Nurse Practitioner - Neuroscience ICU
Work Arrangement:
Requisition Number: 273445
Regular or Temporary: Regular
Location:
Durham, NC, US, 27710
Personnel Area: DUKE HOSPITAL
Date: Aug 26, 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 Health hospitals with 1062 patient beds, it
features comprehensive diagnostic and therapeutic facilities, including a
regional emergency/trauma center, an endo-surgery center, and more.
Duke Advanced Practice Highlights:
The nation's first Physician Assistant Program was created at Duke in 1965
and is consistently ranked No. 1 in the country.
The Duke School of Nursing is consistently ranked as one of the top
nursing schools and their MSN and DNP programs offers eight advanced
practice registered nurse majors and specialty certifications, as well as
post master's certificates and certification alignment programs.
Commitment to ongoing learning for APPs through annual CME funding and
access to high-quality Duke CME offerings including APP Grand Rounds and a
professional advancement program. APPs are leaders in multiple arenas
within Duke.
Duke offers APPs opportunities to practice within team based integrative
care in a tremendous variety of specialties. APPs are expected to work to
top of scope in order to contribute to Duke's missions which include
clinical practice, education, and research.
Practice locations can include Duke Health's four hospitals or over 140
primary care and specialty care clinics throughout North Carolina.
Job Location
Duke University Hospital, Durham, NC
Job Summary
The Duke Hospital Neuroscience ICU Advanced Practice Provider (Nurse
Practitioner/Physician Assistant) provides direct patient care services for
critically ill complex (multi-organ) patients in an intensive care setting
in collaboration with and under the supervision of the Neuro ICU Teams. The
NP/PA 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 NP/PA contributes to excellence in patient
care, research, teaching, and provides leadership to the organization.
Job Duties & Responsibilities
Provide and coordinate clinical care for Neuro Critical Care patients in
the Neuro ICU at Duke Hospital under established protocols and the
supervision of a neuro intensivist (on-site or available by phone).
Conduct daily rounds with the attending physician to assess, diagnose,
plan treatment, and evaluate patient outcomes.
Collaborate with residents and fellows to develop and monitor treatment
plans.
Perform and/or order the following procedures:
Patient history and physical exam
Laboratory, radiology, and diagnostic tests, including interpretation
Management of acute patient decompensation
Arterial and central line placement
Peripheral IV catheter insertion
Placement and management of NG tubes, G tubes, J tubes, and postpyloric
tubes (Cortrak placement)
Identify changes in patient status and initiate appropriate interventions,
including emergency stabilization.
Conduct preoperative evaluations and postoperative stabilization.
Analyze clinical practice patterns to enhance efficiency and care quality.
Communicate patient information with the supervising physician, nursing
staff, and other healthcare providers.
Document all relevant clinical data in patient records, including test
results, patient status, and interventions.
Prescribe medications and necessary medical devices, including Schedule
II–V drugs.
Assess and provide patient/family education, documenting all pre- and
post-operative education.
Serve as a mentor and preceptor for healthcare learners.
Apply current research and evidence-based practices in clinical decision-
making.
Participate in quality improvement initiatives and research activities.
Measure and document patient outcomes.
Provide expertise and resources on Neuro Critical Care conditions,
procedures, and interventions.
Develop and evaluate clinical guidelines, policies, and protocols for the
Neuro Critical Care unit.
Lead programs and projects that align with the goals of Duke University
Hospital and Duke Health System.
Job Eligibility Requirements
Education
Nurse Practitioners: Graduate of accredited MSN or DNP Acute Care Nurse
Practitioner Program for adult care.
Physician Assistants: Completion of an accredited Physician Assistant
program. A Bachelor's degree required; prefer Master's or Doctoral degree.
Both: Critical Care Fellowship training preferred.
Certification
PA: PA-C
NP: Nationally recognized critical care certification for adult care,
e.g., ACNP, AGACNP, or CCNP
BLS required.
License
Nurse Practitioners: Must have current or compact RN licensure in the
state of North Carolina. BLS required. National certification as a NP
required.
Physician Assistants: Must be licensed in the state of NC and be certified
as a Physician Assistant by the National Commission on Certification of
Physician Assistants.
Both: DEA licensure with full prescriptive authority required.
Experience
PA: 1 year experience as PA in adult critical care setting OR a one-year
Critical Care Fellowship
NP: 3 years RN experience in critical care setting + 1 year NP experience,
preferably neuro related
May also consider equivalent combination of required/preferred education
and experience
Job Hours
12- or 24-hour rotating shifts, including nights, weekends, and holidays.
The APP team provides 24/7 coverage.
Scheduling may be adjusted by leadership based on 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, (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.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
