Cardiology Hospitalist Advanced Practice Provider

3 weeks ago

Raleigh, North Carolina, United States Duke University Full time
Job Summary

The Cardiology Hospitalist Advanced Practice Provider is a key member of the cardiology team, responsible for providing direct patient care services and performing medical acts as an NP or PA, under the supervision of the supervisory physician. This position will work with cardiology patients in the Cardiology Service, including general cardiology, Electrophysiology (EP), and Heart Failure (HF) patients.

Key Responsibilities
  • Evaluate new patients consults and established consult patients, diagnose, treat, and manage common conditions in the cardiovascular patient population.
  • Perform an appropriate history and physical exam on all assigned patients, write progress notes, prepare patient workups and summaries, and assume responsibility for developing therapeutic relationships with patients.
  • Facilitate and order diagnostic studies, including echocardiograms, cardiolite stress tests, magnetic resonance imaging, and cardiac catheterization if indicated, and review with attending MD.
  • Assist Cath Lab APP with pre/post procedural area and phase of care.
  • 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 rounding teams, including attendings, APPs, to appropriately allocate workload based on daily census, clinical, and operational needs.
  • Assist in the training of new employees, students, and fellow trainees, to the limits of competence, and actively participate in educational conferences.
  • Discharge all assigned admitted/procedural/surgical patients, as directed by the Attending physician, including dictating discharge summary, patient education, patient wound care instructions, and prescriptions, and entering discharge orders.
  • In collaboration with attending and/or hospitalist, round daily on patients to assess, diagnose, plan treatment, set priorities, and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care.
  • Provide and coordinate clinical care for service-specific patients through established protocols and under the hospitalist supervising physician or backup physician who is either on site or available by pager.
  • Collaborate with the hospitalist, attending, other NP/PA colleagues, nurses, and patient resource managers 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 to provide the best medical care and 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.
Requirements
  • Education: Graduate of ARC-accredited Master's Degree or Doctoral Degree Physician Assistant program or accredited MSN or DNP Acute Care Nurse Practitioner program for adult care.
  • Licensure: Unrestricted medical license issued by NCMB to practice as PA or unrestricted RN licensure issued by or recognized by the NCBON with approval to practice as an NP.
  • Certification: PA-C or ACNP or AGACNP.
  • Experience: Strongly prefer candidate with at least one year of provider experience in cardiology setting, but will also consider a new or recent graduate with relevant nursing experience or clinical rotations.
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

The Cardiology Hospitalist APP position is a full-time salaried position, working a 40-hour work week. Shifts are staggered dayshift hours covering all 7 days of the week, including holidays, 7 am - 3:30 pm or 9 am - 5:30 pm. Variations in hours and days of the week covered may be changed by Heart Center Leadership in consultation with the clinical service line leadership based on service needs.

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