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Advanced Practice Provider, APP
1 month ago
Position Summary
Department: Cardiothoracic Surgery
Status: Full-Time
Title:Nurse Practitioner, NP, ARNP, APRN, Physician Assistant, PA, PAC, APP, Advanced Practice Provider
ORLANDO HEALTH HEART AND VASCULAR INSTITUTE
Orlando Health Heart and Vascular Institute is home to a group of renowned heart and vascular specialists who provide integrated, multidisciplinary care in an environment designed around patients' needs. Our team is revolutionizing heart and vascular care with expertise in more than 40 areas of specialty, including general cardiology, advanced cardiac imaging, advanced heart failure, interventional cardiology, electrophysiology, cardiac surgery and vascular surgery. In addition to clinical excellence, institute physicians are advancing cardiovascular medicine through robust education and research programs. Orlando Health facilities and programs have earned numerous distinctions and accreditations, including rankings in high-performing care from U.S. News & World Report, highest 3-star rating in two adult cardiac surgeries from the Society of Thoracic Surgeons, accreditation in several imaging and intervention-based procedure modalities from the Intersocietal Accreditation Commission, advanced comprehensive stroke center and primary stroke center certifications from The Joint Commission, and recognition for providing lifesaving stroke care from the American Heart Association.
Orlando Health Heart and Vascular Institute is part of the Orlando Health system of care, which includes award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities that span Florida's east to west coasts and beyond. Collectively, our 27,000+ team members honor our over 100-year legacy by providing professional and compassionate care to the patients, families and communities we serve.
Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. "Orlando Health Is Your Best Place to Work" is not just something we say, it's our promise to you.
Responsibilities
The Advanced Practice Provider (Physician Assistant or Advanced Practice Registered Nurse) will be present in the operating room for all cardiovascular surgical cases prior to the start of the case, unless otherwise instructed by the attending surgeon.
Essential Functions
- Performs complex diagnostic and therapeutic procedures in diagnosing medical and surgical problems and prescribing necessary treatment and services for quality patient care.
- The Advanced Practice Provider will assist the CVOR staff and anesthesiologists in the preparation of the patient.
- Acts as advanced resource or lead worker in a surgical setting.
- Assists on cardiac surgical cases as designated by the surgeons.
- Remains with the patient at completion of the operation to transfer and transport the patient to the CVICU
- Remains with the patient in the CVICU until cleared by the surgeons and/or intensivists.
- Maintains call responsibility and able to respond on site within 30 minutes
- Makes all surgical entries into the STS database (Cardio Access) on the day of surgery.
- Participates in surgical procedures in the surgical research laboratory.
- Participates in certain aspects of clinical research as designated by the surgeons
- Writes a "brief op note" in compliance with OH standards immediately following the completion of each operation or
procedure. - Maintains the registry of all intra-operative photos and videos.
- Maintains the registry of all surgical cases performed and sends the updated spreadsheet to the surgeons at the end of each week
- Obtains detailed history and performs physical examinations on patients.
- Assists in providing care for patients receiving surgery; writes appropriate orders, including those for perioperative orders, narcotics, stimulants, and depressant drugs.
- Writes and/or dictates progress notes on patient charts indicating patient status and treatment or procedures performed.
- Performs emergency life-saving procedures in cases such cardiac arrest, respiratory arrest, massive hemorrhage, or similar catastrophe.
- Performs daily rounds independently or with attending physicians and/or students.
- Operates with the highest degree of independence in provision of patient care services with minimal physician supervision and generally in a highly specialized area.
- Performs under supervision of medical staff member as a physician-extender.
- Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
- Maintains compliance with all Orlando Health policies and procedures
Education/Training
Graduate of an accredited physician assistant program or advanced practice registered nurse program.
Licensure/Certification
- Current Physician Assistant or Advanced Practice Registered Nurse licensure in State of Florida renewed every two years.
- Maintains BLS/Healthcare Provider.
- ACLS and PALS certifications as required by patient population.
Experience
Three (3) years of experience in the surgical setting as an advanced practice provider for a cardiothoracic surgeon.
