Pediatric Nurse Practitioner or Physician Assistant - Pediatric Heart Center Fellowship

Location: Durham, NC, US

Pediatric Nurse Practitioner or Physician Assistant - Pediatric Heart Center Fellowship

Work Arrangement:

Requisition Number:

273898

Regular or Temporary:

Regular

Location:

Durham, NC, US, 27710

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Personnel Area:

DUKE HOSPITAL

Date:

Sep 17, 2026

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. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

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 – Duke University Hospital

Job Summary

The Duke Pediatric Heart Center Advanced Practice Provider (NP or PA-C) Fellowship rotates through clinical settings in the pediatric heart center which includes inpatient and outpatient locations.  There will be heavy emphasis in the pediatric cardiac intensive care unit (PCICU), PICU, and pediatric cardiac stepdown.  The APP Heart Center fellow will work alongside APPs and MDs to provide direct patient care services for newborn congenital heart, surgical, and medically ill pediatric heart center patients from birth to young adults at Duke University Hospital or in the clinics in collaboration with APPs, cardiologists, and surgical physicians.  The APP Fellow performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, and provides direct patient care services.  The APP Fellow contributes to excellence in patient care, research, teaching, and learns to provide leadership in the organization.

Goals of Pediatric Heart Center fellowship:

Acquire a deep and broad knowledge base of the common congenital heart anomalies and disease

processes for which patients are hospitalized, understanding the pathophysiology, various presenting

clinical presentations and disease prognosis

Develop a diverse differential diagnosis and respective diagnostic and treatment plan based upon the

patient's presenting symptoms along with evidence-based and cost-effective medical care

Manage patients effectively throughout the whole hospital stay, including admission, daily rounds and

continuing evaluation, and dismissal, while remaining cognizant of the patient's or families emotional,

physical and spiritual needs

Learn practice management, including strategies in training APPs and APP students

Develop keen verbal skills to effectively communicate with colleagues, physicians, patients and

ancillary staff to ultimately become a key part of the inpatient health care delivery team

Job Duties and Responsibilities

Clinical Expert:

In collaboration with cardiology attendings, PCICU attendings, surgeon(s) and/or APPs, 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 and under the hospitalist supervising physician or back up physician who is either on site or available by pager.

Collaborate with the residents, fellows, attending other NP/PA colleague’s 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 change in status and institute appropriate interventions.  Initiate emergency interventions to stabilize the patient until physician support arrives.

Postoperative stabilization and management.

Develop patient care pathways, protocols and guidelines for the management of specific problems in conjunction with physicians and other members of the health care team.

Analyze clinical practice patterns so as to provide the best medical care and to increase effectiveness and efficiency.

Communicate verbally and in writing all pertinent patient information to supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers.

Document in the patients’ medical record all relevant data including but not limited to results of diagnostic tests; laboratory results; patients’ condition and response to therapies/interventions; communications with supervising MD.

Utilize prescriptive privileges only for identified patient population.

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.

Role model competence in all nurse practitioner / physician assistant advanced skills.

Give daily handoff to appropriate APP, attending, resident and/or intern at the end of the shift

Educator:

Assess educational needs of the patient-care staff and provide one-on-one as well as forma