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PHYSICIAN ASSISTANT or NURSE PRACTITIONER - Duke Neurosurgery

Company: Duke Nursing
Location: Durham
Posted on: December 5, 2019

Job Description:

School of Medicine: Established in 1930, Duke University School of Medicine is the youngest of the nation’s top medical schools. Ranked tenth among its peers, the School takes pride in being an inclusive community of outstanding learners, investigators, clinicians, and staff where traditional barriers are low, interdisciplinary collaboration is embraced, and great ideas accelerate translation of fundamental scientific discoveries to improve humanhealth locally and around the globe. Comprised of 2,400 faculty physicians and researchers, the Duke University School of Medicine along with the Duke University School of Nursing and Duke University Health System create Duke Health . Duke Health is a world-class health care network. Founded in 1998 to provide efficient, responsive care, the health system offers a full network of health services and encompasses Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, Duke Primary Care, Private Diagnostic Clinic, Duke Home and Hospice, Duke Health and Wellness, and multiple affiliations. The Advanced Practice Provider’s (APP) in Duke Neurosurgery play an integral role in the management of neurosurgery patients, including all aspects of pre and post-operative care. Neurosurgery APP’s work under the supervision of the Neurosurgeon at Duke Regional Hospital.  This is a full-time, Exempt position with primary work hours Monday-Friday, Dayshift (40 hours). Clinic Independently maintain a clinic of 4 to 6 sessions per week with supervising physician at Duke Regional Hospital. Expected to see patients in 30-minute intervals with overbooking appointments as appropriate. Will perform a complete history and physical and then present the patient to supervising attending. Will see scheduled postoperative and wound checks, screen new patients with vague diagnoses and arrange for further diagnostic testing. Work closely with the supervising physician to determine appropriate treatment plans for each patient and surgical needs. Prior to clinic screen the clinic schedule to make sure the appropriate films, reports, and clinic notes are available. Schedule required tests prior to patient visit. Treat patients in clinic for suture removals and wound checks post operatively. Perform general office duties, develop office protocols, triage of patient phone calls, complete disability and FMLA forms, edit clinical notes, and pull radiology films as needed. Responsible for ensuring patient and pharmacies receive information needed to fill and refill patient prescriptions. Operating Room In charge of patients’ operative schedules.  Will see patients in clinic with supervising attending, review the surgical procedure, complete all necessary paperwork related to the surgery, schedule preoperative screening, post the cases, schedule admission to the hospital, and ensure that the patient has appropriate discharge instructions and follow-up. Depending on the surgery, may need to coordinate 2-3 surgeons. On an as needed basis, also coordinate ancillary staff, external co-surgeons and vendor support as needed. Patient contact Interact very closely with patients. Spend time in clinic and on the phone educating patients and families, answer questions and concerns, and make treatment decisions. Document all phone interactions in an EPIC phone note.Relay all pertinent pathology and lab results to patients and make appropriate follow up as needed. Hospital responsibilities Round on in-patients with a chart note. Ensure that appropriate consults are taking place, follow up on the recommendations of consulting teams, order appropriate diagnostic testing, and follow-up lab work. Consulting services Review films with neuroradiologists and any other service to help make appropriate patient treatment decisions. Other duties – Coordinate student observations in clinic and the operating room. Responsible for charges of clinic billing (except operative billing). Attend neurosurgery grand rounds and conference. Duke University 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 essential job 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.

Keywords: Duke Nursing, Durham , PHYSICIAN ASSISTANT or NURSE PRACTITIONER - Duke Neurosurgery, Other , Durham, North Carolina

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