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 Hospital
Center for Advanced Practice
Pediatric Critical Care Medicine (PCCM) Advanced Practice Provider (APP)
Pediatric Intensive Care, Pediatric Cardiac Intensive Care and Progressive Care Units
The Duke Hospital Pediatric Critical Care Medicine Advanced Practice Provider (APP), includes both Nurse Practitioner (NP) and/or Physician Assistant (PA), provides direct patient care services for critically ill pediatric patients aged 0-21 with acute, complex, critical, and chronic illness across a variety of care settings. It is appropriate for the APP to provide care for an aging pediatric patient beyond the age of 21 with a pediatric condition for a limited period of time. Pediatric Critical Care medicine APPs will care for patients in the Pediatric Intensive Care unit (PICU), Pediatric Cardiac Intensive Care unit (PCICU), and Pediatric Progressive Care Unit (PPCU). In addition, APPs will provide critical care management on the Rapid Response and Code blue teams.
Utilizing acquired knowledge of physiology, pathophysiology and pharmacology, the PCCM APP exercises independent decision making in the assessment, diagnosis and development of the plan of care for patients on the PCCM service. In collaboration and consultation with the supervising physician, the PCCM APP contributes to excellence in patient care. As an advanced practice provider, the PCCM APP is additionally involved in education, consultation, research and leadership throughout the Duke Health System, organization and profession.
NP: Work requires completion of accredited graduate level Pediatric Acute Care Nurse Practitioner
PA: Work requires graduation from a Physician Assistant program accredited by the Accreditation Review
Commission on Education for the Physician Assistant (ARC-PA) or its predecessor agencies.
NP: Current licensure as a Registered Nurse in the state of North Carolina and approval to practice as an
PA: Licensure as a Physician Assistant in the state of North Carolina.
NP: National certification as an NP (Pediatric Acute Care certification)
PA: National Commission on Certification of PAs (NCCPA) certification is required
Master's degree required for Nurse Practitioners and strongly preferred for Physician Assistants. Prior experience as a Nurse Practitioner/Physician Assistant in a pediatric acute care clinical setting strongly preferred. Registered Nurses with at least 2 years of ICU nursing experience preferred.
Rotating 12 hours shifts to provide 24hour/day 7 day a week coverage. Schedule may be modified by the clinical or leadership team.
The pediatric Critical Care Medicine Advanced Practice Provider will report directly to the Center for Advanced Practice Team Leader and Director, with input from Supervising Physician into clinical performance appraisal and expected job results.
Process of Evaluation
Evaluation will be ongoing and will encompass the six general areas of competency as defined by The Joint Commission (patient care, medical/clinical knowledge, practice-based learning & improvement, interpersonal & communication skills, professionalism and systems-based practice). Annual and midyear evaluations using the CAP PPR process will be conducted by the Center for Advanced Practice, in coordination with NP/PA's primary supervising physician. Ongoing Review of Care and Quality Improvement meetings with supervising physician will be conducted and documented monthly for the first six months, in accordance with Duke University's and the designated Board's standards, then at least once every six months in accordance with the NC Medical Board.
Specific Job Responsibilities and Standards
Research Utilization and Investigation:
Professional Leadership and Development:
Excellence – We strive to achieve excellence in all that we do.
Safety – We hold each other accountable to constantly improve a culture that ensures the safety and welfare of all patients, visitors and staff.
Integrity – Our decisions, actions, and behaviors are based are based on honesty, trust, fairness, and the highest ethical standards.
Diversity – We embrace differences among people.
Teamwork – We have to depend on each other and work well together with mutual respect to achieve common goals.
APP Procedures and Devices
The APP is able to perform procedures pertinent to the PICU/PCICU within the Duke Health System. These procedures are reviewed and validated through skills labs, procedure QI, and direct supervision on a yearly basis.
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.
In case of an emergency, it is imperative for the APP to act immediately. The on-call attending physician is always available by phone, pager, or is on site. The APP will utilize in-house resources such as other members of the PCCM service (ie. Fellows other APPs, the Pediatric Rapid Response Team, Code Blue Team) and the Emergency Airway Team as needed. The APP will implement Basic Life Support (BLS), Pediatric Advanced Life Support (PALS), Advanced Cardiac Life Support (ACLS) resuscitation measures as needed and call the on-call attending physician.
The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel classified in this position.
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.