Nurse Practitioner or Physician Assistant - Pediatric Critical Care

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

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.

***This position is eligible for a $10,000 Commitment bonus, & Relocation Assistance is also available ***

Job Location

Duke University Hospital

Job Summary

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.

Job Eligibility Requirements

Education

NP: Graduate of accredited MSN or DNP Pediatric Acute Care Nurse Practitioner Program.

PA: Graduate of ARC accredited Physician Assistant Program, Master's Degree or Doctoral Degree preferred.

Certification

NP: PNP-AC or PNP-AC/PC. FNPs and PNP-PCs are not being considered for this position.

PA: PA-C

Licensure

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

PA: Current medical license issued by the NCMB with authorization to practice as a Physician Assistant.

Both: State and Federal DEA unrestricted prescriptive authority

Experience

Nurse Practitioner/Physician Assistant experience in a pediatric acute care clinical setting strongly preferred. 2+ years of ICU nursing experience is also preferred.

Life support

BLS

PALS

Recommended: ACLS

Physical and mental requirements:

• Able to clearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant 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

Rotating 12 hours shifts to provide 24hour/day 7 day a week coverage. Schedule may be modified by the clinical or leadership team when needed.

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.