Advance Practice Provider, Bayfront Medical Group Intensivists - St. Petersburg, Florida

Orlando Health•St. Petersburg, FL

11d•Onsite

About The Position

Under physician supervision and in accordance with established practice guidelines and evidence-based clinical standards, the Advanced Practice Provider provides inpatient management, consultations, and co-management for critically ill patients. The role requires specialized knowledge of the ICU setting and may serve patients in medical, surgical, neurosurgical, or cardiovascular critical care areas. The provider evaluates complex and critically ill patients in ICU and step-down units, develops and implements care plans in collaboration with physicians, performs credentialed diagnostic and therapeutic procedures, and responds to acute and emergent events. The position also includes patient and family communication, documentation, participation in clinical research and multidisciplinary rounds, support for staff and learners, and contribution to departmental policies and professional relationships.

Requirements

For Nurse Practitioner candidates: an MN, MSN, DNP, PhD, or DNS degree in nursing.
For Physician Assistant candidates: graduation from an accredited physician assistant program.
For Nurse Practitioner candidates: an APRN license in Florida.
For Nurse Practitioner licensure applicants after July 1, 2006: national advanced certification from an approved nursing specialty board.
For Physician Assistant candidates: current physician assistant licensure in Florida.
Current BLS certification for Nurse Practitioner candidates.
Current BLS/healthcare certification for Physician Assistant candidates.
Five years of experience as an Advanced Practice Provider in an acute care or surgical setting, including two years of critical care experience as a licensed professional.
Specialized skills and knowledge for the ICU setting in which the provider practices.

Responsibilities

Provide direct clinical services to critically ill patients according to established protocols and evidence-based clinical standards.
Obtain comprehensive and focused histories and perform examinations of critically ill patients.
Evaluate complex and critically ill patients in ICU and step-down units by synthesizing clinical data, physical examinations, and medical histories; assess clinical scenarios and prescribe appropriate interventions and medications.
Order and schedule laboratory and radiographic studies using clinical judgment and evidence-based medicine.
Work with supervising physicians to determine and place appropriate specialty consultations.
Collaborate with supervising and consulting physicians to formulate and implement management plans for critically ill patients.
Perform credentialed complex procedures, including central venous and arterial catheter placement, chest tube placement, lumbar puncture, thoracentesis, paracentesis, endotracheal intubation, and therapeutic bronchoscopy, including secretion removal and bronchoalveolar lavage.
Perform advanced cardiac life support and provide life support during medical emergencies until a licensed physician arrives to manage the patient.
Remove catheters, drains, sutures, and staples.
Interpret arterial blood gas reports and manage invasive and noninvasive mechanical ventilation.
Assess the need for vasoactive medication and place appropriate orders and titration parameters.
Interpret invasive and noninvasive hemodynamic monitoring, waveforms, and EKGs, and institute appropriate interventions.
Interpret radiographic tests, including CT scans, MRIs, and X-rays.
Provide patient care with a high degree of independence in a specialized area and minimal physician supervision.
Perform emergent lifesaving procedures during events such as cardiac or respiratory arrest and massive hemorrhage.
Conduct preliminary daily rounds independently and participate in daily multidisciplinary rounds.
Assess patients for changes in status and institute appropriate interventions in subacute, acute, and emergent situations.
Notify the attending physician of unusual or unexpected events or problems requiring direct physician consultation.
Initiate emergency interventions to stabilize acutely deteriorating patients.
Prescribe medication using evidence-based medicine, clinical judgment, and the plan of care discussed in rounds, acting as an agent of the supervising physician.
Write or dictate concise, thorough progress notes, consultation notes, history and physical notes, and clinical resumes.
Document the preparation, procedure, outcomes, and complications of therapeutic and diagnostic procedures.
Explain procedures and tests, including their necessity, preparation, nature, and anticipated effects, to patients, families, and staff.
Communicate with families about changes in their family member’s health status; provide education and address questions or concerns.
Assess family adaptation, coping skills, and need for crisis or other intervention.
Use current research and evidence-based medicine in clinical practice.
Support IRB-approved clinical research and trials, including ordering tests, prescreening patients, recording results, administering trial interventions, and documenting outcomes according to hospital and trial protocols.
Participate in departmental weekend and holiday rounding as required.
Maintain reasonably regular and punctual attendance and comply with Orlando Health policies and applicable standards.
Act as a role model and resource for staff.
Assist in teaching students, residents, and interns complex techniques and procedures.
Participate in reviewing and revising policies and procedures.
Establish relationships with professional and other health-related groups in the community.
Communicate effectively, verbally and in writing, with physicians, employees, patients, families, and diverse populations.