At Duke Health, we'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.
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 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.
Duke Cancer Institute - Advanced Practice Provider for Oncology Treatment Center (OTC)
Nurse Practitioner or Physician Assistant
Job Location
This position will practice in Duke University Hospital, inpatient unit (9200) as well as the outpatient Duke Oncology Treatment Center (OTC) located in the North Pavilion.
Job Summary
The OTC APP will provide direct patient care in the inpatient setting to patients during the pre-, peri- and post-chemotherapy periods in collaboration with Hematology/Oncology attending physicians and nursing staff. The age-specific scope of practice is between 18 yrs and end of life.
Job Duties and Responsibilities:
In collaboration with Dr. Hope Uronis (supervising physician and OTC medical director) as well as OTC Leadership, the Advanced Practice Provider’s primary focus is to augment the care of patients receiving care and treatment in the OTC. This includes:
- Oversight of emergency management of patients
- Hypersensitivity protocol
- Code Blue/ 115 first response
- Assessment of acutely ill patients awaiting admission to the hospital
- Additional orders for symptom management as needed
- Collaboration with inpatient medical team for handoff
- Prescription of medications for symptom management
- Additional orders as needed
- Address lab values if outside of regimen parameters to determine if patient can receive treatment
- Order supplements as needed based on lab values
- Rounding in the OTC throughout the day, connecting with the Disease-Based Group (DBG) Team Leads and Charge Nurses
- Perform outpatient procedures in coordination with patient’s primary oncology provider team
- Assessment of patients as needed prior to treatment in coordination with patient’s primary oncology provider team
- Daily rounding on patients receiving chemotherapy and blood products in the OTC.
- Evaluation of patients for needs including, but not limited to, fluids, electrolyte replacement, antibiotics, pain medication, anti-emetics, admission to inpatient status, etc.
- Assessing and clearing patients for treatment on behalf of their primary treatment team on a limited, case by case basis, as OTC workflow allows.
- Overseeing hypersensitivity reactions and other acute events.
- Yearly review of hypersensitivity protocol.
- Proper documentation of all interventions and therapies into the medical record.
- Communicating with the patients’ primary oncologist and oncology teams such that all parties involved in their care are aware of the most up to date information about the patients.
- Perform minor procedures such as simple superficial suture placement and removal, EKG interpretation, preliminary image interpretation, ommaya access with chemotherapy and other procedures within competency and personal scope of practice, as needed in the OTC.
- Actively participate in discussions and decision making that affect the clinical policies and procedures of the OTC.
- Attendance at educational events when time permits.
- Education and in-services for staff regarding oncology topics, new procedures, disease processes, etc., when time permits.
- Assessment and management of patients in Acute Care Clinic for urgent care needs, when they are unable to see their oncologist, but that would be preferable not to go to the ER.
- Meetings with my supervising physician every six months per Collaborative Practice Agreement.
- Responsible for accurate charge capture/billing as well as documentation of care provided in the patient’s medical record.
- Responsible for communicating care provided in the OTC with the patient’s primary oncology provider team.
Job Eligibility Requirements
Education
NP: Graduate of MSN or DNP accredited Nurse Practitioner Program
PA: Graduate of ARC accredited Master’s Degree or Doctoral Degree Physician Assistant Program
Certification
NP: Any NP certification that treats adults (FNP, ANP, AGNP, AGACNP, etc.)
PA: PA-C
Licensure
NP: Must have unrestricted RN licensure issued by or recognized by the NCBON with authorization to practice as a NP
PA: Must have unrestricted license issued by NCMB with authorization to practice as PA
Both: Federal and State DEA independent license with prescriptive authority
Experience
APP experience is preferred, ideally Oncology/Hematologic Malignancy experience, but recent or new grads, graduating by May 2024, welcome to apply.
Job Hours
Full-Time, 40 hour week, Monday – Friday, Shifts rotate with 2 other providers to provide coverage during clinic hours, 8am – 8:30am
Duke is an Affirmative Action/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, sexual orientation, or veteran 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 essentialjob 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.