Cardiac Surgery/Cardiogenic Shock- Advanced Practice Clinician – Rotating Shifts – Abington

Thomas Jefferson University•Montgomery County, PA

1d•Onsite

About The Position

The advanced practice clinician (Nurse Practitioner/Physician Assistant) within the cardiac surgery and cardiogenic shock service collaborates as part of a multidisciplinary acute care team. The APC provides comprehensive inpatient care, including pre- and post-operative cardiac surgery management and the care of critically ill patients with cardiogenic shock, including those requiring mechanical circulatory support (ECMO, Impella, IABP). ICU experience is a plus.

Requirements

Master’s Degree
National Board Certification as an Acute Care Nurse Practitioner or Physician Assistant
BLS certification

Nice To Haves

ICU experience is a plus.

Responsibilities

Performs complete history & physicals and documents in the medical record.
Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
May serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.
Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
Manages diagnostic tests through ordering, interpretation, performance, and supervision.
Formulates differential diagnoses by priority.
Diagnoses complications and orders appropriate interventions.
Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs.
Utilizes evidence-based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.
Implements and modifies plan of care.
Prescribes diagnostic strategies and therapeutic interventions.
May perform advanced procedures consistent with privileges and competency validation.
Maintains ongoing communication and collaboration with interdisciplinary health care team.
Facilitates and communicates with patient, family, and staff to promote continuity of care across the inpatient and outpatient continuum of care.
Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and/or clinic note where applicable (H&P, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, death summary) in the medical record per specific patient unit or service. Documentation is timely, meets acute care compliance standards, and captures patient acuity.
Demonstrates Professional Practice behaviors including: preceptor/mentoring, education, and instruction of graduate students.
Seeks opportunities for active engagement in research and the analysis of evidence-based practice.
Actively participates in Advanced Practice Grand Rounds and specialty-specific meetings.
Maintains CEUs and membership in a professional organization.

Benefits

medical (including prescription)
supplemental insurance
dental
vision
life and AD&D insurance
short- and long-term disability
flexible spending accounts
retirement plans
tuition assistance
voluntary benefits, which provide colleagues with access to group rates on insurance and discounts.
tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.