Cardiac Surgery Advanced Practice Provider

University of Maryland Medical System•Largo, MD

3d•$89 - $112

About The Position

Join a multifaceted team that covers the Cardiovascular ICU and the CV OR. The Advanced Practice Practitioner (APP’s primary role will cover the cardiac surgery ICU. The APP will be trained to cover all aspects of the heart and vascular team. The APP will provide three 24-hour shifts per 2-week pay period. Performs routine and expanded job descriptions as listed in the provider's delegation agreement on file with the Maryland Board of Physicians or Maryland Board of Nursing. Under the direction of a physician, the APP will: Provide diagnostic, therapeutic, and preventive health care services to critically ill patients. Obtain medical histories, examines patients, rounds daily, orders and interprets tests, makes initial diagnoses, and orders treatments. Communicate effectively with attending physicians, other medical teams, team members, and patients and their families. Provide diagnostic, therapeutic, and preventive health care services. Assists in the preoperative and postoperative planning, care, and documentation in keeping with protocols. Instructs and counsels patients and families. May first assist in the CV OR necessary. Demonstrates competence and skill in required tasks and procedures. Demonstrates knowledge of and competency in required subspecialty. Completes at least 50 hours of Category I CME every two years Performs according to Maryland Board of Physician or Board of Nursing standards and expanded job description procedural protocols. Maintains a procedure complication rate less than the national average. Facilitates excellence in quality assurance and the delivery of patient care as part of our High Reliability Organization. Provides optimal quality of patient care while following safety guidelines, Contributes to cohesive group relations; uses open communication to resolve problems in and between departments. Demonstrates commitment to professional department and organizational core values. Communicate effectively with attending physicians, other medical teams, and team members. Follows Capital Region Health’s High Reliability Organization principles of patient safety, zero harm, professionalism, and mutual respect for patients, families, and coworkers. Participates in APP Council meetings, Heart and Vascular Institute team meetings, APP educational opportunities, and other learning opportunities as they arise. Engages in leadership activities including but not limited to APP representation on committees, training and education of other APPs, or specific event or team CV OR: Performs tissue handling including making incisions, retracting, dissecting, tying, ligating, stapling, suturing and providing hemostasis. Performs chest tube insertions and closes leg and chest incisions. Prepares and loads the vein on an Aortic Connector System for proximal anastomosis. Performs endoscopic or open harvesting of the radial artery during coronary artery bypass procedures and prepares radial artery for bypass.

Requirements

PAs: Bachelor’s degree, graduation from an ARC-PA accredited Physician Assistant program, and certification by the National Commission of Certification of Physician’s Assistants are required. Candidates must hold an active Maryland license through the Maryland Board of Physicians.
NPs: Bachelor’s degree, RN experience, and completion of Acute Nurse Practitioner degree. Candidates must hold an active Maryland license through the Maryland Board of Nursing.
Credentialing must be obtained from UM Capital Region Health’s Medical Staff Office and maintenance of BLS /ACLS certification is required.
Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient populations(s) served.
Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs.
Highly effective verbal and written skills are required to work with all levels of hospital personnel, administrators and clinical staff.
Ability to work in a team atmosphere and maximize efficient system operations.
Ensures patient safety in the performance of job functions and through participation in hospital, department, or unit patient safety initiatives.
Takes action to correct observed risks to patient safety.
Reports adverse events and near misses to appropriate management authority.
Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.

Nice To Haves

Preferred 5 years of experience as a Physician Assistant or Nurse Practitioner providing direct care to patients preferably in a surgical program setting.
Accepting NP graduate with 5 years as RN in Cardiac Surgery ICU

Responsibilities

Provide diagnostic, therapeutic, and preventive health care services to critically ill patients.
Obtain medical histories, examines patients, rounds daily, orders and interprets tests, makes initial diagnoses, and orders treatments.
Communicate effectively with attending physicians, other medical teams, team members, and patients and their families.
Provide diagnostic, therapeutic, and preventive health care services.
Assists in the preoperative and postoperative planning, care, and documentation in keeping with protocols.
Instructs and counsels patients and families.
May first assist in the CV OR necessary.
Demonstrates competence and skill in required tasks and procedures.
Demonstrates knowledge of and competency in required subspecialty.
Completes at least 50 hours of Category I CME every two years Performs according to Maryland Board of Physician or Board of Nursing standards and expanded job description procedural protocols.
Maintains a procedure complication rate less than the national average.
Facilitates excellence in quality assurance and the delivery of patient care as part of our High Reliability Organization.
Provides optimal quality of patient care while following safety guidelines, Contributes to cohesive group relations; uses open communication to resolve problems in and between departments.
Demonstrates commitment to professional department and organizational core values.
Communicate effectively with attending physicians, other medical teams, and team members.
Follows Capital Region Health’s High Reliability Organization principles of patient safety, zero harm, professionalism, and mutual respect for patients, families, and coworkers.
Participates in APP Council meetings, Heart and Vascular Institute team meetings, APP educational opportunities, and other learning opportunities as they arise.
Engages in leadership activities including but not limited to APP representation on committees, training and education of other APPs, or specific event or team
CV OR: Performs tissue handling including making incisions, retracting, dissecting, tying, ligating, stapling, suturing and providing hemostasis.
Performs chest tube insertions and closes leg and chest incisions.
Prepares and loads the vein on an Aortic Connector System for proximal anastomosis.
Performs endoscopic or open harvesting of the radial artery during coronary artery bypass procedures and prepares radial artery for bypass.