Advanced Practice Professional - Pulmonary/ICU - Nocturnist

WVU Medicine•Charleston, SC

About The Position

The Advanced Practice Professional (APP) provides comprehensive management of pulmonary patients, including biological, social, nutritional, and psychological assessment. The APP coordinates input from medical specialty teams, develops and reviews plans of care with the clinical team, participates in directing care, performs diagnostic and therapeutic procedures, and coordinates discharge planning and outpatient management as applicable. The role also participates in educating residents and medical and nursing students. Healthcare services must be consistent with state law, professional licensing or certification requirements, and applicable hospital privileges. The APP manages individualized pulmonary care across inpatient, post-discharge when applicable, and ambulatory settings. The position includes daily rounds, consultations and pre-procedure evaluations, assessment and documentation, ordering tests or consultations in collaboration with pulmonary faculty or established guidelines, coordinating discharge and follow-up, responding to emergencies, and supporting patient and staff education. The APP also contributes to quality improvement, clinical programs, research, committees, and practice development. The position is based at the Pulmonary Associates of Charleston cost center in South Charleston, West Virginia. It is scheduled for 40 hours per week. The work involves close interaction with others, protracted or irregular hours, exposure to biohazards and infectious diseases, possible work near the deceased, hands in water, and electrical hazards from patient-care equipment. Physical demands include lifting, moving, positioning, and carrying patients, materials, or equipment weighing 40 pounds or more, as well as standing, walking, stooping, and reaching.

Requirements

For Nurse Practitioner: graduate of a CCNE-accredited nursing program with a Master’s degree in Nursing.
For Nurse Practitioner: national certification from a recognized APRN certification center.
For Nurse Practitioner: licensed or eligible for licensure as a professional Registered Nurse and Advanced Practice Registered Nurse in West Virginia.
For Nurse Practitioner: BLS certification; additional Advanced Life Support training may be required at the department’s discretion.
For Physician Assistant: bachelor’s degree as a Medical/Surgical (as applicable) Physician Assistant.
For Physician Assistant: graduate of an ARC-PA-approved PA training program.
For Physician Assistant: certification by the National Commission for Certification of Physician Assistants.
For Physician Assistant: licensed or eligible for licensure by the West Virginia Board of Medicine.
For Physician Assistant: BLS certification; additional Advanced Life Support training may be required at the department’s discretion.
Proficiency with computers.
Strong communication skills.
Ability to meet physical demands that include lifting, moving, positioning, and carrying patients, materials, or equipment weighing 40 pounds or more, as well as standing, walking, stooping, and reaching.

Nice To Haves

Pulmonary or acute care experience is preferred; eligible new graduates will be considered.
For Nurse Practitioners, ACNPs or FNPs are considered.
For Physician Assistants, a bachelor’s or master’s degree as a Physician Assistant is listed as preferred.

Responsibilities

Manage comprehensive, individualized care for pulmonary patients and their families during inpatient hospitalization, immediately post-discharge as applicable, and in ambulatory settings.
Complete daily rounds, consultations, and pre-procedure evaluations.
Complete integrated assessments and document clinical findings in the medical record.
Order additional tests or consultations in collaboration with pulmonary faculty or according to established clinical guidelines and protocols.
Perform diagnostic tests within established guidelines and scope of practice, and communicate results.
Communicate with clinic and hospital staff about abnormal evaluation findings.
Coordinate discharge services and tests needed for outpatient follow-up appointments, as applicable.
Develop individualized plans of care, including patient teaching, discharge planning, ambulatory follow-up, and referrals to other healthcare team members.
Identify unstable or complex pulmonary care situations and facilitate appropriate intervention.
Recognize emergency situations and initiate effective emergency care.
Evaluate pulmonary patients and coordinate follow-up procedures and tests in ambulatory settings, as applicable.
Assist with collecting outcome measures and review pulmonary data, including registry, clinical, financial, length-of-stay, access-to-care, and cost-per-case information; recommend or implement changes as needed.
Use critical thinking and diagnostic reasoning to identify, evaluate, and manage patient and family needs.
Use equipment safely and base decisions on scientific principles, standards of care, and research findings.
Educate nursing and hospital staff, students, patients, families, and the community using appropriate teaching strategies; provide educational programs to professional and paraprofessional personnel.
Promote learning by responding to patient and family preferences, priorities, and readiness to learn.
Maintain and update clinical knowledge and complete identified clinical competencies.
Serve as a resource for staff caring for pulmonary patients and as a professional role model.
Collaborate with leaders and staff on patient-outcome-based improvements, practice changes, problem solving, and professional support.
Participate in and lead interdisciplinary patient-care, program-development, education, committee, and task-force activities.
Promote innovation in the expanded APP role in inpatient and ambulatory pulmonary care.
Participate in clinical trials and research studies with the Principal Investigator.
Document plans, interventions, and evaluations in patient records according to approved policies and documentation standards.
Document hours and submit billing reports as appropriate.
Perform other duties and projects as assigned.