Palliative Care NP: Outpatient Clinical Leader

Duke Clinical Research Institute; Raleigh (NC); On-site; USD 110,000 - 140,000; Full time

Job summary

Duke Health in North Carolina is seeking a Palliative Care Advanced Practice Provider (APP) to deliver direct patient care to adults >18, under supervision. The APP will perform exams, document data, order studies, and contribute to patient care, research, teaching, and leadership within the organization.

Responsibilities include diagnosing and planning treatment with attending physicians, developing care pathways, and communicating with the care team.

Qualifications

• NP: Graduate of accredited MSN or DNP Nurse Practitioner program for adult care.
• PA: Graduate of ARC accredited Physician Assistant Program, Masters or DSc Degree preferred.
• NP: Any NP certification that treats adults (FNP, ANP, AGNP, AGACNP, etc.)
• PA: PA-C
• NP: Must have current RN licensure issued by NCBON with authorization to practice as NP
• PA: Must have license to practice as PA issued by NCMB
• Both: Federal and State DEA independent license/prescriptive authority

Responsibilities

• In collaboration with attending palliative care physicians; diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care.
• Provide and coordinate clinical care through established protocols and under the supervising physician or back up physician who is either on site or available by pager.
• Assess patients for change in status and institute appropriate interventions. Initiate emergency interventions in an effort to stabilize the patient until physician support arrives.
• 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, hospice agency and other relevant healthcare providers.
• Document in the patients' medical record 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.
• Implement a specific plan of palliative care to alleviate suffering and promote the physical, emotional, psychological, and spiritual comfort of the patient and family.
• Utilize prescriptive privileges only for identified patient population and in accordance with DUH and NC Board of Nursing/NC Medical Board regulations.
• Prescriptive authority for prescribing, ordering, and or administering drugs; including (but not limited to) schedule II, III, IV, and V drugs and necessary medical devices.
• Role model competence in all nurse practitioner / physician assistant advanced skills.

Skills

Clinical assessment

Interprofessional collaboration

Evidence-based practice

Education

MSN or DNP for NP; ARC PA program with Masters or DSc for PA

Tools

Electronic Health Records (EHR)

Medical documentation systems

Job description

Duke Health in North Carolina is seeking a Palliative Care Advanced Practice Provider (APP) to deliver direct patient care to adults >18, under supervision. The APP will perform exams, document data, order studies, and contribute to patient care, research, teaching, and leadership within the organization.

Responsibilities include diagnosing and planning treatment with attending physicians, developing care pathways, and communicating with the care team.