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 # 255472 and PAs are directed to apply to job # 255473. A total of 1, 1.0 FTE, Advanced Practice Professional (either NP or PA) will be hired to fill this job opening.
Job SummaryThe Cardiac Surgery (STC) Advanced Practice Provider (NP/PA) will provide support to the Cardiac Surgery Inpatient Stepdown Unit Service. The primary role of the STC APT member is to evaluate, manage, and treat cardiac surgery patients under the direction of the Cardiac Surgery attending physician. Within the physician-NP/PA relationship, the NP/PA exercises autonomy in medical decision-making and provides a range of diagnostic and therapeutic services for STC patients. The STC provider role may also include education, research, and administrative services such as assisting with team orientation and training.
Responsibilities*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.
Required Qualifications*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.
Desired Qualifications*- 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 patients with Left Ventricular Assist Device (LVAD).
- Recent experience in performing Discharge Navigator, writing discharge summaries, and completing patient discharges.
- Experience writing succinct but thorough history and physical exams, progress notes, discharge summaries.
- Demonstrated experience in caring for patients across the continuum of care.
- Experience functioning as an independent provider in addition to contributing to a team environment, work efficiently, and experience independently managing a high volume of high acuity patients.
- Advanced understanding of cardiac surgery procedures, including an ability to explain procedures in detail to patients and their families.
- Demonstrated ability to order and interpret appropriate diagnostic studies; synthesize information and make informed clinical decisions independently; develop appropriate care plans, ability to be patient-focused and respond to patient and family preferences and needs.
- Demonstrated provider experience with heart transplant patients.
- Demonstrated knowledge of adult cardiac physiology and complex cardiac pathology with experience teaching cardiac physiology and pathology in a high level learning environment.
- At least one year of recent experience caring for acutely ill patients in a hospital setting.
- Demonstrated excellent verbal and written communication skills, organization, and problem-solving skills.
- Demonstrated high level of critical thinking.
- Ability to prioritize assignments and manage a busy work environment.
- Demonstrated high level of motivation to learn within and outside of the hospital environment and to participate in activities and projects to improve patient care and outcomes.
- Must reflect a professional appearance and demeanor and possess excellent customer service skills.
- Demonstrated commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to diversity.
- Ability to demonstrate computer skills including computer documentation and order entry.
- Demonstrated experience with and knowledge of current medical, surgical, and pharmaceutical treatment modalities of the post-cardiothoracic surgery patients.
- Demonstrated competence as first responder in code situation.
- Demonstrated expertise in facilitating the educational growth of others through previous instructional or mentoring roles.
- Focus on patient and family-centered care.
Work ScheduleHours/Week: Full-time, 40 hours/week
Weekend shifts required. Holiday shifts required. Weekend requirement could be as much as 50% or every other.
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