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

University of Washington•Seattle, WA

1d•$131,316 - $205,548

About The Position

Harborview Medical Center has an outstanding opportunity for APP (ARNP or PA) with the Flex-Cardiac Critical Care Services. Work Schedule 90% FTE, Days (36 hours per week); and with 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 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. Patient Population: Critically ill patients with complex cardiovascular and medical conditions, including but not limited to: Acute decompensated heart failure, cardiogenic shock, and mechanical circulatory support (e.g., balloon pump, Impella, ECMO/ECLS) Acute coronary syndromes, post-cardiac arrest care, and serious cardiac arrhythmias Respiratory failure requiring mechanical ventilation or non-invasive respiratory support Sepsis, multi-organ dysfunction, trauma, brain injury, and other critical medical conditions (MICU overflow)Patients requiring advanced hemodynamic monitoring (e.g., pulmonary artery catheters)

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 (ACNP-BC or AGACNP-BC preferred)
FNPs with at least 5 years of experience in critical care will be considered
Physician Assistant:
Licensure as a Physician’s Assistant in the State of Washington
AND national certification from a national certifying body (NCCPA)
Additional Requirements:
BLS/ACLS certification required
ECMO Training and Certification (provided during onboarding)
Prior critical care or acute cardiac care experience strongly preferred; new graduates with relevant training backgrounds will be considered
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

Responsibilities

Patient Care
Admit new patients (e.g., write admission notes, 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 the 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 critically ill cardiac and medical patients, write daily progress notes, formulate and implement plans of care, communicate with consultants, update family/caregivers daily, work collaboratively with other members of the 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, 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 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, supporting other ICU services with high clinical loads)
Clinical work will involve both day and night coverage
Procedures
Assist with or perform bedside procedures for hospitalized patients (e.g., central venous catheters, arterial lines, thoracentesis, paracentesis, lumbar puncture, point-of-care ultrasound, pulmonary artery catheter management, etc.) under the direction and supervision of the attending physician
Quality Improvement, Research, and Scholarship
APPs are expected to be active participants in research, QI projects, regular QI meetings, section meetings, and monthly APP team 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) o Mentorship is available from faculty and staff
Attendance and participation in educational conferences, including cardiovascular and critical care grand rounds and multidisciplinary case conferences