MICU

University of Washington Medical Center•Seattle, WA

2d•$131,316 - $205,548

About The Position

UW Medicine Harborview Medical Center has an outstanding opportunity for APP (Nurse Practitioner or Physician Assistant). WORK SCHEDULE 90% FTE (36 hours per week), Days, 12 hour shifts (and including some nights, week-ends and holidays). Supervision: The APP (Advanced Practice Provider), ARNP or PA, will work under the supervision of the Attending Physician on service and work collaboratively with physicians in post-graduate training programs (i.e. residents and fellows in Internal Medicine and Critical Care Medicine) Patient population: Critically ill patients with complex medical, surgical or neurological problems. Typical issues may include respiratory failure, ARDS (including extracorporeal life support), sepsis, cardiac arrest and complications of chronic medical conditions. Responsibilities to include: (Note: responsibilities may evolve over time depending on the needs of the service, demand in other critical care services and outreach roles) 1. Patient Care: - Admit new patients (e.g. write admission note, develop initial assessments/plans, place admission orders in EMR) - Provide frontline coverage for admitted patients (e.g. “cross-cover” / manage patients admitted by other providers; either daytime or nighttime) - Participate in daily morning and afternoon rounds (e.g. present updated clinical information and problem-based plan of care on multidisciplinary ICU rounds, share tasks with other members of ICU team such as completion of daily rounding checklist, entering orders in EMR, documenting, etc.) - Daily management of ICU patients (e.g. evaluate and manage ICU patients, write daily progress notes, formulate and implement plans of care, communicate with consultants, update family/caregiver daily, work collaboratively with other members of multidisciplinary team including physicians in training) - Facilitate transitions of care to other service lines (e.g. documentation and direct hand-off for discharge from ICU to Acute Care, skilled nursing facility, surgical/anesthesia services for OR cases) - Participate in family meetings and discussions of goals of care as member of critical care team - Participate with team in critical care outreach activities for patients on Acute Care, Emergency Department or other ICU services depending on clinical need (e.g. responding to “Code Blue”, Rapid Responses, support other ICU services with high clinical loads) - Potential to work in other ICUs within HMC depending on clinical need (e.g. Neurocritical Care) 2. Procedures - Assist or perform bedside procedures for hospitalized patients (e.g. central venous catheters, arterial lines, thoracentesis, paracentesis, lumbar puncture, point of care ultrasound, etc.) under the direction and supervision of the attending physician. - Procedures may be referred from Medical ICU patients or patients on other clinical units (e.g. Hospital Medicine, Surgical services) 3. Quality Improvement, Research and Scholarship - APPs are expected to be active participants in research, QI projects and regular QI meetings o Ideally participation involves contributing to (or initiating) projects that leverage existing resources and ongoing initiatives that will result in measurable improvements in processes of care and/or scholarly output (e.g. presentation, publication, etc.) o Mentorship is available from faculty and staff - Attendance and participation in educational conferences

Requirements

Nurse Practitioner: - Masters or Doctorate Degree in nursing from an accredited school of nursing - AND Washington State Advanced Registered Nurse Practitioner License with prescriptive privileges - AND National certification as an Acute Care Nurse Practitioner
Physician Assistant: - Licensure as a Physician’s Assistant in the State of Washington - AND national certification from a national certifying body (NCCPA)
BLS/ACLS certification required
Applicant must be eligible to receive hospital staff appointments for adjunct staff membership by the Organized Medial Staff of the hospital under Medical Staff By-Laws for hospital-based positions.

Responsibilities

Admit new patients (e.g. write admission note, develop initial assessments/plans, place admission orders in EMR)
Provide frontline coverage for admitted patients (e.g. “cross-cover” / manage patients admitted by other providers; either daytime or nighttime)
Participate in daily morning and afternoon rounds (e.g. present updated clinical information and problem-based plan of care on multidisciplinary ICU rounds, share tasks with other members of ICU team such as completion of daily rounding checklist, entering orders in EMR, documenting, etc.)
Daily management of ICU patients (e.g. evaluate and manage ICU patients, write daily progress notes, formulate and implement plans of care, communicate with consultants, update family/caregiver daily, work collaboratively with other members of multidisciplinary team including physicians in training)
Facilitate transitions of care to other service lines (e.g. documentation and direct hand-off for discharge from ICU to Acute Care, skilled nursing facility, surgical/anesthesia services for OR cases)
Participate in family meetings and discussions of goals of care as member of critical care team
Participate with team in critical care outreach activities for patients on Acute Care, Emergency Department or other ICU services depending on clinical need (e.g. responding to “Code Blue”, Rapid Responses, support other ICU services with high clinical loads)
Potential to work in other ICUs within HMC depending on clinical need (e.g. Neurocritical Care)
Assist or perform bedside procedures for hospitalized patients (e.g. central venous catheters, arterial lines, thoracentesis, paracentesis, lumbar puncture, point of care ultrasound, etc.) under the direction and supervision of the attending physician.
Procedures may be referred from Medical ICU patients or patients on other clinical units (e.g. Hospital Medicine, Surgical services)
APPs are expected to be active participants in research, QI projects and regular QI meetings
Ideally participation involves contributing to (or initiating) projects that leverage existing resources and ongoing initiatives that will result in measurable improvements in processes of care and/or scholarly output (e.g. presentation, publication, etc.)
Attendance and participation in educational conferences