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

Munson Healthcare•Traverse City, MI

About The Position

The Critical Care APP is a member of the Pulmonary Medicine team and manages adults with acute, critical, and chronic illnesses in intensive care settings. The role requires specialized knowledge and skills to care for critically complex patients, including neurocritical, medical, and surgical patients. The APP 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 physician support. Shifts are 7 a.m. to 7 p.m. or 7 p.m. to 7 a.m.; there are no on-call requirements. The APP assesses and manages complex patients, performs diagnostic and therapeutic procedures, coordinates care, supports patients and families, and collaborates with the multidisciplinary team to achieve optimal outcomes. The role uses Oracle Health EHR and supports Munson Healthcare’s mission, vision, and values.

Requirements

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 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.
Employees must be vaccinated or have laboratory-confirmed immunity for measles, mumps, rubella, and varicella. Employees must also receive an annual flu vaccine or have an approved medical or religious exemption.

Responsibilities

Provide in-house coverage for ICU patients and new admissions with physician support; there are no on-call requirements.
Manage complex acute, critical, and chronically ill adult patients at risk for 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 the potential for rapid physiologic deterioration or life-threatening instability.
Collaborate with intraprofessional and interprofessional teams, including daily multidisciplinary rounds, to achieve optimal patient outcomes.
Use pharmacologic and nonpharmacologic interventions to regain and maintain physiologic and psychological stability.
Perform diagnostic and therapeutic interventions, including interpretation of EKG and imaging studies; laboratory and radiologic 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.
Support Munson Healthcare’s mission, vision, and values.