Job Summary
Seeking a highly skilled, experienced APP to join our growing cardiothoracic critical care team. This is a 24/7 service therefore this position requires days, nights, weekends and holidays in a rotation with the team.
In this position you will be responsible for examining, diagnosing and treating patients with complex cardiac, respiratory, and thoracic diseases under the direction of the attending physician. Our APPs play an integral role in the multidisciplinary care team by coordinating discussion, communication, and implementation of care plans with various consulting physician services, nursing, respiratory therapy, pharmacy, nutritional support, and other ancillary teams. In addition to these skills, you will be expected to have obtained competency in common ICU procedures, including but not limited to endotracheal intubation, arterial blood gas collection, arterial catheter line placement, central venous catheter line placement, temporary dialysis catheter line placement, transvenous pacemaker line placement, and pulmonary artery catheter line placement.
Our cardiothoracic critical care providers are also the rapid response team for the hospital's cardiac catheterization lab.
Our APPs are expected to manage endotracheal tubes, tracheostomy tubes, ventilators, pacemakers, sedation (MAC and Deep), interpret ABGs and VBGs as well as complex acid/base derangements, manage fluid balance goals with diuretics, hemodialysis, and CRRT, vasopressors and inotropes, XRAYS, and laboratory investigations.
Knowledge of the following advanced mechanical support devices is also expected: IABP, IMPELLA (2.5, CP, 5.0, 5.5, RP), CENTRIMAG, and ECMO (VV, VA).
Knowledge of the following disease states and patient types is also expected:
SHOCK - ALL TYPES
SEPSIS
RESPIRATORY FAILURE
HEART FAILURE
RENAL FAILURE
ACUTE & CHRONIC HTN
BRADYCARDIA
TACHYCARDIA (SVT, AFIB, AFLUTTER)
VT/VF
ENCEPHALOPATHY
DELIRIUM
INSOMNIA
CARE OF POSTOP CARDIAC SURGERY PATIENT (CABG, VALVE, THORACIC)
CARE OF POSTOP LVAD PATIENT
CARE OF POSTOP HEART TRANSPLANT PATIENT
CARE OF POSTOP LUNG TRANSPLANT PATIENT
CARE OF POST CARDIAC ARREST PATIENT
Under physician supervision, provides medical care to patients of varying type and acuity.
Essential Functions
Functions in the role of advanced practitioner to coordinate comprehensive care delivery. Writes orders/prescriptions for standard formulary medications, laboratory, radiographic studies and consultations, coordinating the scheduling of admissions, diagnostic evaluations, follow-up exams, laboratory tests, referrals to home care, social services, and other community agencies, etc., in order to ensure continuity of care and coordination of services.
Obtains histories and performs physical exams.
Assesses the patients/significant other, health care team, school and other community educational needs and develops, implements, evaluates and revises teaching strategies/educational programs related to area of specialty.
Acts as a patient advocate, crossing multidisciplinary lines to meet patient needs.
Communicates, collaborates, networks with and acts as a consultant to other members of the health care team within and outside Spectrum Health. Acts as a consult in area of expertise.
Performs and assists with designated procedures.
Documents in the medical record and dictates information as appropriate.
Provides input into the strategic planning, implementation and evaluation of service/program. Measures the outcomes of care and evaluate services across the continuum of inpatient to outpatient services. Makes recommendations to improve the quality of patient care provided and utilizes the scientific method of research clinical problems.
Qualifications
Education - Graduate of an accredited Physician Assistant educational program
Licenses -
Physician Asst (PHYS ASST)*
Basic Life Support (BLS)
Basic Life Support (BLS) Note used for BLS,CPR & BCLS) Specific to SHMG 90 Days
Advanced Cardiac Life Support (ACLS) As appropriate for patient population
Pediatric Advanced Life Support (PALS) Specific to SHMG: PALS is required by specialty or stress test is performed 120 Days
Advanced Cardiac Life Support (ACLS) Specific to SHMG ACLS if required by specialty or stress test performed 120 Days
Education - Nurse Practitioners who obtained their education and certification after 2000 must show evidence of completion of a master's, post-master's or doctorate from a Nurse Practitioner program that is accredited by the Commission on the Collegiate of Nursing Education or the National League for Nursing Accrediting Commission
Experience - 3 years of experience typically gained through skills/knowledge/abilities in current, relevant clinical experience Previous experience functioning in a collaborative role
Licenses -
Registered Nurse (RN)* All
Nurse Practitioner - Licensed (NP)* All
Basic Life Support (BLS) Note used for BLS,CPR & BCLS) All
Basic Life Support (BLS) Specific to SHMG 90 Days
Advanced Cardiac Life Support (ACLS) Specific to SHMG ACLS if required by specialty or stress test performed 120 Days
Completes credentialing and privileging process upon hire and undergoes reprivileging every 24 months or as determined by policy.
Physical Demands
Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 50 lbs
Waist to Waist > 5 lbs: Seldom up to 50 lbs
Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
Waist to Overhead > 5 lbs: Seldom up to 5 lbs
Bilateral Carry > 5 lbs: Seldom up to 25 lbs
Unilateral Carry > 5 lbs: Seldom up to 10 lbs
Pushing Force > 5 lbs:... For full info follow application link.
Beaumont Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, status as a protected veteran, or status as a qualified individual with a disability.