NURSE PRACTITIONER - SICKLE CELL

Location
Durham, NC
Posted
Jun 11, 2017
Institution Type
Four-Year Institution

diversity employer



NURSE PRACTITIONER - SICKLE CELL
Medicine - Hematology

The Duke Hospital Sickle Cell Nurse Practitioner (NP) works collaboratively within a multidisciplinary health care team to provide direct patient care services for patients in the Duke Sickle Cell Infusion Unit and the Duke Infusion Center in collaboration with the supervision of the Clinical Director of the Duke Adult Comprehensive Sickle Cell Center and the Director of Infusion Services. The NP performs triage, 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 of patients, and provides direct patient care services for patients with sickle cell disease and other hemoglobinopathies. The NP will also cross-cover the Duke Infusion Center for acute infusion issues, however, the primary responsibilities will be with the Duke Adult Sickle Cell Center. The NP contributes to excellence in patient care, research, teaching, and provides leadership to the organization.

Hours
Primary hours will be Monday through Friday, day shift, with hours flexible to meet the needs of the patients. Schedule may be modified by the clinical or leadership team.

Responsible to
The NP will be responsible to the primary supervising physician and back-up physicians, and to the Duke Hospital Dept of Advanced Clinical Practice Team Leader and Director.

Departmental Job Responsibilities and Standards
Clinical Expert
- In collaboration with attending physician(s), treat patients in the Duke Adult Sickle Cell Infusion Unit (SCIU) to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care
- Provide acute pain management with oral & IV medications for patients with sickle cell disease (SCD) and other hemoglobinopathies having uncomplicated pain episodes under the supervision of Sickle Cell Attendings in the Sickle Cell Infusion Unit
- Triaging of daily calls from patients, family members, outside medical facilities and other healthcare professionals in regards to SCD and other hemoglobinopathies
- Ordering, following and monitoring chronic and acute blood transfusions, phlebotomy and exchange blood transfusions for patients within the Sickle Cell Infusion Unit
- Provide and coordinate clinical care for patients being followed by the SCD team through established protocols and under the supervising physician or back up physician who is either on site or available by pager.
- Collaborate with the chief resident, residents, fellows, attending and other NP colleagues to formulate treatment plans and monitor patient progress.
- Provide cross coverage for patients with acute reactions within the Duke Infusion Center in collaboration with the patient's ordering/attending physician and Medical Director of the Specialty Infusion Center.
- Perform procedures specific to the work environment after demonstrated competency and within the guidelines of scope of practice and credentialing protocols.
- 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, 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.
- Utilize prescriptive privileges only for identified patient population.
- 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.

Educating
- Assess educational needs of the patient-care staff and provide one-on-one as well as formal education as needed.
- Assess educational needs of the patients / families and provide culturally-sensitive patient/family education interventions as indicated. Use non-technical language when educating patients and families. Document all pre and post-op education in patients' medical record.
- Implement and evaluate appropriate educational programs for DUHS patient care staff and other healthcare providers as appropriate.
- Role model and precept healthcare learners through contractual agreements.

Research Utilization and Investigation
- Utilize current research and evidence-based decision-making in all clinical practice.
- Incorporate clinical research findings in the development and implementation of standards of care.
- Support IRB approved clinical research/trials though a variety of activities.
- Participate in interdisciplinary quality improvement and/or research activities.
- Participate in measuring and documenting outcomes.

Consulting
- Provide expertise and resource information to other healthcare providers, patients and families, and the community at large related to sickle cell disease (SCD) and other hemoglobinoapthies, procedures, interventions, and conditions.
- Implement and evaluate appropriate educational programs for referring MDs
- Develop, implement and evaluate standards of care/practice guidelines/policies and procedures/care maps/protocols within area of specialization.
- Develop programs and projects in areas of expertise to facilitate the attainment of the goals and objectives of the Duke University Hospital and Duke University Health System.

Professional Leadership and Development
- Demonstrate responsibility for professional practice through active participation in the Duke Adult Comprehensive Sickle Cell Center, ACP Department, and other professional organizations. Meet Continuing Education requirements as designated by the NC Board of Nursing. Maintain professional certification.
- Enhance the body of knowledge in area of specialization through written publications, oral presentations, posters, continuing education, etc.



Requisition Number
401231504

Location
Durham

Duke Entity
MEDICAL CENTER

Job Code
1129 NURSE PRACTITIONER

Job Family Level
78

Exempt/Non-Exempt
Exempt

Full Time / Part Time
FULL TIME

Regular / Temporary
Regular

Shift
First/Day

Minimum Qualifications
Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, genetic information, gender, gender identity, national origin, race, religion, sexual orientation, or veteran status.
*******************************************************

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.

Education
Position requires completion of an accredited Family, Adult, or Acute Care Nurse Practitioner program with national certification as a FNP, ANP or ACNP from a national certifying board. Must demonstrate and maintain credentialing and licensing requirements of Duke University Hospital. Master's degree required.

Experience
3 years of nursing experience. Prior experience as a Nurse Practitioner in a comparable clinical setting or ICU strongly preferred.

Degrees, Licensures, Certifications
Must have current or compact RN licensure in the state of North Carolina. BLS required. National certification as a NP required prior to or within 6 months of employment. The position requires the candidate to have his/her BLS and ACLS certification and DEA license.

Process of Evaluation
Evaluation will be ongoing and will encompass the six general areas of competency as defined by The Joint Commission (patient care, medical/clinical knowledge, practice-based learning & improvement, interpersonal & communication skills, professionalism and systems-based practice). Annual and midyear evaluations using the ACP PPR process will be conducted by the Dept of Advanced Clinical Practice, in coordination with NP primary supervising physician. Ongoing Review of Care and Quality Improvement meetings with supervising physician will be conducted and documented monthly for the first six months, in accordance with Duke University's and the designated Board's standards, then at least once every six months in accordance with the NC Medical Board.


Auto req ID

87383BR

Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, genetic information, gender, gender expression, gender identity, national origin, race, religion, sexual orientation, or veteran status.

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.

PI98144230