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

University of Washington•Seattle, WA

33d•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 physicians in training. 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.

Requirements

Nurse Practitioner: Masters or Doctorate Degree in Nursing from an accredited school of nursing.
Nurse Practitioner: Washington State Advanced Registered Nurse Practitioner License with prescriptive privileges.
Nurse Practitioner: National certification as an Acute Care Nurse Practitioner (ACNP-BC or AGACNP-BC preferred).
Physician Assistant: Licensure as a Physician’s Assistant in the State of Washington.
Physician Assistant: National certification from a national certifying body (NCCPA).
BLS/ACLS certification required.
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.
ECMO Training and Certification (provided during onboarding).

Responsibilities

Rotate between the Medical ICU and the FC3 service, and may be deployed to other ICUs 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 clinical information and problem-based plans of care.
Perform daily management of ICU patients, including evaluation and management of critically ill cardiac and medical patients, writing daily progress notes, formulating plans of care, communicating with consultants, updating families, and collaborating with the multidisciplinary team.
Facilitate transitions of care for patients being discharged from the ICU.
Participate in family meetings and discussions of goals of care.
Participate in critical care outreach activities for patients on Acute Care, Emergency Department, or other ICU services.
Assist with or perform bedside procedures such as central venous catheters, arterial lines, thoracentesis, paracentesis, lumbar puncture, point-of-care ultrasound, and pulmonary artery catheter management.
Actively participate in research, QI projects, QI meetings, section meetings, and monthly APP team meetings.
Attend and participate in educational conferences, including cardiovascular and critical care grand rounds and multidisciplinary case conferences.