Job LocationDuke Hospital, 2301 Erwin Road, Durham, NC
Job SummaryDuke Emergency Medicine is seeking
Critical Care Advanced Practice Providers to join our nationally recognized team at
Duke University Hospital, a premier tertiary referral center and Level I Trauma Center serving patients across North Carolina and the surrounding region.
Our state-of-the-art Emergency Department is designed to support high-acuity, high-impact care and includes:
- Five adult emergency care areas supporting diverse and complex patient populations.
- Advanced, in-department CT scanners, X-ray suites, and point of care ultrasound equipment for rapid access to diagnostics.
- A 24-bed Clinical Evaluation Unit (CEU) focused on efficient ED observation and enhancing patient flow.
- A dedicated 13-bed Pediatric Emergency Department.
- A 7,000-square-foot ambulance bay supporting high-volume EMS arrivals.
Job Duties & Responsibilities- In collaboration with the attending physician(s), provide direct clinical services for critically ill patients according to the established protocols and utilizing evidence-based clinical practice in the Clinical Evaluation Unit.
- Perform detailed histories and physical exams on patients placed in observation.
- Develop, initiate, and manage individualized treatment plans for a broad range of acute and subacute conditions.
- Order, interpret, and act on diagnostic studies including labs, imaging, and EKGs.
- Initiate appropriate therapeutic interventions including medications, IV fluids, respiratory therapies, wound care, and other procedures within scope of practice.
- Monitor and reassess patient status throughout their observation stay to ensure clinical stability and progress toward discharge goals.
- Make timely decisions regarding patient disposition, coordinate specialty consultations, and facilitate transitions of care.
- Communicate effectively with patients and families regarding diagnosis, treatment plans, expectations, and follow-up.
- Document all clinical encounters and updates in the electronic medical record.
- Complete required admission, progress, and discharge notes in accordance with departmental protocols.
- Support the operational goals of the ED and hospital by managing observation patients efficiently.
- Assist in identifying barriers to timely discharge and proactively work to resolve them.
- Help ensure appropriate use of observation status in compliance with regulatory guidelines.
- Adhere to evidence-based clinical pathways, protocols, and institutional guidelines.
- Participate in ongoing quality improvement initiatives, case reviews, and morbidity & mortality discussions.
- Promote a culture of safety, respect, and accountability within the unit.
- Stay current with developments in emergency and observation medicine through CME, journal review, and departmental education sessions.
- Support orientation and mentoring of new APPs, residents, and students rotating through the observation unit.
- Seek opportunities to contribute to operational improvements, academic projects, or protocol development.
Job Eligibility RequirementsEducation - Nurse Practitioners:
- Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing.
- Critical Care / Acute Care NP Master's or completion of ACNP/CCNP post-Master's program strongly preferred.
- Physician Assistants:
- Completion of an accredited Physician Assistant program.
- A Bachelor's degree required; Master's degree strongly preferred.
CertificationLicense- Nurse Practitioners:
- Must have current or compact RN licensure in the State of North Carolina.
- Must have a national certification as a Nurse Practitioner.
- Certification as an Acute Care or Critical Care Nurse Practitioner strongly preferred.
- Physician Assistants:
- Must be licensed as a Physician Assistant in the State of North Carolina.
- Must have active certification as a Physician Assistant by the National Commission on Certification of Physician Assistants (NCCPA).
- DEA licensure required.
Minimum Experience Requirements- Nurse Practitioners: 1 year of experience as a nurse practitioner in an emergency medicine, observation, or critical care setting preferred.
- Physician Assistants: 1 year of experience as a physician assistant in emergency medicine, observation, or critical care setting preferred.
- Post-graduate training in emergency medicine, observation, or critical care preferred.
Job Hours12-hour rotating day/night shifts or nocturnist role available
