Advanced Practice Professional
4 weeks ago
The Cardiac Surgery Inpatient Service at the University of Michigan is seeking an Advanced Practice Professional (Nurse Practitioner) to provide high-quality patient care and support to our cardiac surgery team.
Responsibilities- Under physician supervision, coordinate the care of adult patients admitted to the cardiac surgery service.
- Manage pre- and post-cardiac surgery patients in a telemetry/step-down unit setting.
- Perform, order, and interpret advanced diagnostic and therapeutic tasks associated with patients undergoing cardiac surgery or procedures.
- Complete and document detailed histories and physical exams; present pertinent data to the faculty.
- Order and interpret diagnostic lab tests, radiographic procedures, and clinical studies.
- Educate patients and their families on disease management, information and details regarding surgical procedures, post-operative instructions, and preventive care.
- Perform limited diagnostic, therapeutic, and minor surgical procedures such as removing temporary pacing wires, removing chest tubes, minor chest wound debridement, incision and drainage, placing wound vacs, and placing NG tubes.
- Discuss surgical procedures, obtain consent, and facilitate both necessary order entry but also effective interpretation of pre-operative testing.
- Maintain continuity of care throughout the Cardiovascular Center; provide team members of oncoming shift with thorough and accurate hand-offs.
- Confer with attending physicians and communicate with other care providers/consultants to coordinate clinical care, escalating care as needed.
- Maintain accurate documentation regarding patient status, evaluations, and treatment.
- Streamline the patient transfer process between levels of care, including writing discharge orders and communicating specific patient needs to team members.
- Participate in peer evaluations and quality-assurance activities, support research projects and any other initiative deemed necessary and in the best interest of patient care.
- Graduate of an accredited Nurse Practitioner program.
- Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State of Michigan.
- Current specialty certification to practice as an Adult-Gerontology Acute Care Nurse Practitioner.
- Certification as a Nurse Practitioner recognized by the National Council of State Boards of Nursing (NCSBN).
- ACLS certification.
- AHA Approved BLS certification.
- Current DEA registration required.
- Ability to interpret cardiac testing, including advanced understanding of echocardiography and cardiac catheterization imaging interpretation via Synapse and Syngo.
- Recent surgical procedural experience and comfort performing bedside procedures including temporary pacemaker wire removal, chest tube removal, experience initiating and replacing wound vacuums, transvenous pacemaker removal.
- Experience and expertise in interpreting imaging and other diagnostic studies, including chest x-rays, CT scans and electrocardiograms.
- Experience and comfort independently managing patients with Left Ventricular Assist Device (LVAD).
- Recent experience in performing Discharge Navigator, writing discharge summaries, and completing patient discharges.
- Experience writing succinct but thorough history and physical exams, progress notes, discharge summaries.
- Demonstrated experience in caring for patients across the continuum of care.
- Experience functioning as an independent provider in addition to contributing to a team environment, work efficiently, and experience independently managing a high volume of high acuity patients.
- Advanced understanding of cardiac surgery procedures, including an ability to explain procedures in detail to patients and their families.
- Demonstrated ability to order and interpret appropriate diagnostic studies; synthesize information and make informed clinical decisions independently; develop appropriate care plans, ability to be patient-focused and respond to patient and family preferences and needs.
- Demonstrated provider experience with heart transplant patients.
- Demonstrated knowledge of adult cardiac physiology and complex cardiac pathology with experience teaching cardiac physiology and pathology in a high level learning environment.
- At least one year of recent experience caring for acutely ill patients in a hospital setting.
- Demonstrated excellent verbal and written communication skills, organization, and problem-solving skills.
- Demonstrated high level of critical thinking.
- Ability to prioritize assignments and manage a busy work environment.
- Demonstrated high level of motivation to learn within and outside of the hospital environment and to participate in activities and projects to improve patient care and outcomes.
- Must reflect a professional appearance and demeanor and possess excellent customer service skills.
- Demonstrated commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to diversity.
- Ability to demonstrate computer skills including computer documentation and order entry.
- Demonstrated experience with and knowledge of current medical, surgical, and pharmaceutical treatment modalities of the post-cardiothoracic surgery patients.
- Demonstrated competence as first responder in code situation.
- Demonstrated expertise in facilitating the educational growth of others through previous instructional or mentoring roles.
- Focus on patient and family-centered care.
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