Master's degree in Nursing for Nurse Practitioners or Bachelor's degree (Master's preferred) for Physician Assistants from an accredited program.
Current or compact RN licensure in North Carolina for Nurse Practitioners; NC license and certification by the National Commission for Physician Assistants for Physician Assistants.
BLS/ACLS certification required.
DEA license required.
1+ years of experience in cardiology, nuclear medicine, or related services preferred.
Responsibilities
Perform and interpret cardiac stress testing for inpatients and outpatients.
Interview and examine patients to assess suitability for stress testing.
Notify and present recommendations to ordering physicians.
Assist in Nuclear Medicine procedures as needed.
Conduct exercise and pharmacologic stress studies using various agents.
Monitor patients during stress testing and initiate lifesaving measures when necessary.
Educate patients on study risks and requirements.
Benefits
Flexible scheduling based on clinical needs and patient volumes.
No weekend or call work required.
Opportunity to teach and mentor students and residents.
Access to advanced medical technologies and procedures.
Collaborative work environment with a focus on patient-centered care.
Full Job Description
Job location
Duke University Hospital - Duke Medical Pavilion - 10 Medicine Circle - Durham, NC
We are seeking an Advanced Practice Provider to join our Duke Department of RadiologyNuclear Medicine Division at Duke University Hospital in Durham, NC to work in partnership with our physicians and team of Advanced Practice Providers to deliver exceptional and innovative patient care by collecting and documenting data, conducting diagnostic and therapeutic procedures, ordering and scheduling laboratory studies and professional consultations, and providing direct patient care services.
Job hours
Primary hours Monday through Friday, 7AM to 4PM; however, flexibility in scheduling is expected and may be required, based on clinical needs, patient volumes, access initiatives, or operational requirements. Your hours may include extended morning or evenings (i.e., before 7AM or after 4 PM). Final schedule and site assignments will be coordinated with your supervisor and communicated in advance. No call or weekend work required
Job Duties and Responsibilities
Perform and interprets cardiac stress testing on inpatients and outpatients in the Department of Radiology Division of Nuclear Cardiology at Duke University Medical Center and PET department in the Duke Cancer Center.
Interview and examine patients prior to diagnostic testing to screen for indications and contraindications of stress testing.
Notify and present recommendations to the ordering physicians.
May perform and assist in Nuclear Medicine procedures i.e. lymphoscintigraphies, giving Lasix to renal scans, giving CCK for HIDA scans, etc.
Perform exercise perfusion studies and pharmacologic stress studies using Dipyridamole and Regadenoson as stress agents. Sestimibi, Thallium, Tetrofosmin, and Rubidium are used as standard imaging agents.
Notify and present recommendations to the ordering physicians.
Perform emergency lifesaving measures as necessary when indicated.
Additonal Job Duties
Elicit brief history and physical examination pertaining to the cardiovascular system, including medications, past medical history, cardiac risk factors, and history of present illness.
Educate patients regarding potential risks of the study, procedures, and requirements.
Screen patients to determine if the attending physician ordered the proper test (exercise vs. pharmacologic stress) and to determine which pharmacologic agent is most appropriate based upon patient's medical history and exam.
Acquire patient consent prior to stress testing, explaining risks and benefits of procedures.
Perform exercise stress testing while continuously monitoring the electrocardiogram.
Enter data in reporting software after stressing patients. Must be proficient in reading ECGs.
Monitor the electrocardiogram, blood pressure, and pulse ox when indicated, during pharmacologic stress testing. Entering data in reporting software.
Instruct nuclear technologist when to inject isotopes during stress testing.
Initiate lifesaving measures as required during stress testing. Direct the staff during a code using advanced cardiac life support until the EMS or Code Team arrive.
Interpret the stress electrocardiograms upon completion of the test.
Assist with stress testing for clinical research projects conducted by the attending physicians in the department.
Teach PA students, nursing students, radiology residents, cardiology fellows and visiting physicians in the techniques and procedures used during standard stress testing.
Maintain emergency drug boxes with appropriate drugs, monitor code carts, narcotics, defibrillators, and the glucometer in conjunction with the pharmacy. Complete review documents on potential future Lutathera and Azedra patients for PRMO review. Assist with therapies i.e. giving normal saline for Pluvictos, order and give amino acids for Lutathera and edotreotide patients, order and give anti-emetics as needed.
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/ACLS required
License
Nurse Practitioners: Must have current or compact RN licensure in the state of North Carolina. National certification as a NP required.
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.
DEA license required.
Relevant Education and/or Experience
Prefer 1+ years of experience as a Nurse Practitioner or Physician Assistant in cardiology, nuclear medicine or other related services. Or an equivalent combination of relevant education and/or experience.
Proven focus on delivering patient-centered care and collaborating with team members at all levels to provide a seamless patient experience.
About Duke University
Duke University is a private research university in Durham, North Carolina. Founded by Methodists and Quakers in the present-day town of Trinity in 1838, the school moved to Durham in 1892. Duke's campus spans over 8,600 acres on three contiguous campuses in Durham as well as a marine lab in Beaufort. Duke University is consistently ranked among the top 20 universities in the United States and is a member of the prestigious Ivy League. Duke is also known for its highly ranked medical, law, and business schools. Duke University has a diverse student body, with students from all 50 states and over 100 countries. Duke University was founded in 1838 and is located in Durham, North Carolina.
