About The Position

The Advanced Practice Professional (APP) provides high-quality, patient-centered care to pulmonary patients as a member of an interdisciplinary healthcare team. The APP assesses, diagnoses, treats, and manages patients within their scope of practice and specialty, delivering evidence-based care while supporting patient outcomes and the clinical, educational, and operational goals of the department and organization. This is an inpatient pulmonary critical care role with 15 shifts per month, from 7 p.m. to 7 a.m.; no call is required. The APP coordinates comprehensive care that addresses patients’ biological, social, nutritional, and psychological needs; coordinates medical specialty involvement; participates in developing and directing plans of care; performs diagnostic and therapeutic procedures; and coordinates discharge planning and outpatient management as applicable. The APP also participates in educating residents and medical and nursing students. Candidates may qualify as a nurse practitioner or physician assistant. Pulmonary or acute care experience is preferred, but eligible new graduates will be considered. The position requires the relevant education, certification, and state licensure or eligibility described below. The role includes patient care, clinical documentation, education, collaboration, quality improvement, program development, and participation in research and organizational activities.

Requirements

  • For nurse practitioners: graduate of a CCNE-accredited nursing program with a Master’s Degree in Nursing.
  • For nurse practitioners: national certification by a recognized APRN certification center.
  • For nurse practitioners: licensure or eligibility for licensure as a professional Registered Nurse and Advanced Practice Registered Nurse in the state of practice.
  • For nurse practitioners: BLS certification; additional Advanced Life Support training may be required at the department’s discretion.
  • For physician assistants: Bachelor’s Degree as a Medical/Surgical (as applicable) Physician Assistant.
  • For physician assistants: graduation from an ARC-PA-approved Physician Assistant training program.
  • For physician assistants: certification by the National Commission for Certification of Physician Assistants.
  • For physician assistants: licensure or eligibility for licensure by the Board of Medicine in the state of practice.
  • For physician assistants: BLS certification; additional Advanced Life Support training may be required at the department’s discretion.
  • Computer proficiency.
  • Strong communication skills.
  • Ability to meet the physical demands of heavy/hard work, including lifting, moving, stooping, reaching, positioning patients, standing, walking, and carrying patients, materials, and equipment weighing 40 pounds or more.

Nice To Haves

  • Pulmonary or acute care experience is preferred; eligible new graduates will be considered.
  • Nurse practitioner candidates may be ACNPs or FNPs.
  • Physician assistant candidates may have a Bachelor’s Degree or Master’s Degree as a Physician Assistant.

Responsibilities

  • Manage comprehensive, individualized care for pulmonary patients and their families during inpatient hospitalization, immediately after discharge as applicable, and in ambulatory settings.
  • Complete daily rounds, consultations, and pre-procedure evaluations.
  • Complete integrated patient assessments and document clinical findings.
  • Collaborate with pulmonary faculty or follow established clinical guidelines and protocols to order additional tests or consultations as indicated.
  • Perform diagnostic tests and communicate results in accordance with established guidelines and scope of practice.
  • Communicate with clinic and hospital staff about abnormal findings in patient evaluations.
  • Coordinate services and tests needed before discharge to support outpatient follow-up appointments, as applicable.
  • Develop individualized plans of care, including education, discharge planning, ambulatory follow-up, and referrals to other healthcare team members as needed.
  • Provide care to patients across the age continuum consistent with the provider’s education and certification.
  • Identify unstable or complex pulmonary care situations and facilitate appropriate intervention in the clinic or hospital.
  • Recognize emergencies and initiate effective emergency care.
  • Evaluate pulmonary patients and coordinate follow-up procedures and tests in ambulatory settings, as applicable.
  • Assist with collection of outcome measures, as applicable.
  • Use critical thinking and diagnostic reasoning to identify, evaluate, and manage patient and family needs.
  • Use equipment safely and base clinical decisions on scientific principles, standards of care, and research findings.
  • Educate nursing staff, hospital staff, students, patients, families, and the community using appropriate teaching strategies; promote an environment responsive to learners’ preferences, priorities, and readiness to learn.
  • Maintain knowledge and complete identified clinical competencies; serve as a resource for staff caring for pulmonary patients.
  • Provide educational programs to professional and paraprofessional personnel and participate in community programs and distribution of educational literature, as appropriate.
  • Document plans of care, interventions, and evaluations clearly and concisely in the medical record according to hospital/UHA policies and compliance standards.
  • Collaborate with leaders and staff on patient-outcome improvements and lead development and implementation of changes in pulmonary practice that improve outcomes.
  • Work collaboratively with medical and nursing staff to solve problems and provide professional support; participate in interdisciplinary patient care, program development, and education, and serve as a professional role model.
  • Promote innovation in the expanded role of care delivery to pulmonary patients and families in inpatient and ambulatory settings.
  • Participate in and provide leadership for committees and task forces.
  • Document hours and submit billing reports, as appropriate.
  • Review and interpret pulmonary data, including registry, clinical, financial, length-of-stay, access-to-care, and cost-per-case information, and recommend or implement changes as needed.
  • Participate in clinical trials and research studies with the Principal Investigator.
  • Assist pulmonary faculty, administrators, and directors with collection of outcome measures.
  • Perform other duties and projects as assigned.
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