CARDIOTHORACIC PHYSICIAN ASSISTANT OR NURSE PRACTITIONER
CARDIOTHORACIC PHYSICIAN ASSISTANT OR NURSE PRACTITIONER
Cardiovascular & Thoracic
The cardiothoracic physician assistant/nurse practitioner will provide medical and surgical care for patients requiring cardiothoracic surgery. The cardiothoracic physician assistant/nurse practitioner will perform these services under the direct supervision of the faculty physician(s). The cardiothoracic physician assistant/nurse practitioner will provide perioperative care in various hospital and clinic settings. The cardiothoracic physician assistant/nurse practitioner will be involved with the care of the patient in any role which the supervisory physician deems proper and consistent with applicable law, medical center regulations, delineation of privileges, and the training, knowledge, skills and experience of the physician assistant/nurse practitioner assistant.
Site of Practice:
Duke University Medical Center and Affiliated Programs
Scope of Practice:
The cardiothoracic physician assistant/nurse practitioner provides care to patients of allages (newborn to elderly adult). Below are listed basic functions performed by the cardiothoracic physician assistant/nurse practitioner. This list is not all inclusive. All functions are at the discretion of the supervisory faculty physician.
• History/ physical examinations, and consultations
• Admission and perioperative orders including consultations
• Data acquisition/analysis
• Recording progress, procedure, and brief operative notes
• Coordinates/communicates patient care with nursing staff
• Participates in patient/family education
• Communicates with referring/consulting housestaff and physicians
• Participates in daily patient rounds
• Obtains data for surgical research
• Assists in all areas of operative patient care
• Initiates incisions for vein/artery conduit harvesting
• Harvests arterial and veinous conduits to be used in coronary artery bypass procedures.
• Places/removes drains, catheters, pacing wires, chest tubes, and central lines
• Initiates/participates in resuscitation of patients ( by ACLS standards )
• Dictates discharge summaries/participates in medical chart maintenance
• Participates in follow-up care for discharged patients
• Evaluates pre and postoperative patients in the clinic setting
• Initiates orders for medications/intravenous fluids
• Provides on call care on a rotating basis with the cardiothoracic physician assistant/nurse practitionert staff. This responsibility includes availability outside DUMC by telephone or beeper 24 hours daily and weekends. On call care is an extension of routine care provided after usual hours and weekend/holidays.
The cardiothoracic physician assistant/nurse practitionert will prescribe medications for inpatients and outpatients. This includes both narcotic and non-narcotic agents used for the treatment of cardiothoracic patients. These privileges will be in compliance with the North Carolina Medical Board regulations, federal laws, and Duke Medical Staff regulations governing physician assistant/nurse practitioners.
Periodic Review Policy by Supervising Physician for Drug prescribing:
Periodic review of drug prescribing by the cardiothoracic physician assistant/nurse practitioner will be performed by the faculty surgeon on a regular basis. this will consist of regular review of drugs prescribed to inpatients by medical record review and to outpatients by clinical record review. the Performance Partnership System of evaluation will provide the faculty physician and cardiothoracic physician assistant/nurse practitioner a format to assure conformity of drug prescribing.
Access to Supervising Faculty Physician:
The cardiothoracic physician assistant/nurse practitioner will have access to the supervising faculty physician on a twenty-four hour basis, either by direct or electronic contact ( telephone, beeper, etc. ). There will be a back-up faculty physician for emergencies, vacations, etc.
Process of Evaluation:
Initially the cardiothoracic physician assistant/nurse practitioner will meet with the supervising physician on a monthly basis for review of training/performance progress during the initial 90 day probationary period . This will provide a basis for the cardiothoracic physician assistant/nurse practitioner and the supervising physician to establish an ongoing job performance/progress system by utilizing the annual Duke PEP. The faculty physician may designate a senior cardiothoracic physician assistant/nurse practitioner to administer the Performance Evaluation and Planning process and provide verbal and written reports on training/ performance progress.
1631 PHYSICIAN ASSISTANT
Job Family Level
Full Time / Part Time
Regular / Temporary
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.
Work requires a bachelor's degree in Health Science and a Physician Assistant Certificate of Registration with the North Carolina Medical Board or be certification eligible, and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants -OR-completion of accredited Nurse Practitioner program. State of North Carolina licensure is also required.The successful applicant must either have experience in endovascular vein harvesting or comparable surgical training and assessment that indicates an ability to do so. Experience in critical care and the management of cardiovascular patients is preferred.
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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.