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Pulmonary Inpatient Critical Care Nights Nurse Practitioner/Physician Assistant Opportunity at Piedmont
2 months ago
Piedmont is seeking a highly skilled Pulmonary Inpatient Critical Care Nights Nurse Practitioner/Physician Assistant to join our team. As a member of our critical care team, you will play a vital role in managing critically ill patients in our hospital.
Key Responsibilities:- Provide direct clinical services for critically ill adult patients within institutional guidelines and utilizing evidence-based clinical practice standards under the supervision of the patients physician.
- Obtain patient health histories and complete physical examinations and document findings in accordance with hospital requirements.
- Order and interpret appropriate diagnostic and laboratory tests, explaining the necessity, preparation, nature and anticipated effects of procedure(s) to patients, patients family, staff and healthcare learners.
- Perform approved therapeutic or diagnostic procedures based upon patients clinical status and document procedures in accordance with hospital requirements, including obtaining arterial, venous, and capillary blood samples, urine samples, sputum samples and cultures; performing cardiac output measurements, other hemodynamic measurements and EKGs; assisting with the performance of radiographic studies; assisting physician with diagnostic and therapeutic procedures; etc.
- Perform cardiopulmonary resuscitation and external cardiac massage; airway management including bag and mask ventilation, endotracheal intubation and extubating, changing, positioning and repositioning endotracheal tubes; administration of life supporting drugs according to established protocols; and defibrillation according to Advanced Cardiac Life Support standards.
- Under physician direction and within the credentialing standards of the Hospital, insert and manage arterial catheters, dialysis catheters, central venous catheters, pulmonary artery catheters, chest tubes, thoracenteses, endotracheal tubes, and extra glottic devices.
- Interface patients with monitoring and instrumentation equipment, and direct and educate others in performing the same functions.
- Formulate and implement a treatment plan for acute illness management in collaboration with the designated primary supervising physician and/or attending back-up physician(s) and document in medical records and appropriate narrative summaries.
- Assess patients for changes in status and institute appropriate interventions, including initiation of necessary emergency interventions to stabilize patient.
- Incorporate clinical research findings in the development and implementation of standards of care.
- Support IRB approved clinical research/trials though a variety of activities including but not limited to: obtaining consent; ordering diagnostic tests; recording laboratory and diagnostic results; administering therapeutic interventions; and documenting and reporting patient outcomes including toxicities or adverse events.
- Perform and participate in quality/performance improvement activities and clinical research.
- Serve as a clinical expert and education consultant to nursing, members of the healthcare team and to the larger community.
- Identify educational needs of the family and participate in teaching opportunities.
- Assess educational needs, plan, provide, and evaluate educational programs for nursing staff, interdisciplinary healthcare team, and community.
- Ability to participate in creating an environment that implements the mission, vision and values of the organization.
- Ability to function independently and as a team member.
- Must be able to establish priorities and a course of action for managing several activities at once while observing deadlines, and to function and communicate effectively with multidisciplinary team members.
- Demonstrated high level of critical thinking.
- Demonstrated clinical leadership and experience with coordinating and managing complex and multifaceted projects.
- Demonstrated high level of motivation to learn and participate in activities to improve patients care.
- Must reflect a professional appearance and demeanor and possess excellent customer service skills.
- Skill and ability in electronic medical records applications.
- Ability to communicate effectively both in writing and verbally with team members and patients.
- Ability to understand legal issues that influence the practice of the APPs.
- Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
- Competence in Airway management, including endotracheal intubation, placement of extra glottic devices, and safe use of RSI medications.
- Complete a Difficult Airway Course within one year of hire.
- ACLS certification.
- Interpret Abgs, CXRs, ultrasounds and CT of chest.
- Perform daily rounds.
- New consults, admissions, discharges, advanced care planning /discussing end of life care /POLST.
- Attends multidisciplinary rounds.
- Attends and participates in at least one hospital committee.
- Attends and participates in the Critical Care Center of Excellence.
- Attends and participates in journal club and grand rounds.
- Ability to formulate a differential diagnosis, assessment and plan for each patient.
- Work closely with other consultant groups, RNs and care coordinators.
- Maintain CME hours and state license /nations recertification.
- Participate in the education of new hires.
- Check emails on a regular basis and respond promptly when needed.
- Attends 4 in person staff meetings per year.
- Maintains procedural skills with Additional Duties form on file with the state.
- MINIMUM EDUCATION REQUIRED: Graduate from an accredited school of nursing with current Georgia license for Advanced Practice Nursing and a Masters degree in Nursing, OR graduate of an accredited Physician Assistants program with current license for the Georgia State Composite Board.
- Minimum Experience Required: N/A
- Minimum Licensure/Certification Required By Law: Licensed Physician Assistant in the State of Georgia. OR Licensed for Advanced Practice Nursing (ACNP).
