Nurse Practitioner - Cardiothoracic Surgery AHPs

UCSF•San Francisco, CA

About The Position

Join UCSF’s highly skilled Cardiothoracic Surgery inpatient advanced practice provider team. The CT surgery service provides advanced surgical treatments, including coronary artery bypass grafting, aortic and mitral valve replacement, extracorporeal membrane oxygenation, and heart transplantation. APPs collaboratively manage patients across the inpatient continuum of care with CT Surgery Fellows and Cardiac Surgeons, perform bedside procedures, and may assist in the operating room when appropriately privileged. The team is expanding and emphasizes collaboration, innovation, adaptability, professionalism, and exceptional patient care. The Nurse Practitioner independently or collaboratively evaluates and manages patients; takes histories and performs examinations; responds to changes in patient status; and orders or furnishes medications, tests, treatments, therapies, consultations, referrals, equipment, and home health services. The NP participates in rounds and care planning, reviews and acts on diagnostic findings, manages complex cases and discharge planning, documents care in the electronic medical record, communicates care plans to patients and families, and discharges patients with appropriate medication, follow-up, and teaching. Procedures and operating-room first-assist work are performed only when authorized through the applicable privileges and requirements.

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 certification such as ACNP-BC, AGACNP-BC, ACNPC-AG, or ACNPC.
DEA registration for 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 with a master's or doctoral degree aligned with the patient population and clinical role.
One year of NP experience in cardiothoracic surgery, vascular surgery, cardiology, or critical care ICU.
California driver's license if required for the position.

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.
RNFA specialty certification.

Responsibilities

Independently or collaboratively evaluate and manage patients, including taking histories, performing physical examinations, and responding to changes in patient status.
Perform consults and order or furnish medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services.
Document care and assessments in the electronic medical record in accordance with UCSF rules and regulations; complete clinically relevant documentation, episodic care notes, and discharge summaries.
Ensure provider services are billed to reflect the performing provider and comply with the APP Billing Policy.
Respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within three days.
Perform procedures granted through privileges or standardized procedures.
Identify acute patient decompensation or failure, respond to the hospital plan of care, and review the situation with a physician.
Initiate consultations as indicated and document independent assessment findings with appropriate treatment recommendations.
Participate in service rounds, patient evaluations, 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 disposition to a lower level of care.
Interpret and act upon completed tests, procedures, and radiographic studies.
Communicate findings, treatment options, and care plans effectively to patients and families.
Assist in the operating room as a first assistant if privileged through OMAG and after completing required certification and proctoring.
Monitor and evaluate patients for discharge; set continuity-of-care parameters with the multidisciplinary team and define discharge regimens.
Discharge patients, including prescribing or furnishing medications, ordering durable medical equipment, arranging or recommending follow-up care, providing discharge teaching, and completing discharge summaries.