Job Description - APP-APRN- EP (2400345)
Performs diversified clinical duties in support of the New England Heart and Vascular Institute inpatient, outpatient, and satellite operations. Collaborates with the New England Heart Institute cardiologists in the delivery of cardiology care and treatment to patients and family members.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Under the general supervision of the Director of NEHVI Advanced Practice Providers and the clinical supervision of the Executive Medical Director of the New England Heart and Vascular Institute and within established Catholic Medical Center departmental policies and procedures, the incumbent performs the following functions:
Essential Functions:
- Gathers pertinent information, interviews patients, and performs physical examinations on patients in collaboration with the attending New England Heart and Vascular cardiologist. Develops, manages, and executes a patient plan of care.
- Promptly reports this information to the cardiologist, formulates a differential diagnosis, and plans based on this assessment.
- Documents history and physical findings promptly in the electronic medical record patient chart.
- Performs inpatient, outpatient office, and satellite office assessments, consultations, and follow-up care of patients, to include relevant interval history, physical exam, and review of objective data diagnostic and procedural testing, and develops a plan of care. Documents visits in EMR.
- Performs Cardiology Consultations when requested, reviews findings, assessments, and plan of care with the attending NEHVI cardiologist. Documents consultation in the EMR.
- Admits patients for procedures in collaboration with the procedural cardiologist. Assesses patient readiness and appropriateness to proceed with the procedure. Discusses any concerns and makes recommendations to the procedural cardiologist.
- Reviews planned procedure with the patient and family providing procedural education including review of risks and benefits of the planned procedure.
- Determines and completes orders including orders for diagnostic testing and medications within the EMR in accordance with institutional policy and procedures.
- Visits patients after procedures to assess their status, discuss procedural findings, answers appropriate questions, and provide educational and emotional support to patients and family members. Records these visits in the hospital EMR.
- Manages and executes patient discharges including prescribing medications, determining and arranging follow-up care, collaborating with consultant providers, nurses, social work, and case management. Documents discharge summaries and other required documents in EMR. Requests all discharge information and need for follow-up care is sent to referring providers.
- Recognizes and reports relevant information that requires urgent attention to attending cardiologist promptly.
- Works collaboratively and cooperatively with all members of the multi-disciplinary team.
- Demonstrates courtesy, respect, and caring to patients, families, physicians, and coworkers and maintains professional rapport with external parties and organizations.
- Provides and promotes effective and compassionate care for patients and their families.
- Conducts noninvasive cardiovascular diagnostic pharmacologic and nonpharmacologic stress testing in a safe, professional manner in accordance with established standards of care and practice. Consistently uses sound clinical judgment in assessing the urgency of abnormal findings and collaborates with the attending cardiologist appropriately.
- Documents test results on appropriate testing worksheets and electronic medical record.
- Upon completion of an abnormal noninvasive test, collaborates with a cardiologist to formulate an appropriate plan of care based on test results.
- Coordinates treatment for an abnormal noninvasive stress test with patient, family members, and referring physicians after collaborating with cardiologist.
- Communicates with referring physicians to review abnormal test results and make recommendations for follow-up and plan of care. Documents all interactions in the patient’s medical record.
- Contacts patients with follow-up information on abnormal testing. Documents all interactions in the patient’s medical record.
- Contacts patients in response to questions and concerns. Documents all interactions in the patient’s medical record.
- Actively participates in clinical research projects assisting with study recruitment when appropriate.
- Maintains BCLS and ACLS authorization and membership in professional organizations. Must be completed through the American Heart Association.
- Adheres to guidelines for appropriate billing and coding all patient encounters. Promptly submits billing information.
- Provides backup for clinical emergencies when the rounding cardiologist is not immediately available during regular daytime hours.
- Keeps knowledge base current by reading professional literature and attending educational programs.
- Assists in developing protocols and treatment plans, which improve the delivery of cardiology care to New England Heart Institute patients.
- Adheres to infection control, safety, and Universal Precaution Procedures.
Education: Graduate of an accredited Physician Assistant/Nurse Practitioner Program.
Experience: Three (3) or more years as a Physician Assistant or Nurse Practitioner preferred with a minimum of one (1) year cardiovascular experience.
Licensure Certification: Licensed by the state of NH as a Physician Assistant or Nurse Practitioner. ACLS authorization.
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