APP Surgical Nocturnist

The University of Kansas Health System•Kansas City, KS

About The Position

The Advanced Practice Provider (APP) in the APP Surgical Nocturnist role manages health problems and coordinates health care in the CTS intensive care unit with exclusive coverage during the night shift hours. Responsible for delivering patient care and medical services to individuals, families and groups by utilizing standards of care in accordance with State and Federal rules and regulations to assess health status, diagnose medical conditions, develop medical plan of care, implement treatments and evaluate patient responses in collaboration with a collaborative/sponsoring physician as describes in a Collaborative Practice Agreement. Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department. These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Requirements

Master Degree Nursing
Advanced Practice Registered Nurse (APRN) - State Board of Nursing
Copy of the current PA-C or APRN license for the State of Kansas and/or Missouri (depending on practice locations)
Advanced practice certification required. Specific certification may be required depending on specialty.
Advanced Cardiac Life Support (ACLS) - American Heart Association (AHA) if assigned to work in the ICU.
Licensed Physician Assistant (PA) - State Board of Healing Arts
Adult-Gerontology Acute Care Nurse Practitioner Certification (AGACNP-BC) - American Nurses Credentialing Center (ANCC) if assigned to work in the ICU.
Basic Cardiac Life Support (BLS or BCLS) - American Heart Association (AHA)
Adult-Gerontology Acute Care Nurse Practitioner Certification (AGACNP-BC) - American Nurses Credentialing Center (ANCC) required for positions in the ICU.
OR Non trained/certified AG-ACNP may be considered if they have extensive ICU experience as an RN and are willing to sign an agreement to complete a post-master’s AG-ACNP certificate program within 2 years of hire.

Nice To Haves

Training specific to acute care inpatient settings desired.
Previous APRN or PA-C experience desired.
APRNs: Adult Gero Acute Care NP certification preferred for all in-patient settings.

Responsibilities

Critical care management of cardiothoracic surgery patients and mechanical circulatory support in the intensive care unit.
Able to evaluate medical problems of clients in the assigned practice setting and appropriately requests consults to other specialties when indicated.
Provides education to patients and/or families about preventive care, medical issues and use of prescribed medical treatments and/or medications pertinent to the neonatal patient’s condition.
Creates diagnostically appropriate treatment plans
Documents all medical evaluation, diagnoses, procedures, treatments, outcomes, education, referrals and consultations consistent with NCQA, The Joint Commission, state regulatory standards and evidenced-based standards of care.
Maintains documentation compliance for appropriate coding and billing.
Facilitates evaluation of records by physician(s), peers and quality standards according to protocols and receives and implements constructive directives.
May refer complex and high priority cases to collaborating physician with regards to complicated diagnostic problems, serious illness, complicated therapeutic problems and re-evaluation of chronic conditions.
Provides medical and emergency interventions appropriate to the client’s needs; prescribes and monitors medications appropriate to the diagnosis; orders and monitors the appropriateness of emergency interventions.
Maintains collegiality with all members of the inter-disciplinary team.
Utilizes appropriate chain-of-command and communicates with specialty practice Program Director, APP Director and Medical Director of any clinical issue and contributes to quality improvement or process improvement as necessary.