How to ApplyThis is an Advanced Practice Professional (APP) job opening. Both qualified NP and PA applicants will be considered.
NPs are directed to apply to job # 255639 and PAs are directed to apply to job # 255640.
A total of one (1), 1.0 FTE, Advanced Practice Professional (either NP or PA) will be hired to fill this job opening.
Job SummaryThe Medicine Pulmonary service is a team of advanced practice providers (APPs) that provide care to an array of medically complex patient populations at every acuity level from general care to intensive care, with the largest patient population at the moderate care level. The Medicine Pulmonary service cares for several pulmonary population subsets including patients that are waiting for or have received a pulmonary transplant, adult patients with cystic fibrosis, post-operative interventional pulmonary patients, adult patients requiring invasive and non-invasive ventilation, and patients with multiorgan injury/failure requiring an intensive care unit (ICU). The Medicine Pulmonary team is well established within the institution and is comprised of advanced practice providers that deliver high-quality and evidence-based care under the supervision of a pulmonary critical care attending.
Responsibilities*Duties will include but are not limited to:
- Perform initial assessments of ICU, moderate care patients and general care patients.
- Perform detailed history and physical, formulate initial assessment and plan, and present patient cases and any pertinent data to medical staff.
- Appropriately order, collect, and interpret reports from diagnostic lab testing, radiographic procedures, and other clinical studies.
- Prescribe medications and enter other orders related to patient care.
- Perform various diagnostic, therapeutic, and procedural clinical interventions, based on privileges such as central lines, arterial lines, chest tube removals, tracheostomy removal, decisions to extubate patients, thoracentesis, paracentesis, bedside ultrasound.
- Manage mechanical ventilation, non-invasive ventilation, heated hi-flow nasal canula for respiratory failure.
- Manage hypotension with fluids, blood products, albumin, vasopressors.
- Manage antibiotics and antifungals.
- Manage gastrointestinal bleeding and liver failure patients.
- Manage renal failure patients requiring dialysis and continuous renal replacement therapy.
- Manage immunosuppression and opportunistic infections in transplant patients.
- Manage chest tubes, including decision to place, administering thrombolytics, placement on suction or water seal or clamp, decision to remove chest tube.
- Run ACLS codes for cardiac arrest.
- DC cardioversions for cardiac arrhythmias with hemodynamic instability.
- Initiate transplant evaluations for end stage lung and end stage liver patients.
- Assist attending physicians in orientation of new medical trainees to the service, such as resident physicians or medical students; assist in the training of new advanced practice providers to the service; assist in maintaining continuity of care throughout the hospital stay.
- Communicate appropriately with attending physicians, consultants, and other members of the patient care team in order to coordinate and provide clinical care.
- Maintain accurate and thorough documentation regarding patient status, evaluations, and treatments.
- Streamline the patient transfer process between levels of care, including writing discharge orders and summaries and communicating specific patient needs to internal and external care centers or team members, as well as ambulatory care providers as needed.
- Participate in quality assurance activities including quality improvement projects, peer evaluations and support research initiatives involving the ICU and Moderate Care patients.
- Assist in the development of patient-specific, facility-based disease management protocols; perform other related duties as required to assure patient safety and satisfaction; and utilize new improvements and/or technologies that relate to job assignments.
Required Qualifications*NP:
- 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.
- Graduate of an accredited Nurse Practitioner program.
- Certification as a Nurse Practitioner recognized by the National Council of State Boards of Nursing (NCSBN).
- Current DEA registration required.
- ACLS required (separate AHA approved BLS also required unless ACLS was completed through the UMHS Simulation Center).
- Experience rounding on an inpatient service for a minimum of 8 months and caring for acutely ill patients.
- Two or more years experience as an APP caring for ICU level patients.
PA:
- Current license to practice as a Physician Assistant in the State of Michigan.
- State of Michigan Controlled Substance License Required.
- 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.
- Certification by the National Commission on Certification for Physician Assistants (NCCPA).
- State of Michigan Controlled Substance License Required.
- Current DEA registration required.
- ACLS required (separate AHA approved BLS also required unless ACLS was completed through the UMHS Simulation Center).
- Experience rounding on an inpatient service for a minimum of 8 months and caring for acutely ill patients.
- Two or more years experience as an APP caring for ICU level patients.
Work ScheduleHours: 40 hours per week
Shift: Primary 7pm-7am Week and Weekends nights rotating as needed 7am-7pm Week and Weekend days
Location: University Hospital
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