About The Position

UChicago Medicine is seeking an Advanced Practice Provider for its Advanced Heart Failure Department. This role involves comprehensive direct patient care management within the hospital setting. The Heart and Vascular Center specializes in the diagnosis, treatment, and prevention of heart conditions and disease, with a team of experts in cardiology, cardiac surgery, robotic surgery, vascular surgery, and research. The APP will utilize advanced assessment skills and clinical therapeutics to evaluate, diagnose, and manage critically ill patients, including ordering and interpreting diagnostic tests, therapeutic interventions, and prescribing pharmacological agents. Responsibilities also include maintaining continuity of patient care through follow-up, monitoring progress, and modifying care plans. The APP will apply advanced expertise in caring for various cardiac surgery patients, including those with complex valve disease, coronary artery disease, aortic disorders, and advanced heart failure requiring heart transplant or LVAD placement. The Nurse Practitioner/Physician Assistant manages a caseload of patients, exercising autonomous decision-making in assessment, diagnosis, and initiation of delegated medical treatments. The scope of practice extends to family support, teaching, staff education, consultation, and research, providing comprehensive care in cardiac surgery ICU and stepdown units within a multidisciplinary team.

Requirements

  • Advanced degree (or equivalent, if license received prior to July 1, 2001) from an accredited school/college of nursing required (for Nurse Practitioner).
  • Ability to obtain Illinois advanced practice nurse (APN) license by start date required (for Nurse Practitioner).
  • Current license as a Registered Nurse required (for Nurse Practitioner).
  • AANC certification as an ACNP and/or ANP-BC required (for Nurse Practitioner).
  • Completion of an accredited (physician assistant) educational program required (for Physician Assistant).
  • Certification in ACLS and by the National Commission on the Certification of Physician Assistants (NCCPA) and current and/or eligibility for: State of Illinois licensure / registration required (for Physician Assistant).
  • ICU Certification Required (for Physician Assistant).

Nice To Haves

  • Minimum two years of critical care clinical nursing experience with demonstrated clinical competence in patient care, teaching and management of patients with critical illness, and knowledge about clinical aspects of critical care including protocol therapy preferred (for Nurse Practitioner).
  • ICU experience highly preferred (for Physician Assistant).

Responsibilities

  • Differentiates normal and abnormal variations for all body systems.
  • Assesses patient and family adaptation, coping skills and the need for crisis or other intervention.
  • Accurately interprets diagnostic tests.
  • Analyzes multiple sources of data in making clinical judgments and in determining the effectiveness of a plan of care.
  • Develops problem lists with associated differential diagnosis.
  • Identifies educational needs of the patient and family and assists with teaching.
  • Incorporates assessment findings into a plan to direct patient care.
  • Formulates a plan of care in collaboration with the patient, family, physician, nursing staff and other member of the health care team which incorporates health care maintenance, discharge and follow-up care.
  • Plans and implements appropriate pharmacological therapies.
  • Accurately and appropriately performs routine diagnostic and therapeutic techniques according to established protocols and standardized procedures for nurse practitioners.
  • Initiates referrals based on patient and family need.
  • Accurately presents and documents the database, impression and plan of care.
  • Promotes, has knowledge of and utilizes appropriate patient care protocol relating to the physical, psychosocial and developmental needs of neonatal, pediatric, adolescent, adult, and geriatric patients.
  • Maintains formal and informal systems for information sharing, planning and problem solving with unit staff, other NP’s, medical staff and other nursing and hospital personnel.
  • Utilize advanced assessment skills and knowledge of clinical therapeutics to evaluate, diagnose and manage critically ill patients.
  • Orders and interprets appropriate diagnostic tests, therapeutic interventions and prescribes pharmacological agents as necessary.
  • Maintain continuity of patient care through patient follow-up, monitoring of patient progress and modifying plan of care as necessary.
  • Applies knowledge of new technology and resources demonstrating advanced or specialized expertise in caring for a variety of cardiac surgery patients including those with complex valve disease, coronary artery disease, disorders of the aorta, advanced heart failure requiring heart transplant or left ventricular assist device placement.
  • Manages a caseload of patients and exercises autonomous decision making in the assessment, diagnosis, and initiation of delegated medical treatments.
  • Provides family support, teaching, staff education, consultation, and research.
  • Provide comprehensive care to patients in the inpatient settings cared for by the APPs of the cardiac surgery ICU and stepdown units.
  • Work collaboratively within a multidisciplinary team, using advanced clinical skills to manage a caseload of patients.
  • Assess, diagnose, initiate delegated medical treatments, perform independent nursing interventions, and evaluate care.
  • Provide a model of care that is shaped by theory, expanded by science, research and reflective practice and is identified by a holistic and comprehensive approach to the patients.
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