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Pediatric Pulmonary Hypertension Advanced Practice Provider (Durham, NC, US, 27710) @ Duke University

Durham, North Carolina, USOnsiteFull-time
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<p>At Duke Health, we&apos;re driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.</p> <p> </p> <p><strong>Duke Health Integrated Practice</strong></p> <p>Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.</p> <p><strong><u>Duke Nursing Highlights:</u></strong></p> <p> </p> <ul><li>Duke University Health System is designated as a Magnet organization</li><li>Nurses from each hospital are consistently recognized each year as North Carolina&apos;s Great 100 Nurses.</li> <li>Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.</li> <li>Duke University Health System has 6000 + registered nurses</li> <li>Quality of Life: Living in the Triangle!</li> <li>Relocation Assistance (based on eligibility)</li> </ul> <p> </p><p style="text-align:center;margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Duke University Hospital </span></p> <h4 style="margin:0.0in;text-align:center;font-size:12.0pt;font-family:'Times New Roman', serif;font-weight:normal"><span style="font-family:Calibri, sans-serif">Department of Advanced Clinical Practice</span></h4> <p style="text-align:center;margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <h3 style="margin:0.0in;text-align:center;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif;font-weight:normal">Job Description </span></h3> <h2 style="text-align:center;margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif" align="center"><u><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Pediatric Pulmonary Hypertension Advanced Practice Provider</span></u></h2> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="text-align:center;margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Position Summary</span></strong></p> <p style="text-align:center;margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">The Duke Hospital Pediatric Pulmonary Hypertension Advanced Practice Provider (APP) practices as an integral member of the Pediatric Pulmonary Hypertension team, providing evaluation, treatment, and follow up of children, and adolescents, with pulmonary hypertension. The APP provides these services through direct clinical care, consultation, collaboration, and coordination of management of patients in both the in-patient and out-patient settings. These services are rendered under a designated supervising pediatric cardiologist. The APP works collaboratively with the supervising pediatric cardiologist; with Pediatric Cardiac, Pediatric, and Neonatal Intensive Care Unit teams and Pediatric Pulmonology; with inpatient pediatric and pediatric cardiac clinic teams. The APP contributes to excellence in patient care, research, teaching, and provides leadership to the organization.</span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">The Duke Hospital Pediatric Pulmonary Hypertension APP will be utilized in the care of patients at Duke University Health System in both the hospital and ambulatory settings. Practice locations include the Pediatric inpatient units, and outpatient clinics as designated by the Division of Pediatric Cardiology and DUHS. </span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="text-align:center;margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Position Requirements</span></strong></p> <p style="text-align:center;margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Education:</span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">NP: Work requires completion of accredited graduate level Pediatric-Acute Care Nurse Practitioner program.</span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">PA: 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. </span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Licensure: </span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">NP: Current licensure as a Registered Nurse in the state of North Carolina and approval to practice as an NP.</span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">PA: Licensure as a Physician Assistant in the state of North Carolina.</span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Certification: </span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">NP: National certification as an PNP-AC</span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">PA: National Commission on Certification of PAs (NCCPA) certification is required</span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Experience:</span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Experience in pediatrics as an advanced practice provider for at a minimum of 3 years preferred.</span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Life support:</span></p> <ul> <li style="font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif"> BLS</span></li> <li style="font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif"> PALS </span></li> </ul> <p style="text-align:center;margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Hours</span></strong></p> <p style="text-align:center;margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Primary hours will be 40 hours per week (1.0 FTE). Opportunities exist for partial FTE coverage depending on interest.</span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="text-align:center;margin:0.0in;font-size:12.0pt;font-family:'Times New Roman', serif"><strong><span style="font-family:Calibri, sans-serif">Responsible to</span></strong></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Primary supervising physician and back-up physicians, and to the Duke Hospital Center for Advanced Practice Team Leader and Directors.</span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="text-align:center;margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Process of Evaluation</span></strong></p> <p style="margin:0.0in;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-family:Calibri, sans-serif">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 &amp; improvement, interpersonal &amp; communication skills, professionalism and systems-based practice). Annual and mid-year evaluations will be conducted in coordination with APP’s 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. </span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="text-align:center;margin:0.0in;font-size:12.0pt;font-family:'Times New Roman', serif"><strong><em><span style="font-family:Calibri, sans-serif;color:black">Specific Job Responsibilities and Standards</span></em></strong></p> <h1 style="margin:0.0in;text-indent:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif;font-weight:normal">Under the direction of the Pediatric Cardiologists the APP’s responsibilities include but are not limited to the following:</span></h1> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><u><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Clinical Expert</span></u></p> <ul style="margin-top:0.0in;margin-bottom:0.0in" type="disc"> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Diagnose and treat children and adults with pulmonary hypertension in conjunction with the supervising physician</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Obtain a comprehensive health history and perform and document physical exam findings</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Differentiate between normal findings and those that require treatment, consultation, and/or referral</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Assess patient and family psychosocial, emotional, and physiologic needs</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Perform patient/family teaching with respect to planned treatment.</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Consultation and/or referral with other health care professionals</span></li> </ul> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Facilitate communication with referring providers. </span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Work closely with Patient Resource Managers in care coordination; review medications with parents/patients and provide instructions and answer questions.</span></li> </ul> <ul style="margin-top:0.0in;margin-bottom:0.0in" type="disc"> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Perform, along with the pediatric cardiologist, all history and physical examinations with ultimate oversight by the attending. </span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Participate in multidisciplinary Pulmonary Hypertension clinic.</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Order and schedule laboratory studies and diagnostic procedures; explain necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient and follow up findings. Check medications during each patient interaction, confirming dosages.</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Obtain prior authorization for medications.</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Assist the nurse clinician in the e-mail/telephone management of all patient problems.</span></li> </ul> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Assist in fielding phone calls and fax transmissions for pulmonary hypertension patients, including related phone calls during the day from referring physicians, parents and patients.</span></li> </ul> <ul style="margin-top:0.0in;margin-bottom:0.0in" type="disc"> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Assist cardiology team with arrangements regarding the need for a translator.</span></li> </ul> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Facilitate communication for patient care procedures</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Work with the inpatient team to provide comprehensive pulmonary hypertension management in a timely manner</span></li> </ul> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Administrative </span></p> <ul style="margin-top:0.0in;margin-bottom:0.0in" type="disc"> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Maintain patient database </span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Initiate and participate in other safety and quality improvement programs within the division and within the greater health system.</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Participate in teaching medical students, residents, and nursing staff principles of pulmonary hypertension care. </span></li> </ul> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Attend weekly Intake Conference, Cardiothoracic Surgical Conference and quarterly Morbidity and Mortality Conference, along with catheterization lab specific educational opportunities.</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Participate in the billing process by entering billing codes for appropriate services.</span></li> </ul> <ul style="margin-top:0.0in;margin-bottom:0.0in" type="disc"> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Perform other related duties incidental to the work described herein.</span></li> </ul> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><em><u><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Educator</span></u></em></p> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-family:Calibri, sans-serif">Educate patients and families regarding disease states and treatment regimes including the risks and benefits of treatment application, individual patient’s progress and discharge plan of care.</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Assess educational needs of the Duke Health system nursing staff and healthcare team and develop appropriate educational programs.</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Role model and precept healthcare learners through contractual agreements.</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Participates in mentoring Cardiology Fellows </span></li> </ul> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><em><u><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Research Utilization and Investigation</span></u></em></p> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Utilize evidence – based, decision- making in all clinical practice.</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Incorporate clinical research findings in the development and implementation of standards of care. </span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Support IRB approved clinical research/trials through a variety of activities including but not limited to obtaining consent, ordering diagnostic tests recording laboratory and diagnostic results, administering therapeutic interventions, reporting patient outcomes including toxicities or adverse events.</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Publishes in peer reviewed journals</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Performs clinical research</span></li> </ul> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <h6 style="margin:0.0in;font-size:12.0pt;font-family:'Times New Roman', serif"><em><u><span style="font-family:Calibri, sans-serif;font-weight:normal">Consultant</span></u></em></h6> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Develop, implement and evaluate standards of care/practice guidelines/policies and procedures/care maps/ protocols for pediatric cardiovascular patients </span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Develop programs and projects in areas of expertise to facilitate the attainment of the goals and objectives of the pediatric cardiovascular program, the Children’s health center, the department of Advanced Clinical Practice and the Duke Health System.</span></li> </ul> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><em><u><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Professional Leadership and Development</span></u></em></p> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Role model Advanced Clinical Practice through conduct, communication, dress, leadership, ethical decision making, critical thinking and problem solving.</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Participate in minimally one professional organization.</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Enhance the body of knowledge of nursing or pediatric cardiovascular care through written publication, oral presentations, posters or continuing education</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Maintain all professional requirements for licensure and certification.</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Presents at local, national, and international meetings and scientific sessions</span></li> </ul> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <h2 style="text-align:center;margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif" align="center"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Behavioral Standards</span></h2> <h4 style="margin:0.0in;text-align:center;font-size:12.0pt;font-family:'Times New Roman', serif;font-weight:normal"><em><span style="font-family:Calibri, sans-serif">Excellence – We strive to achieve excellence in al that we do</span></em></h4> <ul style="margin-top:0.0in;margin-bottom:0.0in" type="disc"> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Acts – and makes decisions - in the best interests of patients and their loved ones, and willingly accepts accountability for outcomes</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Improves performance that enhances patient care and advances individual, team and organizational goals</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Effectively uses DUHS resources (time, budget and property) to support optimal patient care and operational performance while adhering to organizational policies and procedures</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Seeks opportunities to improve service provided to patients and their loved ones related to clinical care and support</span></li> </ul> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <h5 style="margin:0.0in;font-size:12.0pt;font-family:'Times New Roman', serif;font-weight:normal"><span style="font-family:Calibri, sans-serif">Safety – We hold each other accountable to constantly improve a culture that ensures the safety and welfare of all patients visitors and staff</span></h5> <ul style="margin-top:0.0in;margin-bottom:0.0in" type="disc"> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Strictly adheres to all established patient, staff and faculty safety procedures</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Contributes to an environment of safety and security for patients and staff through individual actions</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Speaks up about all risk of harm; reports patient, staff safety or injury events within twenty-four hours of incident or awareness of incident</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Actively participates in all mandatory patient and staff safety training</span></li> </ul> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <h5 style="margin:0.0in;font-size:12.0pt;font-family:'Times New Roman', serif;font-weight:normal"><span style="font-family:Calibri, sans-serif">Integrity – Our decisions, actions and behaviors are based on honesty, trust, fairness and the highest ethical standards</span></h5> <ul style="margin-top:0.0in;margin-bottom:0.0in" type="disc"> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Is truthful and honest with patients, their loved ones and co-workers, and consistently exhibits actions that reflect our values</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Is accountable for actions and decisions involving patient care or other operational activities, and strives to learn and improve from experience</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Follows through on commitments made to patients, visitors, co-workers and others</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Conducts work positively while doing so in full compliance with all organizational policies, procedures, expectations and patient- centered values</span></li> </ul> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <h5 style="margin:0.0in;font-size:12.0pt;font-family:'Times New Roman', serif;font-weight:normal"><span style="font-family:Calibri, sans-serif">Diversity – We embrace differences among people</span></h5> <ul style="margin-top:0.0in;margin-bottom:0.0in" type="disc"> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Applies cultural understandings and sensitivities to enhance patient care and improves interactions with people of diverse backgrounds</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Treats all individuals – patients, visitors and co-workers – with courtesy, dignity and respect</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Contributes to a work environment that is welcoming to all – whether patients, visitors, staff or faculty</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Demonstrates a sensitivity and awareness of the needs of a diverse workforce and patient population</span></li> </ul> <p style="margin:0.0in 0.0in 0.0in 0.25in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;text-align:center;font-size:12.0pt;font-family:'Times New Roman', serif;font-weight:bold"><em><span style="font-family:Calibri, sans-serif;font-weight:normal">Teamwork – We have to depend on each other and work well together with mutual respect to achieve common goals</span></em></p> <ul style="margin-top:0.0in;margin-bottom:0.0in" type="disc"> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Willingly shares expertise and information with others to improve patient care, unit or departmental performance without compromising individual responsibilities</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Celebrates the accomplishments of others in making a difference in the lives of patients and the success of the organization </span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Takes ownership of decisions made by specific patient care or project teams and team leaders and the individual role needed to support them</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Manages multiple demands while maintaining quality and courtesy; acknowledges and resolves patient or visitor issues</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Be a flexible problem solver who seeks creative solutions to new challenges</span></li> </ul> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <h5 style="margin:0.0in;font-size:12.0pt;font-family:'Times New Roman', serif;font-weight:normal"><span style="font-family:Calibri, sans-serif">Working conditions</span></h5> <p style="text-align:center;margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><em><span style="font-size:12.0pt;font-family:Calibri, sans-serif"> </span></em></strong></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><em><u><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Physical and mental requirements:</span></u></em></p> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Able to</span></strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif"> clearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant in the state of North Carolina and within the Duke University Health System.</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Able to </span></strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others.</span></li> </ul> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Able to </span></strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up.</span></li> </ul> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Able to</span></strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif"> use fine motor skills.</span></li> </ul> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Able to</span></strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif"> record activities, document assessments &amp; interventions; prepare reports and presentations.</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Able to </span></strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">use computer and learn new software programs.</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Able to </span></strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">provide leadership in clinical area of expertise and in meeting organizational goals.</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Able to</span></strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif"> navigate the Hospital and DUHS to provide clinical expertise to specific patient populations.</span></li> </ul> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Able to </span></strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">withstand prolonged standing and walking with the ability to move or lift at least fifty pounds.</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Able to </span></strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">remain focused and organized. </span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Able to </span></strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">independently seek out resources and solve complex problems</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Able to </span></strong><span style="font-size:12.0pt;font-family:Calibri, sans-serif">work collaboratively with all levels of personnel</span></li> </ul> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><em><u><span style="font-size:12.0pt;font-family:Calibri, sans-serif">Work Environment</span></u></em><em><span style="font-size:12.0pt;font-family:Calibri, sans-serif">:</span></em></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">The work environment involves risk discomforts that are typical of an acute care setting to include working with patients under isolation and universal precautions. It requires safety precautions, ongoing education and health risk monitoring. Contact with specimens, chemicals, sharps; radiation, technical equipment and fumes are possible. Employees are required to wear personal protective attire according to hospital policies and OSHA guidelines. The work activity and patient acuity levels can create a stressful atmosphere. </span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"><span style="font-size:12.0pt;font-family:Calibri, sans-serif">The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description</span></p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p> <p style="margin:0.0in;font-size:10.0pt;font-family:'Times New Roman', serif"> </p><br> <br> <div><p> Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual&apos;s age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. </p> <br> <br> <div><p> 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. </p> <br> <strong>Essential Physical Job Functions:</strong> <div><p> 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. </p> <br></div></div></div>

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