Nurse Practitioner/Physician Assistant, ICU Swing

Cape Cod Healthcare•Hyannis, MA

1d•Onsite

About The Position

This role involves providing advanced practice care within the Intensive Care Unit (ICU), focusing on critical care consultations and patient management. The Nurse Practitioner (NP) or Physician Assistant (PA) will perform physical exams, order diagnostic tests, make diagnoses, prescribe treatments, and provide direct patient care under physician supervision. Key responsibilities include performing critical procedures, educating patients and families, managing acute illnesses, documenting patient care, and collaborating with various medical teams. The position also offers backup coverage for the Cardiology team and assists Hospitalists with cross-coverage and admissions as needed.

Requirements

Currently licensed as a Certified Nurse Practitioner in the Commonwealth of Massachusetts (for NP role)
Currently licensed as a Physician’s Assistant in the Commonwealth of Massachusetts (for PA role)
US Department of Justice DEA Registration (required if prescribing)
Advanced Cardiac Life Support certification (obtain within 30 days of position start, offered within)
Successful candidate must have critical care advanced practitioner experience
Demonstrates the ability to be thoroughly trained to meet organizational standards
Adept at communication with patients and staff
Must be proficient in the placement and management of Vascular Access catheters including arterial catheters, and central venous catheters
Must be able to perform basic Ventilator management

Nice To Haves

(MSN) – Master of Science in Nursing (for NP role)
(MPAS) - Masters from a program accredited by the ARC-PA (for PA role)

Responsibilities

Performs physical exams, collects and documents data, orders and schedules laboratory studies and professional consultations, makes and confirms diagnoses, prescribes appropriate interventions and medications, and provides direct patient care services under the general supervision of the supervising physician.
Perform therapeutic or diagnostic procedures to include central lines, arterial lines, temporary hemodialysis catheters, paracentesis, thoracentesis, pigtail catheters, intubation, cardioversion, and lumbar puncture.
Explain the necessity, preparation, nature and anticipated effects of procedure(s) to patients, patient family, staff, and healthcare learners.
Provide first contact for critical care consultations in select cases outside of the ICU service.
Assess patient for change in status and institute appropriate interventions, compatible with their training, and initiate necessary emergency interventions to stabilize patient.
Formulate and implement treatment plan for acute illness management in collaboration with the designated primary supervising physician and/or attending back-up physician(s).
Document in medical records and appropriate narrative summaries. Bill as a practitioner when appropriate, per ICU service guidelines.
Provide family-centered care by communicating with the family regarding the hanging health care needs of their family member. Assess family adaptation and coping.
Back up coverage to the Cardiology team for patients in the ICU.
When needed, assist the Hospitalists’ team with cross-coverage and/or admissions.
Other duties as assigned.