The department of Cardiothoracic Surgery at the University of Iowa Health Care is seeking a PA/ARNP Hospitalist, with the main function being in the OR. This position will function as an Advanced Practice Provider who, working collaboratively within a multidisciplinary health teams, is responsible for providing comprehensive care to patients in the Pediatric Cardiothoracic Surgery Service. This role will provide care across the continuum. This position may require weekend and night call coverage responsibilities as indicated.
CHARACTERISTIC DUTIES AND RESPONSIBLITIES:
Clinical
· Provide comprehensive medical and surgical management of patients residing within the cardiothoracic surgery service, as well as patients that are managed collaboratively with other services such Anesthesia, Cardiology, and Critical Care.
· Facilitate timely admissions, discharges and transfers.
· Obtain complete health and medical histories form the patient and family.
· Perform comprehensive physical exams on patients.
· Exhibit current and comprehensive knowledge of pediatric cardiac and thoracic diseases.
· Assess and facilitate referrals and consultation per patient needs.
· Demonstrate accountability for evaluation of clinical practice including adherence to organizational, state, and national practice standards and codes.
· Perform medical diagnosis, therapeutic procedures, and prescribes medications as clinically indicated for patient care.
· Order and evaluate lab, x-ray, EKG, echo, and other tests as clinically indicated.
· Provide anticipatory guidance and counseling to patients and families receiving vascular/thoracic/cardiac surgery.
· Document patient assessment and plan of care in the electronic medical record and generate appropriate health reports for outgoing correspondence.
· Attend rounds/bed huddles in the ICUs and step down units.
· Provide assistance with invasive procedures including but not limited to open chest procedures, chest closures, wound debridement, and ECMO cannulation/decannulation.
· Insert and remove chest tubes, discontinues epicardial wires and documents procedures in the electronic medical record.
· Perform Extracorporeal Life Support Device management and device interrogation.
Consultation
· Serve in a consultative and resource capacity to other divisions, departments and health care professionals as needed for management of pediatric cardiac and thoracic patients.
· Provide expert knowledge and model behavioral skills that appropriately impact clinical practice and patient outcomes.
Education
· Provide education and serve as a resource for nursing staff, medical and advanced practice provider students, and residents in area of clinical expertise.
· Participate in the development, utilization and evaluation of resources to meet patient/family educational needs.
· Participate in pediatric thoracic and cardiac surgery conferences and presentations.
Research/QA/QI
· Participate in the development and implementation of divisional and departmental QA/QI/research programs.
· Participate in consent and protocols for clinical trials/research projects in conjunction with other disciplines.
· Complete and update clinical data collection, assist with the maintenance of Society of Thoracic Surgery registry and other databases.
· Participate in pediatric thoracic and cardiac surgery research projects.
Professional Responsibilities
· Participate in clinically relevant activities and attend UIHC APP council meetings and other conferences to enhance clinical and professional expertise.
· Maintain national and state licensing and certification requirements.
· Maintain current compliances (University, UI Health Care, Departmental etc.) as required.
POSITION EXPECTATIONS/UNIVERSAL COMPETENCIES
Positive Impact/Achieving Results
· Ability to utilize existing resources and learning to achieve or exceed desired outcomes of current and future organizational goals/needs. Able to demonstrate ethical behavior in diverse situations while producing results.
Service Excellence/Customer Focus
· Ability to meet or exceed customer service needs and expectations and provide excellent service in a direct or indirect manner. Ability to effectively transmit and interpret information through appropriate communication with internal and external customers.
SUPERVISION RECEIVED
Practice oversight received from the assigned collaborating physician. Functional and administrative oversight received from the APP lead.
EDUCATION REQUIRED:
Physician Assistant
· Must comply with registration and licensure requirements as specified by the Iowa Board of Physician Assistant Examiners which include graduation from accredited PA educational program and certification by the NCCPA.
· Eligible to be licensed by the State of Iowa to perform as a Physician Assistant. Certification by the NCCPA.
--OR-
Advanced Registered Nurse Practitioner (ARNP) -
· A Master's degree is required. A Master's degree in Nursing is preferred. If Master's degree is in a related field, a Baccalaureate degree in nursing is required.
· Current board certification in specialty area and licensure as an ARNP in the State of Iowa.
· Successful candidates will be expected to successfully acquire PALS/ACLS certification prior to start date.
REQUIRED QUALIFICATIONS
· Reasonable (1-3 years) experience in area of clinical practice is required or previous experience in specified hospital specialty area or demonstrated knowledge of area of clinical practice.
· Excellent written and verbal communication skills.
· Professional job-related experience fostering or promoting a welcoming and respectful work/academic environment where people of all backgrounds and perspectives feel welcomed and appreciated; or demonstrated the ability to do so
HIGHLY DESIRED QUALIFICATIONS
· Considerable (3-5 years) experience in clinical Pediatric Cardiothoracic surgery, with 1-3 years of this experience as an Advanced Practice Provider in ICU or Cardiothoracic surgery is highly desired.
DESIRED QUALIFICATIONS
· Experience with patient and staff education.
· Demonstrated ability to develop and implement new programs.
· Experience with evidence based practice or research utilization.
· Participation in professional PA/ARNP organizations.
Position and Application Details
Successful candidates will be subject to a criminal background check and education/credential verification. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check. Up to 5 professional references will be requested at a later step in the recruitment process.
In order to be considered for an interview, applicants must upload the following documents and mark them as a "Relevant File" to the submission:
Job openings are posted for a minimum of 14 calendar days and may be removed from posting and filled any time after the original posting period has ended.
For additional questions, please contact Lydia Messer at lydia-messer@uiowa.edu
Benefits Highlights
- Fringe benefit package including paid vacation; sick leave; health, dental, life and disability insurance options; and generous employer contributions into retirement plans
- The University of Iowa offers a generous benefits package, including paid vacation and paid sick leave. Complete information regarding the full benefits package may be viewed at:
The University of Iowa is an equal opportunity/affirmative action employer. All qualified applicants are encouraged to apply and will receive consideration for employment free from discrimination on the basis of race, creed, color, religion, national origin, age, sex, pregnancy (including childbirth and related conditions), disability, genetic information, status as a U.S. veteran, service in the U.S. military, sexual orientation, gender identity, or associational preferences.
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