Master's degree in Nursing for Nurse Practitioners or Bachelor's degree (Master's preferred) for Physician Assistants
Current or compact RN licensure in North Carolina for Nurse Practitioners
BLS certification required
National certification as an NP required within 6 months of employment
Experience in Neurosurgery or Orthopaedics preferred
Responsibilities
Independently take patient histories and conduct physical examinations
Order and schedule laboratory studies and diagnostic procedures
Perform diagnostic procedures to assist in diagnosing medical and surgical problems
Monitor patient progress in inpatient and outpatient settings
Participate in clinical research projects and teach students and residents
Analyze clinical practice patterns for improved patient care
Document all relevant patient data in the electronic medical record
Benefits
Flexible hours to meet patient needs
Opportunity to work in a collaborative environment with physicians and advanced practice providers
Involvement in clinical research and teaching
Access to a diverse patient population with complex neurological and spinal disorders
Supportive team culture focused on quality patient care
Full Job Description
Job Location
Duke Spine Center - Duke Clinic - 40 Duke Medicine Circle - Durham, NC
Job Summary
We are seeking an Advanced Practice Provider in our Duke Department of Neurosurgery at the Duke Spine Center located in Durham, NC to provide direct patient care services in collaboration with physicians and advanced practice providers to patients with neurological, spinal disorders. The most common diagnoses we encounter are spine tumors, complex spinal deformity, and chronic back pain.
Primary hours will be Monday through Friday 7:30 AM - 5:00 PM with hours flexible to meet the needs of the patients. Independent clinics one to two days per week. Joint clinic with provider weekly. Initial patient encounters will include new and post-op patients. Flexibility needed for in-hospital consults and rounding.
Job Duties & Responsibilities
Independently take patient histories, conduct physical examinations, and record the data in the patient's record; write progress notes; prepare patient workups and summaries noting pertinent positive and negative findings; obtain psychosocial history relevant to patient care; and assume responsibility for developing therapeutic relationships with patients.
Order and schedule laboratory studies and diagnostic procedures; explain necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient; and assume responsibility to follow-up on the results of these studies and procedures and relay critical information to the supervising physician.
Perform diagnostic procedures to assist the supervising physician in diagnosing medical and surgical problems; prescribing necessary treatment and services for quality patient care; and recording the normal and abnormal data for review by the supervising physician.
Monitor progress of patients in both the inpatient and outpatient settings; report progress to supervising physician; and maintain record of each patient's progress, consulting with supervising physician when patient's progress does not meet anticipated and/or predetermined criteria.
Participate in basic science and clinical research projects conducted by supervising physician. Participate in teaching students and residents in techniques and procedures which are unique to specific clinical setting.
Miscellaneous
Analyze clinical practice patterns to provide the best medical care and to increase effectiveness and efficiency.
Communicate verbally and in writing all pertinent patient information to supervising physician, nursing staff as well as other relevant healthcare providers.
Provide timely documentation in the electronic medical record of all relevant data including results of diagnostic tests; laboratory results; patients' condition and response to therapies/interventions and communications with physician/advanced practice provider colleagues.
Provide timely response to patients Maestro Care and phone messages.
Job Hours
Primary hours will be Monday through Friday 7:30 AM - 5:00 PM with hours flexible to meet the needs of the patients.
Job Eligibility Requirements
Education
Nurse Practitioners: Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing.
Physician Assistants: Completion of an accredited Physician Assistant program. A Bachelor's degree required; Master's degree strongly preferred.
Certification
BLS required.
License
Nurse Practitioners: Must have current or compact RN licensure in the state of North Carolina. BLS required. National certification as an NP required prior to or within 6 months of employment.
Physician Assistants: Must be licensed in the state of NC and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants.
Experience
APP with experience in Neurosurgery or Orthopaedics preferred.
