Nurse Practitioner or Physician Assistant- Cardiovascular Electrophysiology

Duke Clinical Research Institute; Durham (NC); On-site; USD 110,000 - 160,000; Full time

Job summary

Duke Health seeks an Advanced Practice Provider (Nurse Practitioner or Physician Assistant) for the Adult Electrophysiology unit at Duke University Hospital.

The APP will collaborate with attending physicians and the EP care team to provide direct cardiology care, with a primary focus on EP patients in pre‑ and post‑procedural areas, performing exams, documenting data, orders, and consultations, and contributing to teaching and research.

Qualifications

• Education and certification requirements described in the job posting.

Responsibilities

• Evaluate cardiovascular patients in pre-, post-, and perioperative phases; diagnose and manage conditions.
• Obtain and document histories and physicals; prepare workups and summaries.
• Order and schedule labs and diagnostics; explain procedures.
• Obtain informed consent for procedures and sedation; discharge when appropriate.
• Assess status and initiate interventions; prepare for transfers when needed.
• Collaborate with EP Lab nurses, discharge service, and other teams to manage workload.
• Perform/assist with approved procedures after competency validation.
• Administer and manage infusion therapies and medications within scope.
• Participate in education, quality improvement, and research activities.

Job description

As a part of Duke Health's outpatient clinic network, you will enjoy competitive compensation, comprehensive benefits plans, convenient work hours, and many opportunities for career advancement. Become a part of a team that values and invests in you.

Duke Advanced Practice Highlights:

• The nation's first Physician Assistant Program was created at Duke in 1965 and is consistently ranked No. 1 in the country.
• The Duke School of Nursing is consistently ranked as one of the top nursing schools and their MSN and DNP programs offers eight advanced practice registered nurse majors and specialty certifications, as well as post master's certificates and certification alignment programs.
• Commitment to ongoing learning for APPs through annual CME funding and access to high-quality Duke CME offerings including APP Grand Rounds and a professional advancement program. APPs are leaders in multiple arenas within Duke.
• Duke offers APPs opportunities to practice within team based integrative care in a tremendous variety of specialties. APPs are expected to work to top of scope in order to contribute to Duke's missions which include clinical practice, education, and research.
• Practice locations can include Duke Health's three hospitals or over 140 primary care and specialty care clinics throughout North Carolina.

Job Location

Duke University Hospital

Job Summary

We are seeking an Advanced Practice Provider (Nurse Practitioner or Physician Assistant) for the Adult Electrophysiology (EP) unit at Duke University Hospital. The APP will work in collaboration with attending physicians and the EP care team to provide direct care to cardiology patients, with a primary focus on EP patients in the Cardiovascular Short Stay pre-procedural and post-procedural areas. The APP performs physical examinations, obtains procedural consent, collects and documents clinical data, conducts approved diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, and contributes to excellence in patient care, research, teaching, and leadership.

Primary hours are four 10-hour shifts per week for a 40-hour work week. Hours and days may vary based on service needs and may be adjusted by Heart Center Leadership in consultation with clinical service line leadership.

Job Duties & Responsibilities

• Evaluate new, consult, and established cardiovascular patients ages 16 years and older during the pre-procedural, post-procedural, and/or perioperative phases of care; diagnose, treat, and manage common conditions in the cardiovascular patient population.
• Obtain and document patient histories and physical examinations; prepare patient workups, progress notes, and summaries; document pertinent positive and negative findings; obtain relevant psychosocial history; and develop therapeutic relationships with patients and families.
• Order and schedule laboratory studies and diagnostic procedures; explain the necessity, preparation, nature, and anticipated effects of scheduled diagnostic and therapeutic procedures.
• Obtain informed consent for appropriate procedures and conscious sedation for assigned patients, and discharge procedural patients as directed by the attending physician, including discharge summaries, patient education, and discharge orders.
• Assess patients for changes in clinical status and initiate appropriate interventions, including emergency stabilization and preparation for transfer to the Emergency Department, Operating Room, or inpatient setting when needed.
• Collaborate closely with the EP Lab Charge Nurse, Outpatient Discharge (EOD) Service, inpatient rounding teams, lab fellows, physicians, and other members of the interdisciplinary team to allocate workload and meet daily clinical and operational needs.
• Perform or assist with approved procedures after competency validation, which may include venous and arterial blood sampling, peripheral IV insertion, venous/PICC line removal, urinary catheterization, wound management, urgent/emergent defibrillation or cardioversion, tilt testing, implantable loop recorder insertion, sheath removal, temporary permanent pacemaker dressing changes, and pacemaker/ICD interrogation.
• Administer and manage ordered infusion therapy and medications within scope of practice, including IV fluids, anticoagulants, analgesics, antibiotics, antiarrhythmics, antihypertensives, inotropes, electrolytes, blood products, and nutrition therapies.
• Participate in education, training, evidence-based practice, quality improvement, and research activities; support the education of patients, families, staff, learners, and trainees.

Job Eligibility Requirements

Education

Nurse Practitioners: Work requires completion of an accredited graduate-level Acute Care Nurse Practitioner program.

Physician Assistants: Work requires graduation from a Physician Assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessor agencies.

Certification

National certification as an Acute Care NP or certification by the National Commission on Certification of Physician Assistants (NCCPA), as applicable.

BLS and ACLS certification required.

License

Nurse Practitioners: Current licensure as a Registered Nurse in the state of North Carolina and approval to practice as an Acute Care Nurse Practitioner.

Physician Assistants: Current licensure as a Physician Assistant in the state of North Carolina.

Experience

At least one year of experience as an Acute Care NP or PA in cardiology/electrophysiology is strongly preferred; new graduates will be considered.

Job Hours

Full-time salaried position, 40 hours per week; four 10-hour shifts. Hours and days may vary based on service needs.

Duke is an 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, (including pregnancy and pregnancy related conditions), sexual orientation, or military 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.