About The Position

The Cleveland Clinic Critical Care Advanced Practice Provider (APP) Fellowship is an innovative 12-month program with a mission to train post-graduate Acute Care Nurse Practitioners and Physician Assistants to provide comprehensive critical care services to the most acutely ill Medical ICU patients. Fellows of the program will graduate with the critical thinking, diagnostic, and clinical skills necessary for the management of complex clinical cases while providing safe, efficient, and evidence-based care to critically ill adults in today’s multi-disciplinary, team-based model of care. There will be 2 Cohorts per year. The 12 month, intensive training program will provide the fellow with a comprehensive, structured transition into the fast-paced environment of Critical Care Medicine. Fellows begin with a boot camp to review and establish the fundamentals of practice. Each week includes protected didactic learning which includes case-based learning, lecture, and simulations, all with an emphasis on applying evidenced based medicine. Clinical training includes nine months of precepted rotations on intensive care units and other services followed by three months of internship. The schedule for our fellows varies by week and is unique to each rotation, and it includes a combination of days, evenings, nights, weekends, and holidays. Between clinical and didactic experiences, our fellows commit five days a week [roughly 50 hours/week] towards their training.

Requirements

  • Master’s degree in Adult Gerontology Acute Care certification from an accredited school/college of nursing for Nurse Practitioners.
  • Current license as a Registered Nurse in the State of Ohio for Nurse Practitioners.
  • Master's degree from an accredited Physician Assistant Program for Physician Assistants.
  • Current OH license for both Nurse Practitioners and Physician Assistants.
  • Eligible for DEA licensure.
  • Current BLS/ACLS certification.

Nice To Haves

  • Experience in critical care or acute care settings.
  • Demonstrated competency in advanced assessment, diagnosis, and treatment plan development.

Responsibilities

  • Conducts thorough medical histories and performs complete physical examinations.
  • Initiates appropriate lab, radiology tests or other special tests required for evaluation of illness.
  • Scrutinizes lab data on new and former clinic patients and hospital admissions to establish a record of the patient's current health status.
  • Develops a working diagnosis and treatment plan with direct review by a physician.
  • Works under direction of supervising physician within the confines of state law.
  • Performs routine procedures such as injections, immunizations, suturing and wound care.
  • Manages simple conditions produced by infection or trauma.
  • Assists in the management of more complex illness and injury.
  • Performs specialized procedures, including bone marrow aspirations, biopsies, blood draws, designated IV starts, spinal taps, thoracentesis and paracentesis.
  • Provides information and answers routine questions of patients regarding their disease.
  • Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards.
  • Assists with record keeping and completes appropriate patient medical chart.
  • Refers patients to physicians as appropriate for consultation or for specialized health resources and treatment.
  • Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team.
  • Participates in quality monitoring through the review of records and treatment plans for patient outcomes.

Benefits

  • Full-time benefits as described in the Total Rewards Brochure.
  • Opportunity to apply for any open position within the Cleveland Clinic enterprise after successful completion of the fellowship.
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