Orthopedic Advanced Practice Provider

17 hours ago

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

The Orthopedic APP works collaboratively within a multidisciplinary healthcare team to provide comprehensive care to adult inpatient orthopedic patients. This role requires strong communication and problem-solving skills, as well as the ability to work independently and as part of a team.

Key Responsibilities
  • Obtain patient health histories and complete physical examinations
  • Document findings, noting pertinent normal and abnormal findings
  • Order and interpret appropriate diagnostic and laboratory tests
  • Explain the necessity, preparation, nature, and anticipated effects of procedures to patients, families, staff, and healthcare students
  • Perform approved therapeutic or diagnostic procedures based on patient clinical status
  • Document patient preparation and response to procedures
  • Formulate and implement treatment plans for acute illness management in collaboration with the designated primary supervising physician and/or attending backup physician(s)
  • Document in medical records and appropriate narrative summaries
  • Utilize prescriptive privileges as allowed by NC licensure
  • Document all prescriptions in patient medical records
  • Assess patient for change in status and institute appropriate interventions
  • Initiate necessary emergency interventions to stabilize patient
  • Provide family-centered care by communicating with the family regarding the changing healthcare needs of their family member
  • Assess family adaptation, coping skills, and the need for crisis or other intervention
  • Utilize current research and evidence-based decision-making in all clinical practice
  • Incorporate clinical research findings in the development and implementation of standards of care
  • Identify educational needs of the family and participate in teaching opportunities
  • Assess educational needs, plan, provide, and evaluate educational programs for nursing staff, interdisciplinary healthcare team, and community
  • Precept APP students and other new healthcare learners
  • Participate in the development, review, and evaluation of critical care medical management practice protocols within legal guidelines in compliance with DUHS policies
  • Role model professionalism through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, and problem-solving skills
  • Demonstrate responsibility for professional practice through active participation in professional organizations and continuing education
  • Enhance the body of knowledge to the APP profession or other areas of specialization through exchange of ideas and knowledge in professional organizations, oral presentations, posters, research activities, and written publications
Requirements
  • Education: Graduate of an ARC accredited Physician Assistant Program, Master's or Doctoral Degree (PA) or Graduate of an accredited MSN or DNP Acute Care Nurse Practitioner Program for adults (NP)
  • Certification: PA-C (PA) or Adult providers, e.g., FNP, ACNP, AGACNP, AGNP, etc. (NP)
  • License: Current unrestricted medical license issued by NCMB with authorization to practice as PA or Current unrestricted RN License issued by or recognized by NCBON with authorization to practice as NP
  • Federal and State DEA prescriptive authorization
  • Experience: Strongly prefer candidate with 1+ year Orthopedic APP experience
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.

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