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About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Job Location

Duke University Hospital
Pursue your passion for caring with Duke University Hospital (DUH) in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Job Summary

This position will provide direct patient care services and perform medical procedures under the supervision of a supervisory physician to patients (birth through 21 of age) in the Pediatric Cardiac Intensive Care Unit in the Duke University Health System (DUHS). This position will perform physical exams, collect and documents data, conduct diagnostic and therapeutic procedures, order and schedule laboratory studies and professional consultations, prescribe appropriate interventions and medications, and provide direct patient care services.

Job Duties and Responsibilities

• In collaboration with the attending of service and/or fellows, round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care.
• Provide and coordinate clinical care for service-specific patients through established protocols under the Pediatric Cardiac Intensive Care supervising physician, who is on site.
• Collaborate with fellows, attending, APPs, nurses, and patient resource managers to formulate treatment plans and monitor patient progress.
• Perform procedures specific to the work environment after demonstrated competency and within the guidelines of scope of practice and credentialing protocols.
• Assess patients for a change in status, escalate concerns and institute appropriate interventions. Initiate emergency interventions to stabilize the patient.
• Post-procedural stabilization and management.
• Develop patient care pathways, protocols, and guidelines for managing specific problems in conjunction with the attending physician and other members of the health care team.
• Communicate verbally and in writing all pertinent patient information to the supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers.
• Document in the patients' medical records all relevant data, including, but not limited to, diagnostic test results, laboratory results, patients' condition and response to therapies/interventions, and communications with the supervising MD.
• 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.

• Give daily handoff to appropriate attending, APP, or fellow at the end of the shift.
• Assess educational needs of the patient-care staff and provide one-on-one and formal education as needed.

• Assess the 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 education in patients' medical records.