CNS) Critical Care Medicine Mercy Hospital

Cleveland Clinic•Slaton, TX

7d•Onsite

About The Position

Cleveland Clinic's Integrated Hospital Care Institute is currently seeking a qualified Acute Care Nurse Practitioner or Physician Assistant to join the Critical Care Advanced Practice Team at Mercy Hospital. This role offers a high degree of autonomy while working within a supportive, team-based environment caring for diverse patient populations in a mixed MICU/SICU setting, including Level II trauma patients. Additional service line includes the CCU. New APPs receive comprehensive onboarding, structured mentorship, and access to didactic resources to ensure success in providing high-quality patient care within the critical care team.

Requirements

Nationally certified Advanced Practice Provider who provides primary and/or specialty care in a variety of healthcare settings. Functions in collaboration with the health care team in accordance with certification and licensure. Practice emphasizes health promotion, disease prevention and the diagnosis and treatment of acute and chronic health problems. Responsible for dissemination of knowledge through instructing, leading and developing educational programs.
APRN
Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role.
Graduate of an accredited APRN program.
If in neonatal care service area Master’s Degree is required upon hire.
PA
Graduate of an A.R.C. approved Physician Assistant Program.
Master’s degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board.
Currently licensed as a Nurse Practitioner in applicable state(s).
Must be licensed as an RN in applicable state(s).
National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing.
Basic Life Support (BLS) through the American Heart Association (AHA) required.
Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board.
License to practice and prescribe issued by their practicing states Licensing Board.
Current DEA License or DEA designee as required by NCQA.
Basic Life Support (BLS) through the American Heart Association (AHA) required.
Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting.
If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system.
Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement.
Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
CNS
Currently licensed as a Clinical Nurse Specialist in applicable state(s).
Must be licensed as an RN in applicable state(s).
National certification as a Clinical Nurse Specialist by nationally accredited organization recognized by state Board of Nursing.
Basic Life Support (BLS) through the American Heart Association (AHA) required.
Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
Strong communication skills and clinical judgment.
Commitment to delivering effective, compassionate, and collaborative patient care.

Responsibilities

Provide independent, high-level critical care to acutely ill patients.
Perform H&Ps from the ED, floor consultations, and daily rounding.
Manage procedures including central line placement, arterial lines, and intubations.
Write admission orders, coordinate care plans, and engage in patient/family discussions.
Collaborate with attending physicians and consulting teams.
Respond to hospital-wide emergencies, including rapid responses, sepsis alerts, stroke alerts, and code blues—providing assessment, resuscitation, and appropriate disposition.
Participate in 24/7 coverage with in-house attending support during daytime hours and eICU resources available overnight.
Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan. Works in collaboration with the health care team.
Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies.
Educates patients and answers questions regarding their disease, treatments, related drug and treatment side effects and hazards.
Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care.
Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.
Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care.
Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.
Supports professional development of the health care team.
Promotes translation of evidence-based practices, guidelines, and research.
May conduct research studies. May assists in data collection and analysis.
May serve as clinical preceptor for students. May onboard new caregivers.
Other duties as assigned.