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CTICU / Cardiothoracic Critical Care APP / Physician Assistant

Company: Nurse.com
Location: Durham
Posted on: September 20, 2023

Job Description:

Duke University Hospital

Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.


Duke is Recognized among the top in the nation in 2022

  • 143 Heart Transplants. #1 got heart transplants performed I the US
  • 110 Lung Transplants. #2 for lung transplants performed in the US
  • 90 Durable VAD implants
  • Center of Excellence for Extracorporeal Life Support 1 of 50 Platinum centers worldwide for ECMO care
  • Mitral Valve repair reference center award 1 of 22 in the US awarded 3rd year in 2022
  • Center of Excellence Cardio-Oncology program one of the world's few gold-status Global Centers for Excellence
  • Quality of Life: Living in the Triangle!
  • Relocation Assistance for those moving 50+ miles to work at Duke

    Duke Heart Center Advanced Practice Provider

    Cardiothoracic Surgery Intensive Care Unit Advanced Practice Provider (APP)

    Critical Care Nurse Practitioner or Critical Care Physician Assistant

    Position Summary

    The Duke Hospital Cardiothoracic Intensive Care Unit (CTICU) Advanced Practice Provider (APP) provides direct patient care services for complex critically ill cardiothoracic surgery and Advanced Heart Failure patients, predominately in an intensive care setting, as well as other units within Duke University Hospital including the OR, PACU, Step-down units, inpatient units, emergency department (ED), and hospital-based clinic settings in collaboration with cardiac anesthesiology and under the supervision of the cardiothoracic surgeon(s) and the Medical Director of the CTICU. The APP performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, and provides direct patient care services.

    Position Responsibilities

    • Provide /coordinate clinicalcarefor cardiothoracicsurgerypatients at Duke Hospital being followed primarilyintheCardiothoracic Intensive Caresetting through established protocols and under the supervision of the cardiothoracic surgeon or back-up supervising physician who is either on site or available by pager
    • Patientrounding incollaboration with attending cardiothoracic surgeon(s),cardiac anesthesiologist(s), CTICU intensivists, and Medical Director of the CTICU,round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of cardiothoracic patient care;
    • Collaborate with the chief resident, residents and fellows to formulate treatment plans and monitor patient progress
    • Assess patients for change in status and institute appropriate interventions. Initiates emergency interventions in an effort to stabilize the patient until physician support arrives.
    • Preoperative evaluation; including (but not limited to) establishing diagnosis, and baseline status
    • Postoperative stabilization and management.
    • Develop patient care pathways, protocols and guidelines for the management of specific problems in conjunction with physicians and other members of the health care team.
    • Analyze clinical practice patterns so as to provide the best medical care and to increase effectiveness and efficiency.
    • Communicate verbally and in writing all pertinent patient information to supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers.
    • Document in the patients' chart all relevant data including but not limited to results of diagnostic tests; laboratory results; patients' condition and response to therapies/interventions; communications with supervising MD.
    • Utilize prescriptive privileges only for identified patient population.
    • Role models competence in all nurse practitioner / physician assistant advanced skills.

      Position Requirements


      NP: Graduate of accredited MSN or DNP Acute Care Nurse Practitioner Program

      PA: Graduate of accredited Masters or Doctorate Degree Physician Assistant Program

      Prefer candidates also to have completed a Critical Care Fellowship Program


      NP: RN license issued by the NCBON with authorization to practice as a NP

      PA: License to practice medicine as a PA issued by NCMB



      PA: PA-C


      • 2 years minimum CTICU provider experience in critical care setting is strongly preferred
      • Will consider APP applicants that completed CTICU Fellowship

      • will consider new grads with CTICURN experience and/or CTICU rotation as NP student

      • Will consider PA student with CTICU rotation while in PA school

        Physical and mental requirements:

        • Able to clearly articulate scope of practice and practices within those guidelines as an NP/PA in the state of North Carolina and within the Duke University Health System (DUHS)
        • 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, and 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


          6am - 6pm, rotating shifts x14 per month.

          Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

          Nearest Major Market: Durham

          Nearest Secondary Market: Raleigh

          Apply now

Keywords: Nurse.com, Durham , CTICU / Cardiothoracic Critical Care APP / Physician Assistant, Healthcare , Durham, North Carolina

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