APP - Surgical ICU (part time)

Yale New Haven Health•New Haven, CT

11h•Onsite

About The Position

The Physician Assistant or Nurse Practitioner is a licensed professional provider who functions in collaboration with an attending physician in a variety of practice settings at YNHHS. Provides exceptional direct diagnostic and therapeutic patient care to the highest standards of the organization as part of a multidisciplinary team. Cultivates a patient centric environment which focuses on the whole individual inclusive of physical, psychosocial, spiritual and functional needs of the patient, family, and significant others. Serves as the focal professional for the continuity of care in patient care within scope of practice standards, as well as specialty specific standards to address and resolve problems that may arise. This is a part-time Advanced Practice Provider (Nurse Practitioner or Physician Assistant) opportunity within the Surgical Intensive Care Unit (SICU) at Yale New Haven Hospital. The SICU provides care for complex, critically ill surgical patients, including those recovering from trauma, vascular, transplant, thoracic, and general surgical procedures. Schedule: 24 hours per week, 12-hour rotating shifts (days, nights, weekends, and holidays as required). Environment: High-acuity, fast-paced ICU setting with strong collaboration among attending surgeons, intensivists, residents, fellows, and multidisciplinary team members. Clinical Focus: Management of critically ill post-operative and trauma patients requiring ventilator support, hemodynamic monitoring, vasoactive infusions, and advanced therapies. Responsibilities: In addition to standard APP duties, responsibilities include performing comprehensive assessments, formulating management plans, ordering/interpreting diagnostic tests, performing invasive bedside procedures (such as arterial lines, central lines, chest tubes, and intubations, if credentialed), and participating in daily multidisciplinary rounds. Team Support: APPs in the SICU work closely with critical care physicians and surgical teams to ensure continuity of care and contribute to teaching residents, fellows, and nursing staff. Professional Growth: Opportunities to participate in quality improvement projects, protocol development, and research initiatives. Ongoing education, simulation training, and support for advanced certifications are provided to enhance clinical expertise.

Requirements

Previous ICU or critical care experience as an APP is required.
Strong procedural skills, critical thinking, and the ability to manage high-acuity patients independently while collaborating within a team-based environment.
Graduate from an accredited Nurse Practitioner or an accredited Physician Assistant Program.
Prefer clinical working experience as a NP/PA within the given specialty/service line recommended, but none required.
APRNs, PAs, CRNAs and CNMs are required to be appointed to the Affiliated Medical Staff of a YNHHS Hospital and credentialed through the Medical Staff process.
Evidence of current competence to practice as an APRN, PA, CRNA, CNM via appropriate reference letters from physicians and other practitioners must be able to be obtained during the Medical Staff appointment process in order to be eligible.
Active PA Certification by the National Commission of Certification of Physician Assistants (NCCPA), Connecticut State Physician Assistant License, ACLS/BLS Certified, when indicated for position profile DEA License, when indicated for pediatric position profile PALS, when indicated for neonatal care NRP Certification.
Connecticut State Registered Nurse License, Connecticut State Nurse Practitioner License, Board specialty certification, as appropriate for position profile ACLS/BLS Certified, when indicated for position profile DEA License, when indicated for pediatric position profile PALS, when indicated for neonatal care NRP Certification.

Nice To Haves

Additional licensure, certifications and/or continuing education credits may be required during employment based on position and area of specialty.

Responsibilities

The Physician Assistant (PA) or the Nurse Practitioner (NP) provides assessment, triage, and therapeutic management of patient/family needs throughout the disease process as an integral part of an interdisciplinary team. The NP/PA, whether the practice setting is the inpatient, ambulatory, or outpatient settings, provides optimal patient care, from diagnostic to prognostic matters. This individual works in collaboration with the attending supervising/collaborating physician(s) in accordance with state law and hospital regulations, hospital policy, protocols and clinical pathways and may provide autonomous team based care. Obtains medical histories, performs physical examinations, reviews/orders diagnostic/therapeutic tests and radiologic results, formulates and manages patient treatment plans. The NP/PA may perform procedures, prescribe treatment and medications in accordance with institutional and state guidelines, as well as, when necessary for scope within specialty or professional competency standards. In some clinical specialties, the NP/PA may have autonomous practice managing certain patient populations. The NP/PA may also function as first or second assistant on operative cases (as long as within position scope and job educational prerequisites are in place), using fine motor skills and manual dexterity. Other clinical job duties may be applied in accordance with departmental and operational goals, training related to profession and practice necessitated guidelines and responsibilities, inclusive but not limited to responding to emergency situations within the YNHHS parameters
The NP/PA will educate patients/families on care and recommended or available resources. In collaboration with the supervising/collaborating MD, this may be inclusive of admitting instructions, treatment plan, actual and potential side effects of treatments/medications, and discharge plan. The NP/PA, as part of a multidisciplinary team, provides psychosocial support to patients, their family members, and significant others in a caring, ethical, and professional manner.
The NP/PA ensures appropriate documentation within the accordance of hospital and regulatory requirements and protects information of all forms, whether computer-based, paper, film, voice, or other media from unauthorized access modification, destruction, or intentional or accidental disclosure.
The NP/PA is expected to demonstrate a high standard of moral and ethical behavior, professionalism, compassion, and commitment to patient care. Ensures compliance with patient related healthcare regulatory requirements, standards and recommendations.
The NP/PA continuously engages in projects that maintain and advance professional competency. The NP/PA serves as a clinical resource for new house staff and may provide service specific orientation pertinent to clinical education Consistently demonstrates high reliability organizational behaviors through reporting safety events as well as near misses. The NP/PA continuously engages in projects that maintain and advance professional competency. Maintains all employee requirements determined by hospital policy. The NP/PA may serve as a clinical preceptor for NP/PA students and other health care professionals and may serve as a mentor to pre-PA/NP candidates. The NP/PA may collaborate on research, quality assurance and performance improvement projects, and assist with the formation of protocols that will be applied to clinical practice or further their educational and clinical expertise.