APP (Nurse Practitioner or Physician Assistant), Cardiac ICU/Flex ICU, (Flex-Cardiac Critical Care Services), Harborview Medical Center

University of Washington•Seattle, WA

32d•Onsite

About The Position

Harborview Medical Center has an outstanding opportunity for an APP (ARNP or PA) with the Flex-Cardiac Critical Care Services. This role involves working under the supervision of an Attending Physician and collaborating with residents and fellows in Cardiovascular Medicine and Critical Care Medicine. The Flex-Cardiac Critical Care (FC3) service is an APP-led, attending physician–supervised model that focuses primarily on critical care cardiology in collaboration with cardiologists, with ICU overflow as a secondary function. The patient population includes critically ill patients with complex cardiovascular and medical conditions, requiring advanced hemodynamic monitoring. Responsibilities may evolve based on service needs, demand in other critical care services, and outreach roles.

Requirements

Masters or Doctorate Degree in Nursing from an accredited school of nursing (for Nurse Practitioner)
Washington State Advanced Registered Nurse Practitioner License with prescriptive privileges (for Nurse Practitioner)
National certification as an Acute Care Nurse Practitioner (ACNP-BC or AGACNP-BC preferred) (for Nurse Practitioner)
Licensure as a Physician’s Assistant in the State of Washington (for Physician Assistant)
National certification from a national certifying body (NCCPA) (for Physician Assistant)
BLS/ACLS certification required
ECMO Training and Certification (provided during onboarding)
Applicants must be eligible to receive hospital staff appointments for adjunct staff membership by the Organized Medical Staff of the hospital under Medical Staff By-Laws for hospital-based positions.

Nice To Haves

FNPs with at least 5 years of experience in critical care will be considered.
Prior critical care or acute cardiac care experience strongly preferred; new graduates with relevant training backgrounds will be considered.

Responsibilities

Rotate between the Medical ICU and the FC3 service, and may be deployed to other ICUs (Neuro Critical Care and Trauma ICU) based on need.
Admit new patients, including writing admission notes, developing initial assessments/plans, and placing admission orders in EMR.
Provide frontline coverage for admitted patients, managing patients admitted by other providers during daytime or nighttime shifts.
Participate in daily morning and afternoon rounds, presenting updated clinical information and problem-based plans of care on multidisciplinary ICU rounds.
Share tasks with other members of the ICU team, such as completing daily rounding checklists, entering orders in EMR, and documenting.
Perform daily management of ICU patients, evaluating and managing critically ill cardiac and medical patients, writing daily progress notes, formulating and implementing plans of care, communicating with consultants, updating family/caregivers daily, and working collaboratively with the multidisciplinary team.
Facilitate transitions of care to other service lines, including documentation and direct hand-off for discharge from ICU to Acute Care, skilled nursing facility, or cardiology step-down services.
Participate in family meetings and discussions of goals of care as a member of the critical care team.
Participate with the team in critical care outreach activities for patients on Acute Care, Emergency Department, or other ICU services, responding to "Code Blue" and Rapid Responses, and supporting other ICU services with high clinical loads.
Assist with or perform bedside procedures for hospitalized patients, such as central venous catheters, arterial lines, thoracentesis, paracentesis, lumbar puncture, point-of-care ultrasound, and pulmonary artery catheter management, under the direction and supervision of the attending physician.
Actively participate in research, QI projects, regular QI meetings, section meetings, and monthly APP team meetings, ideally contributing to or initiating projects that leverage existing resources and ongoing initiatives for measurable improvements or scholarly output.
Attend and participate in educational conferences, including cardiovascular and critical care grand rounds and multidisciplinary case conferences.