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• Duke University Health System is designated as a Magnet® organization
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• Duke University Health System has 6000 + registered nurses
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Location:Duke University Hospital – 9200 Inpatient Unit (Adult Blood & Marrow Transplant)

General Summary

To provide direct patient care in both the inpatient and outpatient settings in collaboration with the BMT attending physician and nursing staffs. To assure, continuity of patient care. The age-specific scope of practice is between 18 yrs. through adulthood.

Responsibilities

· utilize assessment, diagnostic and clinical skills and knowledge in order to provide clinical care to patients during the pre, current and post transplant periods

· perform necessary diagnostic and therapeutic procedures(within the scope of practice of the supervising physician). These may include, but are not limited to the following:

Ø bone marrow biopsy/aspirate

Ø bone marrow harvest

Ø lumbar puncture diagnostic and therapeutic with intrathecal chemotherapy.

Ø Hickman catheter removal

Ø Skin biopsy

Ø medication ordering/reconciliation

· conduct physical exams, obtain patient histories, monitor patient progress

· order appropriate medications, laboratory studies and diagnostic procedures.

· Prescriptive practice with the exception of chemotherapy and IMID therapy: per Duke policy

· document the patient’s course of treatment at the direction of the supervising physician:

Ø History and Physical

Ø Problem List and Plan of Care

Ø Daily Progress Note

Ø Procedure Note

Ø Interval Notes

Ø Discharge Summary

· accept scheduled and unscheduled inpatients

· facilitate daily rounds in both the inpatient and outpatient setting

· collaborate with other program and non-program services, physicians and nursing staffs in order to provide a longitudinal continuity of care between the inpatient and outpatient setting, and through follow-up

· participate in meeting the educational requirements of students, medical residents, fellows and other members of the health care team

· collaborate with members of the health care team in helping to assure compliance with research related protocols

· collaborate with the nurse manager in the identification of problems and their resolution in order to assure the providing of safe, but cost effective patient care

· actively participate in program related committees and/or projects

· provide a summary report on the status of inpatients to the BMT attending and medical resident on call prior to leaving each evening

· assure proper charges have been posted and appropriate documentation provided

· attend program required meetings

Supervision

· The Medical Director of the Adult Bone Transplant Program will serve as the primary supervising physician for the physician extender staff. Evaluation of clinical and prescriptive practices will occur monthly or upon the conclusion of each clinical rotation. The PPS evaluation will occur on a yearly basis with the development of goals and objectives performed six months prior.

· The physician extender staff will not provide on-call services. Inpatient emergency support will be provided by the Hematology/Oncology Fellow, BMT Fellow and BMT Attending Physician. Emergency support in the outpatient clinic is provided by the BMT Attending Physician(s) and Durham County Emergency Services.

· The physician extenders will collaborate with the nurse manager of both the inpatient and outpatient facilities in order to optimize care and utilization of resources

Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing.

No experience required. 3 years of RN experience strongly preferred.

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.

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