Advanced Practice Professional - Critical Care Medicine, CVICU

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The Advanced Practice Professional (APP) has coordination and clinical skills required for the comprehensive management of critical care medicine patients, (including biological, social and psychological assessments). They will possess specialized skills in the care of patients and families undergoing operative and other invasive procedures. The APP coordinates the involvement of medical/surgical specialty teams necessary to develop a comprehensive plan for the patient and reviews the care plan with the other members of the clinical team, participates in directing that care. The provider will work with the team to ensure adherence to protocol requirements and regulatory guidelines. They will perform diagnostic/therapeutic procedures, peri-procedural services, and coordinates discharge planning to next level of care (as applicable). The APP will participate in the education of residents and medical/nursing students.

This position will also be responsible for responding to rapid response alerts. In this capacity, the APP would assess and initiate care for the critically ill patient in the activation.

MINIMUM QUALIFICATIONS FOR NURSE PRACTITIONER:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1.    Graduate from a CCNE accredited nursing program with Master’s Degree in Nursing.
2.    National Certification by one of the recognized APRN Certification Centers.
3.    Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC) AND Advanced Practice Registered Nurse License issued by West Virginia Board of Nursing.
4.    American Heart Association BLS Certification required with additional Advanced Life Support training at the discretion of the department.
EXPERIENCE:
1.    Eligible new graduates will be considered.

PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1.    Acute care or critical care experience preferred.
2.    ACNPs preferred but will consider FNPs.

MINIMUM QUALIFICATIONS FOR PHYSICIAN ASSISTANT:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1.    Bachelor’s Degree as a Medical/Surgical (as applicable) Physician Assistant required.  
2.    Graduate of an ARC-PA approved Physician Assistant (PA) training program required.
3.    Certification by the National Commission for Certification of Physician Assistants required.
4.    Must be licensed or eligible for licensure by the WV Board of Medicine or WV Board of Osteopathic Medicine. 
5.    American Heart Association BLS Certification required with additional Advanced Life Support training at the discretion of the 
department.
EXPERIENCE:
1.    Eligible new graduates will be considered.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1.    Master’s Degree as Physician Assistant preferred.    
2.    Critical care or critical care experience preferred.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.
1.    Manages comprehensive and individualized care for patients and families in the inpatient/critical care patients and their families in the inpatient intensive care phase of hospitalization and immediate post transfer to stepdown, ward or discharge.
2.    Completes daily rounds; consults and/or pre-procedure/evaluations.
3.    Completes integrated assessments.
4.    With the collaboration of critical care faculty or by following established clinical Guidelines and Protocols, orders additional tests or consults as deemed appropriate.
5.    Performs and communicates results of diagnostic tests following established clinical guidelines and scope of practice.
6.    Consult and communicate with clinic and hospital staff regarding abnormal findings in the evaluations of patients.
7.    Performs succinct comprehensive clinical evaluations and documents findings in medical record.
8.    Facilitates patient discharge or transfer by coordinating appropriate services and tests for follow-up (as applicable).  
9.    Develops a comprehensive individualized plan of care for critical care patients, which includes teaching, discharge or transfer planning and necessary referral to other members of the health care team as necessary.
10.    Demonstrates expertise in caring for patients across the age continuum of their educational experience and certification.
11.    Identifies unstable or complex critical care patient care situations and facilitates appropriate intervention in the hospital setting.
12.    Recognizes emergency situations and initiates effective emergency care.
13.    Evaluates critical care patients and serves as a coordinator for follow up procedures and tests in the ambulatory setting (as applicable).
14.    Assists in the collection of outcome measures (as applicable).
15.    Demonstrates critical thinking and diagnostic reasoning skills in clinical decision making by the identification, evaluation, and management of the individual needs of patients/families.
16.    Demonstrates the ability to utilize equipment in a safe manner.
17.    Bases decisions made/actions taken on the relevant scientific principles, established standards of care and/or research findings.
18.    Utilizes teaching/learning theory and appropriate teaching strategies in the provision of education to nursing staff, hospital staff, students, patients, families and the community.
19.    Promotes an environment that facilitates learning by responding to appropriate patient/family preferences, priorities, and readiness to learn.
20.    Updates own knowledge base throughout the year.
21.    Completes all identified clinical competencies.
22.    Serves as a resource person for staff caring for the critical care patient.
23.    Provides educational programs to professional and paraprofessional personnel in the area of expertise.
24.    Participates in community programs, distribution of literature, as appropriate in area of expertise.
25.    Documents the plan of care, interventions, and evaluations in a clear and concise manner for every patient visit in the patient’s medical record following approved hospital/UHA policies and compliance standards for documentation.  
26.    Collaborates with other leaders and staff to effectively achieve patient outcome-based improvements in care.
27.    Provides leadership in the development and implantation of changes in the critical care practice that positively impact patient outcomes.  
28.    Works collaboratively with medical and nursing staff to facilitate creative problem solving and provide professional support.
29.    Participates and initiates inter-disciplinary approaches to patient care, program development and education.  Serves as a professional role model.
30.    Promotes and practices innovation of the expanded role in the delivery of care to critical care patients and families throughout the inpatient hospitalization, and the ambulatory setting.
31.    Participates and provides leadership for committees and task forces.
32.    Document hours and submit billing reports, as appropriate.  
33.    Reviews and interprets critical care data from sources such as patient registries, clinical and financial reports, length of stay, access to care, and cost per case reports and recommends/implements changes as necessary.
34.    Participates in clinical trials and research studies with the Principal Investigator.
35.    Assists critical care Faculty, Administrators and Directors in the collection of outcome measures.
36.    Other duties/projects as assigned.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
1.    Heavy/Hard Work: Work requires strength and/or stamina, lifting, moving, stooping, reaching, positioning of patients, standing, walking, and carrying of patients, materials and equipment weighing 40+ pounds.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
1.    Working closely with others.
2.    Protracted or irregular hours.
3.    Working around biohazards.
4.    Working around infectious diseases.
5.    Working with or near the deceased.
6.    Working with hands in water.
7.    Electrical hazards associated with patient care equipment.

SKILLS AND ABILITIES:
1.    Proficiency with computers.
2.    Strong communication skills.

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Varied (United States of America)

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

UHA University Health Associates

Cost Center:

7912 UHA HVI Critical Care

Address:

1 Medical Center DriveMorgantownWest Virginia

Equal Opportunity Employer

University Health Associates and its subsidiaries (collectively "UHA") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. UHA strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All UHA employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.