Cardiac Surgery APC- OR/First Assistant or NP/RNFA

Jefferson Health Plans•Philadelphia, PA
•Onsite

About The Position

The Advanced Practice Provider (Nurse Practitioner or Physician Assistant) works in an acute care hospital in collaboration with, and as an integral member of, a multidisciplinary health care team. The role includes assessment and management of acute and complex chronically ill patients, diagnosis, care planning, communication and collaboration, clinical documentation, and professional practice activities. The position may involve first-assist duties and advanced procedures consistent with privileges and competency validation. The APP performs histories and physicals; obtains and evaluates clinical data and diagnostic information; responds to changes in patient status and situations requiring procedural or resuscitative intervention; and assesses risks associated with acute and complex chronic care. In collaboration with the interdisciplinary team, the APP develops diagnoses, manages diagnostic tests, formulates and implements plans of care, and prescribes diagnostic strategies and therapeutic interventions. The APP documents patient progress and care in the medical record in a timely manner and in accordance with acute-care compliance standards. Professional practice includes mentoring and education, engagement with evidence-based practice and research, participation in Advance Practice Grand Rounds and specialty meetings, and maintenance of continuing education and professional organization membership. The schedule is rotating, and the position is based at 111 S 11th Street, Philadelphia, Pennsylvania.

Requirements

  • Master’s degree.
  • 3–5 years of CT Surgery experience.
  • At least 2 years of first-assist experience.
  • National Board Certification as an Acute Care Nurse Practitioner with RNFA or as a Physician Assistant.
  • BLS certification.

Responsibilities

  • Perform and document complete histories and physical examinations.
  • Order and collect clinical data using appropriate assessment techniques, supporting diagnostic information, and diagnostic procedures when indicated.
  • Respond to patient-status changes and situations requiring procedural or resuscitative interventions; may serve as a first responder for nursing and house staff.
  • Assess risks associated with acute and complex chronic illness, including medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions, and diagnostic procedures.
  • Collaborate with the interdisciplinary health care team to diagnose acute and complex chronic conditions.
  • Order, interpret, perform, and supervise diagnostic tests.
  • Formulate prioritized differential diagnoses, diagnose complications, and order appropriate interventions.
  • Identify expected outcomes and formulate and document plans of care for complex acute and chronic health care needs.
  • Use evidence-based practice guidelines and protocols to develop individualized plans of care across the continuum.
  • Implement and modify plans of care, and prescribe diagnostic strategies and therapeutic interventions.
  • Perform advanced procedures when consistent with privileges and competency validation.
  • Maintain communication and collaboration with the interdisciplinary health care team.
  • Facilitate communication with patients, families, and staff to promote continuity of care across inpatient and outpatient settings.
  • Document and/or dictate patient progress, plans, procedures, acute events, transfers, and discharges in the medical record, as applicable.
  • Ensure documentation is timely, meets acute-care compliance standards, and captures patient acuity.
  • Demonstrate professional practice, including precepting, mentoring, educating, and instructing graduate students.
  • Seek opportunities to participate in research and the analysis of evidence-based practice.
  • Participate in Advance Practice Grand Rounds and specialty-specific meetings.
  • Maintain continuing education units and membership in a professional organization.

Benefits

  • Medical insurance, including prescription coverage
  • Supplemental insurance
  • Dental insurance
  • Vision insurance
  • Life and AD&D insurance
  • Short- and long-term disability insurance
  • Flexible spending accounts
  • Retirement plans
  • Tuition assistance
  • Voluntary benefits, including access to group insurance rates and discounts
  • Tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service
  • Access to medical insurance, including prescription coverage, for colleagues working less than part-time, including per diem colleagues, adjunct faculty, and Jeff Temps
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