Job Details

The D. Dan and Betty Kahn Health Care Pavilion is a 12-story hospital that will house 264 private rooms capable of converting to intensive care; a state-of-the-art neurosciences center; and high-level, specialty care services for cardiovascular and thoracic patients, along with advanced imaging. The 690,000-square-foot hospital which also features 20 surgical and three interventional radiology suites is being constructed adjacent to the Frankel Cardiovascular Center, with plans for bridge and tunnel connections to existing inpatient care facilities. 

Under physician supervision, coordinates the care of adult patients admitted to the cardiac surgery service.  Specifically, the role requires the clinician to:

• Manage pre- and post-cardiac surgery patients in a telemetry/step-down unit setting.
• Perform, order, and interpret advanced diagnostic and therapeutic tasks associated with patients undergoing cardiac surgery or procedures including but not limited to:  coronary artery bypass surgery, valve replacement or repair, aortic aneurysm repair, myectomy, transcatheter aortic valve replacement (TAVR), heart transplantation, total artificial heart, and left ventricular assist device (LVAD) placement and revision.
• Complete and document detailed histories and physical exams; present pertinent data to the faculty.
• Order and interpret diagnostic lab tests, radiographic procedures, and clinical studies.
• Educate patients and their families on disease management, information and details regarding surgical procedures, post-operative instructions, and preventive care.
• Perform limited diagnostic, therapeutic, and minor surgical procedures such as removing temporary pacing wires, removing chest tubes, minor chest wound debridement, incision and drainage, placing wound vacs, and placing NG tubes.
• Discuss surgical procedures, obtain consent, and facilitate both necessary order entry but also effective interpretation of pre-operative testing.
• Maintain continuity of care throughout the Cardiovascular Center; provide team members of oncoming shift with thorough and accurate hand-offs. 
• Confer with attending physicians and communicate with other care providers/consultants to coordinate clinical care, escalating care as needed.
• Maintain accurate documentation regarding patient status, evaluations, and treatment.
• Streamline the patient transfer process between levels of care, including writing discharge orders and communicating specific patient needs to team members.
• Participate in peer evaluations and quality-assurance activities, support research projects and any other initiative deemed necessary and in the best interest of patient care.
• Perform other related duties as required.
• Maintain an in-depth knowledge of medical principles, practices, standards, and techniques in accordance with Michigan Medicine policies and procedures, Medical Staff Bylaws, and State and Federal laws/regulations.
• Participate in activities that promote professional growth and self-development.
• Adhere to all Michigan Medicine dress codes, personnel and safety policies.
• Adhere to Service Excellence and Patient Family Centered Care (PFCC) guidelines.

Note:  Position is night/day rotator with the majority of shifts being night shifts, with occasional day shifts. Holiday and weekend rotation required, weekend requirement could be as much as 50% or every other.

NP:

• Graduate of an accredited Nurse Practitioner program
• Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State of Michigan
• Current specialty certification to practice as an Adult-Gerontology Acute Care Nurse Practitioner
• Certification as a Nurse Practitioner recognized by the National Council of State Boards of Nursing (NCSBN)
• ACLS
• AHA Approved BLS
• Current DEA registration required

PA:

• Current license to practice as a Physician Assistant in the State of Michigan and Michigan Controlled Substance license 
• Certification by the National Commission on Certification for Physician Assistants (NCCPA)
• Satisfactory completion of a Physician Assistant program accredited by Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or one of its predecessor agencies, CAHEA or CAAHEP
• ACLS
• AHA Approved BLS
• State of Michigan Controlled Substance License Required 
• Current DEA registration required

PA/NP:

• Independent procedural experience including: incision and drainage, suturing, wound debridement.

NOTE:  Employment is contingent upon successful completion of the credentialing and privileging process.

NOTE:  In order to be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment.

RESUME REQUIRED (for both internal & external applicants):  You must attach a complete and accurate resume to be fully considered for this position.

• Ability to interpret cardiac testing, including advanced understanding of echocardiography and cardiac catheterization imaging interpretation via Synapse and Syngo. 
• Recent surgical procedural experience and comfort performing bedside procedures including temporary pacemaker wire removal, chest tube removal, experience initiating and replacing wound vacuums, transvenous pacemaker removal. 
• Experience and expertise in interpreting imaging and other diagnostic studies, including chest x-rays, CT scans and electrocardiograms. 
• Experience and comfort independently managing pati