APP) TCV ICU

University of Virginia

15d

About The Position

UVA Health is seeking an experienced and dedicated Advanced Practice Provider, Nurse Practitioner (NP) or Physician Associate (PA) to join its Cardiothoracic Surgery Intensive Care Unit (TCV ICU). As a member of our dynamic, collaborative, multidisciplinary team, you will play a pivotal role in delivering exceptional critical care to our postoperative cardiac, thoracic, and vascular surgery patients. The APP hired for this position will participate in the full spectrum of postoperative critical care management for the cardiac, thoracic, and vascular patient population, including: • Accepting new OR admissions, hospital transfers, and urgent acute transfers, along with coordinating discharges and transfers • Conduct comprehensive assessments of patients admitted to the TCV ICU, who have undergone cardiac, thoracic, and vascular surgeries, including heart and lung transplantation, as well as those requiring ECMO and other mechanical circulatory support devices. • Develop and implement evidence-based care plans tailored to each patient’s needs, ensuring optimal outcomes and patient safety. • Prescribing appropriate pharmacologic and non-pharmacologic therapies, evaluating patient responses, and adjusting the plan of care based on ongoing objective and subjective data collection. • Perform a wide range of interventions and procedures within the scope of advanced practice, including but not limited to, invasive monitoring, ventilator management, and hemodynamic support. Following a comprehensive 3 to 4-month onboarding process, newly hired TCV ICU APPs will manage the care of 5-7 patients representing the cardiac, vascular, and thoracic surgery populations in a practice model that emphasizes independence, with support and collaboration from physician colleagues. As an academic medical center, UVA Health possesses a rich culture of continual education and professional development that welcomes engaged learners. We work closely with resident physicians and students of all specialties, including medical, physician assistant, and nurse practitioner students. Beyond the qualities included in the general position description, success in a TCV ICU APP role will require the following: • Perform common ICU bedside interventions, including bronchoscopy, central line, arterial, and chest tube placements • Collaborate closely with the multidisciplinary team, including surgeons, critical care intensivists, nurses, respiratory therapists, and pharmacists, to coordinate care and facilitate communication. • Maintain thorough and accurate documentation of patient assessments, interventions, and outcomes in accordance with institutional protocols and regulatory standards. • Self-motivated learning, engagement in process improvement, and quality improvement initiatives Background checks and pre-employment health screenings will be conducted on all new hires prior to employment. All safety-sensitive positions with direct patient interaction also require a drug screen.

Requirements

Graduate of an accredited graduate school of nursing or physician assistant program with a master’s degree.
Department and unit specific.
License or license eligible as an Advance Practice Provider (Nurse Practitioner, Physician Associate, Certified Registered Nurse Anesthetist, and Certified Nurse Midwife) as set forth by the state of Virginia. If Nurse Practitioner, license to Practice as a Registered Nurse in the Commonwealth of Virginia is required. Must demonstrate and maintain all credentialing and licensing requirements of UVA Health System, the Virginia Board of Medicine or the Virginia Board of Nursing, and appropriate certifying bodies. Current Basic Life Support (BLS) required. Current PALS/NRP, as required, specific to position. Advanced Cardiac Life Support (ACLS) as required, specific to position.

Nice To Haves

2+ years as an Advanced Practice Provider (NP or PA) preferred, but new graduates welcome to apply.
Cardiothoracic surgery experience is preferred but not required; applicants interested in postoperative cardiothoracic critical care are encouraged to apply.
Must demonstrate a high level of clinical autonomy, excellent critical thinking, and the ability to practice independently in a fast-paced environment.
ACLS certification required (may be obtained upon hire).
Collaborative, adaptable, and skilled in communicating within a multidisciplinary team setting

Responsibilities

Accepting new OR admissions, hospital transfers, and urgent acute transfers, along with coordinating discharges and transfers
Conduct comprehensive assessments of patients admitted to the TCV ICU, who have undergone cardiac, thoracic, and vascular surgeries, including heart and lung transplantation, as well as those requiring ECMO and other mechanical circulatory support devices.
Develop and implement evidence-based care plans tailored to each patient’s needs, ensuring optimal outcomes and patient safety.
Prescribing appropriate pharmacologic and non-pharmacologic therapies, evaluating patient responses, and adjusting the plan of care based on ongoing objective and subjective data collection.
Perform a wide range of interventions and procedures within the scope of advanced practice, including but not limited to, invasive monitoring, ventilator management, and hemodynamic support.
Perform common ICU bedside interventions, including bronchoscopy, central line, arterial, and chest tube placements
Collaborate closely with the multidisciplinary team, including surgeons, critical care intensivists, nurses, respiratory therapists, and pharmacists, to coordinate care and facilitate communication.
Maintain thorough and accurate documentation of patient assessments, interventions, and outcomes in accordance with institutional protocols and regulatory standards.
Self-motivated learning, engagement in process improvement, and quality improvement initiatives
Maintains required licensure and certifications, including ACLS and Cardiac Surgery Unit Advanced Life Support (CSU ALS); CSU ALS obtained upon hire if not already certified
Evaluates individual clinical practice and role performance in alignment with regulatory, state, and institutional guidelines
Participates within organizational systems at the service, unit, and institutional level
Engages in discharge planning and care transitions in collaboration with case management and outpatient teams
Ensures accurate, timely documentation of clinical care, assessments, and decision-making
Demonstrates commitment to ongoing continuing education and professional development
Maintains current knowledge of evidence-based practices and advances in critical care and acute management
Exhibits strong communication skills across multidisciplinary teams, patients, families, and stakeholders
Practices collaborative, adaptable, and professional conduct in high-acuity, fast-paced environments
Demonstrates self-directed learning and accountability for professional growth
Demonstrates a high level of clinical autonomy, critical thinking, and independent practice capability
Provides advanced inpatient critical care management to specialty populations
Performs emergency department consultations to determine admission needs
Conducts and documents comprehensive history and physical examinations
Analyzes clinical data to formulate accurate differential diagnoses
Prescribes and manages pharmacologic and non-pharmacologic therapies, adjusting plans based on patient response and evolving data
Performs advanced clinical assessments, interventions, and procedures relevant to the ICU setting
Identifies and coordinates appropriate sub-specialty consultations
Communicates plans of care effectively while navigating complex psychosocial dynamics
Leads and collaborates within multidisciplinary teams of physicians, APPs, nurses, therapists, and leadership
Professionally guides and supports other members of the care team in dynamic, high-acuity environments
Participates in initiatives that promote the development of APPs, RNs, and other colleagues
Engages in quality improvement, patient safety, and process improvement initiatives
Evaluates and augments quality initiatives to improve clinical outcomes and safety
Contributes to research, evidence-based practice, and the application of scientific knowledge within the clinical setting