PRN Critical Care Nurse Practitioner (NP) or Physician Assistant (PA)

Munson Healthcare • Traverse City, MI

19h • Onsite

About The Position

The Critical Care APP is part of the Pulmonary Medicine team and manages adults with acute, critical, and chronic illness in the intensive care setting, including medically, neurologically, and surgically complex patients. The role works under the direction of the Manager, Pulmonary & Critical Care, with a matrix reporting relationship to the Pulmonary Clinical Director, and collaborates with Critical Care Physicians, the Neurocritical Care Director, and the Surgical Services Clinical Director.

This PRN position provides in-house overnight coverage for ICU patients and new admissions with a supporting physician. Shifts are 7 a.m.–7 p.m. and 7 p.m.–7 a.m.; there are no on-call requirements. The APP assesses and manages critically ill patients, coordinates care with patients, families, and multidisciplinary teams, performs diagnostic and therapeutic procedures, and supports nursing staff in ongoing patient care. Consult services are provided in coordination with a partnering physician for a PA or supervising physician for an NP.

Munson Healthcare is a nonprofit health system serving northern Michigan. Its stated scale includes 8 hospitals, 7,500 employees, and 1,000 physicians. The organization describes opportunities for personal and professional growth, flexibility, teamwork, and access to the recreational and cultural offerings of the Traverse City region. Employees must meet the organization’s vaccination requirements for measles, mumps, rubella, and varicella, and receive an annual flu vaccine or have an approved exemption.

Requirements

• Provider ICU experience is required.
• For Nurse Practitioners: Master of Science in Nursing or Doctor of Nursing Practice degree from an accredited CCNE nursing program.
• For Nurse Practitioners: Certification as an Acute Care Nurse Practitioner, or as a Family Nurse Practitioner with further acute care education or training.
• For Nurse Practitioners: Current, unencumbered nursing and specialty Nurse Practitioner license in Michigan.
• For Physician Assistants: Master of Science in Physician Assistant Studies degree from an accredited ARC-PA program.
• For Physician Assistants: Certification as a Physician Assistant by the American Academy of Physician Assistants (AAPA).
• For Physician Assistants: Current, unencumbered Physician Assistant license in Michigan.

Responsibilities

• Provide in-house overnight coverage for ICU patients and new admissions with a supporting physician; there are no on-call requirements.
• Manage complex, acutely ill, critically ill, and chronically ill adult patients at risk of urgent or emergent conditions, using physiologic and technology-derived data to address instability and life-threatening risks.
• Obtain medical histories, perform physical examinations, and develop assessments and plans.
• Collaborate with others to diagnose and manage acute, chronic, and multisystem health problems, including respiratory distress syndrome, pneumonia, sepsis, diabetic ketoacidosis, stroke, acute abdomen, and trauma.
• Identify comorbidities and potential for rapid physiologic deterioration or life-threatening instability.
• Collaborate with intraprofessional and interprofessional teams to achieve optimal outcomes, including daily multidisciplinary rounds.
• Use pharmacologic and nonpharmacologic interventions to restore and maintain physiologic and psychological stability.
• Perform diagnostic and therapeutic interventions, including interpretation of EKG and imaging studies; respiratory support; hemodynamic monitoring; lumbar puncture; wound debridement and closure; central and arterial line placement; hemodialysis catheter placement; chest tubes; thoracentesis and paracentesis; and suture removal.
• Implement interventions for rapidly deteriorating patients based on Advanced Cardiac Life Support and Fundamentals of Critical Care Support.
• Collaborate with patients, families, and others on palliative and end-of-life care options.
• Provide consult services in coordination with a partnering physician for a PA or supervising physician for an NP.
• Coordinate care, including ancillary services, preoperative plans, discharge planning, provider referrals, and medical devices such as insulin pumps, defibrillators, and pacemakers.
• Maintain patient health records according to established standards and guidelines.
• Provide clinical direction to nursing staff regarding continued patient care.
• Perform other duties and responsibilities as assigned.

Benefits

• Opportunities for personal and professional growth throughout the healthcare system.
• Flexibility to adapt a career as life changes.
• Access to outdoor recreation, cultural attractions, restaurants, wineries, and entertainment in the Traverse City region.

What This Job Offers

• Career Level: Mid Level