NP / Physician Assistant

Highland Hospital•Rochester Hills, MI

168d•$98,000 - $130,083•Onsite

About The Position

Highland Hospital is seeking a Full Time Physician Assistant or Nurse Practitioner (APP) to join its growing Intensive Care Unit (ICU) APP Coverage team. Candidates for this role would work a 50/50 Day/Night split, with a potential schedule including twelve-hour shifts (7am -7pm or 7 pm – 7am) 3x/week. This role requires picking up 8 extra shifts per year, working 2-3 holidays per year, and 4 weekend shifts per month. The primary responsibility is medical coverage in the ICU, including the evaluation and management of intensive care unit patients covered by the critical care team, or those on a medical or cardiology service. The APP will admit patients, document examinations and assessments in the EMR, write orders, consult with specialists, and attend all codes. They will also perform various procedures such as phlebotomy, IV line placement, NG tube insertion, lumbar puncture, paracentesis, thoracentesis, arterial puncture for ABG, urinary catheterization, and ventilator management. The APP should also be able to perform central venous and arterial lines, and supervise the code team. Pulmonary artery catheter placement and intubation should only be performed under the supervision of senior physicians or credentialed providers. The ICU APP reports to the ICU Medical Director for clinical and administrative issues pertaining to the ICU, and the Chief of Medicine for broader administrative issues. The attending critical care physician on service is available for consultation, and the attending of record should be informed of any significant change in a patient’s clinical status.

Requirements

Graduate of an approved PA or NP program and nationally certified by the National Board of Medical Examiners.
Two to five years in-patient or ICU or critical care PA/NP experience.
Demonstrated autonomy and competency managing critically ill patients and excellent problem solving ability.
Able to independently perform some invasive procedures.
Demonstrated leadership experience in coordinating clinical services for acutely ill patients.
ACLS certified.
Stroke Certification required within one year of hire.
Proficiency in central venous and arterial access.
Management and resuscitation of unstable patients.
Management of respiratory failure including proficiency with standard modes of mechanical ventilation.

Responsibilities

Medical coverage in the ICU, evaluation & management of intensive care unit patients covered by the critical care team.
Admit patients to the ICU, document a full physical examination, and a complete, systems-based assessment and plan in the EMR.
Write admission orders and serial assessments of the patient.
Consult with specialists, attendings, and pharmacists as required.
Write all orders on ICU patients.
Attend all codes in the hospital.
Inform and consult with the attending physician of record about any significant change in the clinical condition of their patients.
Perform urgent pulmonary consultations on the hospital floors or in the emergency department.
Take sign-outs from the ICU team at the beginning of the shift and provide sign-outs at the end of the shift.
Perform procedures including phlebotomy, intravenous line placement, nasogastric tube and feeding tube insertion, lumbar puncture, paracentesis, thoracentesis, arterial puncture for performance of ABG, urinary catheterization, ventilator management (initial settings, trouble shooting, weaning), and cardioversion.
Perform central venous and arterial lines, and supervise the code team.
Perform pulmonary artery catheter placement and intubation under the supervision of senior physicians or credentialed providers.