

NP:  AGNP or AGACNP or ACNP or FNP

Licensure  

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

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

Experience

PA:  Minimum 1- year experience as a Physician Assistant preferred, but not required

NP:  Minimum 1-year experience as an NP or an equivalent combination of relevant education and/or experience.

Job Hours

Primary hours will be Monday-Friday, 8am-5pm, and other hours as needed to fulfill the responsibilities of the position.

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.