Nurse Practitioner - Cardiothoracic Surgery AHPs

University of California, San Francisco•San Francisco, CA

About The Position

Join a highly skilled inpatient Cardiothoracic (CT) Surgery advanced practice provider team delivering care across the inpatient continuum. The service provides advanced surgical treatments, including coronary artery bypass grafting, aortic and mitral valve replacement, extracorporeal membrane oxygenation (ECMO), and heart transplantation. Nurse practitioners collaborate with CT Surgery Fellows and Cardiac Surgeons to manage patients, perform bedside procedures, and potentially assist in the operating room when appropriately privileged. The team is expanding alongside the recruitment of surgeons from across the country, offering an opportunity to contribute to a collaborative and evolving surgical care environment. The role involves independently or collaboratively evaluating and managing patients, coordinating treatment and disposition, responding to changes in patient status, and communicating care plans with patients and families. The nurse practitioner documents care in the electronic medical record and follows applicable UCSF rules, regulations, and billing policies. Operating-room first assistance may be performed only with the required privileges, certification, and proctoring.

Requirements

Unrestricted California Registered Nurse (RN) License.
Unrestricted California Nurse Practitioner (NP) License.
California Nurse Practitioner Furnishing Number.
National NP board certification from an accepted certifying agency aligned with the patient population and clinical role; adult inpatient certifications listed include ACNP-BC, AGACNP-BC, ACNPC-AG, and ACNPC.
California driver license if required for the position.
DEA registration with Schedules 2, 2N, 3, 3N, 4, and 5, registered to a California address.
American Heart Association Basic Life Support (BLS) certification.
American Heart Association Advanced Cardiovascular Life Support (ACLS) certification.
Graduation from a California Board of Registered Nursing-recognized Nurse Practitioner program.
Master’s or doctoral degree aligned with the patient population and clinical role.
One year of cardiothoracic surgery, vascular surgery, cardiology, or critical care ICU nurse practitioner experience.

Nice To Haves

Ability to perform endoscopic vein harvesting.
Ability to perform thoracostomy tube placement.
Experience with EPIC.
Recent experience managing complex cardiac patients with heart failure, heart transplant, and ECMO.
Specialty certification as an RNFA.

Responsibilities

Independently or collaboratively evaluate and manage patients, including taking histories, performing physical examinations, responding to changes in patient status, and performing consultations.
Order or furnish medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services as appropriate.
Document care in the electronic medical record in accordance with UCSF Rules and Regulations, and ensure provider services are billed in compliance with the APP Billing Policy.
Respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within three days.
Perform procedures authorized through privileges or standardized procedures.
Identify patients with acute decompensation or failure, respond to the hospital plan of care, and review the plan with a physician.
Initiate consultations as indicated.
Document independent assessment findings and recommend appropriate treatments.
Participate in service rounds, patient evaluation, and treatment planning.
Review laboratory tests, x-rays, and other diagnostic tests, and initiate appropriate team plans.
Evaluate complex cases and establish individualized plans of care for transition to a lower level of care.
Interpret and act on completed tests, procedures, and radiographic studies.
Complete clinically relevant paperwork and EHR documentation, including medication orders, episodic care notes, and discharge summaries.
Communicate findings, treatment options, and care plans effectively with patients and their families.
Potentially first assist in the operating room if appropriately privileged through OMAG and after completing required certification and proctoring.
Monitor and evaluate patients for discharge and set parameters and guidelines for the continuum of care with the multidisciplinary team, including defining the discharge regimen.
Discharge patients, including prescribing or furnishing medications, ordering durable medical equipment, recommending or referring for follow-up care, providing discharge teaching, and completing discharge summaries.