Pulmonary Critical Care Fellow - Nurse Practitioner/Physician Assistant- Piedmont Fayette Hospital

Piedmont Healthcare Inc.•Fayetteville, GA

About The Position

Serves as a member of the critical care team, assisting in the management of critically ill patients in the hospital. Applies specialized skills and knowledge across the ICU settings in which they practice. Contributes to excellence in patient care, research, teaching, and consulting, and provides leadership to the organization. Provides direct clinical services for critically ill adult patients within institutional guidelines and evidence-based clinical practice standards under the supervision of the patient’s physician. The role includes patient assessment, diagnostic testing, procedures, treatment planning, emergency interventions, research support, quality improvement, and education of patients, families, staff, and the community. For Medical/Surgical Critical Care, duties include airway management, interpretation of diagnostic studies, daily rounds, consultations, admissions and discharges, advanced care planning, multidisciplinary collaboration, participation in committees and educational activities, on-call coverage for call-outs, and maintenance of clinical credentials and procedural skills.

Requirements

Graduate from a nursing program and hold a current Georgia license for Advanced Practice Nursing; a Master’s degree in Nursing is required, or graduate from an accredited Physician Assistant program and hold a current license from the Georgia State Composite Board.
Two years of ICU experience required.
Licensed Physician Assistant in the State of Georgia or licensed for Advanced Practice Nursing (ACNP) upon hire.
Credentialed in all procedures, including intubations, upon hire.
Demonstrate critical thinking, clinical leadership, and the ability to coordinate and manage complex projects.
Able to function independently and as a team member, establish priorities, manage multiple activities and deadlines, and communicate effectively with multidisciplinary team members.
Demonstrate motivation to learn and participate in activities that improve patient care.
Maintain a professional appearance and demeanor and provide excellent customer service.
Be skilled in electronic medical record applications and communicate effectively in writing and verbally with team members and patients.
Understand legal issues affecting APP practice and interpret written, oral, diagrammatic, or schedule-based instructions.
Demonstrate competence in airway management, including endotracheal intubation, placement of extraglottic devices, and safe use of RSI medications.
Complete a Difficult Airway Course and hold ACLS certification.
Maintain CME hours, state license, and national recertification.

Responsibilities

Provide direct clinical services for critically ill adult patients under physician supervision and in accordance with institutional guidelines and evidence-based practice standards.
Obtain patient health histories, conduct physical examinations, and document findings according to hospital requirements.
Order and interpret diagnostic and laboratory tests, and explain procedures and their anticipated effects to patients, families, staff, and healthcare learners.
Perform approved therapeutic and diagnostic procedures based on patient clinical status and document them according to hospital requirements.
Perform cardiopulmonary resuscitation, airway management, bag-mask ventilation, endotracheal intubation, protocol-based life-supporting medication orders, and defibrillation according to ACLS standards.
Under physician direction and within hospital credentialing standards, insert and manage arterial, dialysis, central venous, and pulmonary artery catheters; chest tubes; thoracenteses; endotracheal tubes; and extraglottic devices.
Use monitoring and instrumentation equipment with patients, and direct and educate others in its use.
Develop and implement treatment plans for acute illnesses with attending physicians, documenting care in medical records and narrative summaries.
Assess patients for changes in condition and initiate appropriate interventions, including emergency stabilization interventions.
Incorporate clinical research findings into the development and implementation of standards of care.
Support IRB-approved clinical research and trials, including obtaining consent, ordering diagnostic tests, recording results, administering interventions, and documenting and reporting outcomes, toxicities, and adverse events.
Participate in quality and performance improvement activities and clinical research.
Serve as a clinical expert and education consultant to nursing staff, the healthcare team, and the community.
Identify family education needs and participate in teaching opportunities.
Assess educational needs, plan and deliver education, and evaluate educational programs for nursing staff, interdisciplinary healthcare teams, and the community.
Interpret ABGs, chest X-rays, ultrasounds, and chest CTs; perform daily rounds; and formulate a differential diagnosis, assessment, and plan for each patient.
Conduct new consultations, admissions, and discharges; participate in advanced care planning and discussions of end-of-life care and POLST.
Attend multidisciplinary rounds, participate in at least one hospital committee and the Critical Care Center of Excellence, and attend journal club, grand rounds, and annual staff meetings.
Serve in the on-call pool for call-outs and work closely with consultant groups, registered nurses, and care coordinators.
Maintain CME hours, state licensure, national recertification, and procedural skills, with the Additional Duties form on file with the state.
Participate in education and onboarding of new hires and fellows; check email regularly and respond promptly when necessary.
Perform other duties as assigned.