Nurse Practitioner or Physician Assistant - Pre-Anesthesia Testing Clinic @DRAH (PRN)

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About Duke Raleigh Hospital, A Campus of Duke University Hospital

Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of the four Duke Health hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• 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.
• Duke University Health System has 6000 + registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance (based on eligibility)

Job Location

Pre-Admission Testing Clinic at Duke Raleigh Hospital. 

Job Summary

Provide a thorough evaluation of a patient’s medical/surgical history prior to planned procedures and surgeries requiring anesthesia.  Emphasis is placed on cardiovascular function, respiratory conditions, anemia, smoking cessation, diabetes optimization, nutrition, pain management, perioperative geriatric considerations and obstructive sleep apnea screening.  Position requires screening for all types of procedures and surgeries within a broad range of specialties and adults 18 years and above.

Job Duties and Responsibilities

• Conduct detailed and thorough medical/surgical history assessment
• Physical exams
• Medication reconciliation
• Provide perioperative instructions/guidance
• Order testing (e.g., lab work, EKG, cardiac echo, imaging procedures, etc.)
• Provide consults (diabetes, nutrition, smoking cessation, pain management, geriatric care, sleep apnea, anemia, cardiology and hospital medicine etc.)
• Prescribe treatment or services to further optimize the patient prior to planned procedure if needed.
• Follow up on ordered laboratory studies, diagnostic procedures, etc
• Provide explanation as to the necessity and the results of ordered testing and procedures.
• Communication with medical specialists and surgeons regarding preoperative optimization and surgical timing.
• Participate in clinic research activities if needed. 
• Perform telehealth visits if needed.
• Work with a supervising physician from the Department of Anesthesiology
• Any other related duties required to service pre-surgical and/or pre-anesthesia care

Job Eligibility Requirements

Education

NP:         Graduate of accredited DNP or MSN Nurse Practitioner program for adult care.

PA:         Graduate of ARC accredited Physician Assistant Program.  Bachelor’s degree required; Master’s or Doctoral Degree strongly preferred. 

Certification 

NP:         NP certification to treat adults, e.g.,  FNP, AGACNP, AGPCNP, ANP, AGNP.

PA:         PA-C

License

NP:         Current unrestricted RN license issued by or recognized by the NCBON with approval to practice as an NP.

PA:         Current unrestricted medical license issued by the NCMB with approval to practice as a PA.

Both:     Federal and State unrestricted prescriptive authority

Experience

NP:         Prefer 2 years experience as NP in preanesthesia testing, cardiology, hospital medicine, general surgery or surgical specialties.

PA:         Prefer 2 years experience as PA in preanesthesia testing, cardiology, hospital medicine, general surgery or surgical specialties.

Physical and mental requirements:

• Able to 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.
• Able to independently seek out resources and work collaboratively to solve complex problems.
• Able to communicate clearly with patients, families, visitors, healthcare teams, physicians, administrators, leadership, and others.
• Able to use sensory and cognitive functions to process and prioritize information, and perform health assessments, treatment, and follow-up.
• Able to use fine motor skills.
• Able to record activities, document assessments & interventions; prepare reports and presentations.
• Able to use a computer and learn new software programs.
• Able to provide leadership in clinical areas of expertise and in meeting organizational goals.
• Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations
• Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds
• Able to remain focused and organized
• Able to work collaboratively with all levels of personnel

Job Hours

The schedule will be Monday through Friday, 1 to 2 days per week for a 10‑hour shift; no call, evenings, or weekends. This is a PRN position to support clinic access, PTO coverage, and other departmental needs. Schedule may be changed by administrative or clinical leadership to meet department needs.

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual'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.

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.

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.