Advanced Critical Care Practitioner
2 weeks ago
Overview
This exempt role involves the practice of critical care medicine and the comprehensive management of inpatient medical services under the supervision of a licensed physician, in accordance with New York State regulations. The Physician Assistant/Nurse Practitioner operates with a degree of independence in clinical decision-making and provides a wide array of diagnostic and therapeutic interventions.
Key Responsibilities Include:
- Adhering to the performance standards, policies, and behaviors established by the organization.
- Collecting patient medical histories, performing physical examinations, ordering and interpreting diagnostic tests, prescribing medications, and managing treatment plans in collaboration with physicians.
- Offering consultative services for patients in need of critical care from various departments, including the emergency room and post-operative care.
- Engaging in daily rounds to formulate and assess treatment strategies for patients within the critical care unit.
- Communicating treatment objectives and other significant matters with the families of critically ill patients.
- Responding promptly to any patient exhibiting acute changes in their clinical condition.
- Coordinating necessary treatments, interventions, diagnostic tests, or procedures required for patient care.
- Facilitating appropriate referrals to specialists as needed.
- Providing timely updates to the on-call intensivist regarding patient progress, significant changes, or challenges faced in care.
- Performing medical procedures within the authorized scope of practice.
- Advising patients and families on healthcare matters, including discussions surrounding end-of-life care.
- Documenting patient care and information accurately in medical records, which may also involve maintaining departmental databases for research and quality assurance.
- Demonstrating proficiency in anatomy, pharmacology, pathophysiology, clinical medicine, and physical diagnosis.
- Exhibiting skill in collecting and analyzing physiological, psychological, and socioeconomic data related to patients.
- Effectively evaluating patient issues in person or via telephone, providing suitable advice, interventions, or referrals.
- Making informed decisions within the framework of PA practice.
- Facilitating the care and management of patients admitted to the critical care units.
- Carrying out additional duties as assigned.
Qualifications & Experience
For Nurse Practitioners:
- Master’s Degree in Nursing from an accredited institution (strongly preferred).
- Valid New York State license as a Registered Professional Nurse.
- Current certification as a Nurse Practitioner in New York State (Adult/Geriatric).
- Maintenance of a collaborative practice agreement.
- Active National Certification.
- Certification in Advanced Cardiac Life Support (ACLS).
For Physician Assistants:
- Current New York State license as a Physician Assistant.
- Active National Certification.
- Current White Plains Hospital Physician Assistant DOP.
- Master’s degree from an accredited institution (strongly preferred).
- Certification in Advanced Cardiac Life Support (ACLS).
Proficiency in all procedures, techniques, and skills as delineated in the privileges granted.
Core Competencies
Required Procedural Skills:
- Insertion of central lines (triple-lumen or introducer) and dialysis catheters.
- Insertion of arterial lines (radial, femoral, axillary).
- Placement of nasogastric (NGT) and orogastric tubes (OGT).
- Insertion of Foley catheters.
- Removal of surgical drains, dressings, and staples.
- Participation in training programs if lacking procedural skills.
Knowledge Base Requirements:
- Management of various shock states.
- Goal-directed fluid resuscitation techniques.
- Administration of vasopressors and inotropic agents.
- Proficiency in hemodynamic monitoring.
- Ventilator management and weaning protocols.
- Understanding of sedation and paralytic agents, including monitoring techniques.
- Daily sedation interruption and weaning evaluations.
- Continuous venovenous hemodialysis (CVVHD) management.
- Management of electrolyte and acid-base imbalances.
- Interpretation of arterial blood gases (ABG).
- Monitoring of intracranial pressure (ICP).
Behavioral Attributes:
- Team-oriented approach.
- Flexibility and adaptability in a dynamic environment.
- Strong communication skills.
- Ability to perform under pressure.
Physical and Mental Demands
- Potential exposure to chemicals necessary for job functions, with details available in the hospital's Safety Data Sheet (SDS) database.
Population Served
This role serves a diverse patient population, including:
- Patients with exceptional communication needs.
- Patients with developmental delays.
- Patients at end of life.
- Patients under isolation precautions.
- Adult patients (18 – 64 years).
- Patients with cultural needs.
- Geriatric patients (over 65 years).
- Bariatric patients with weight-related comorbidities.
- All populations.
Note: The responsibilities outlined in this job description are not exhaustive and may evolve based on the needs of White Plains Hospital.
The compensation range provided is a good faith estimate of potential base salary for this position and may be subject to change based on various factors, including location, specialty, service line, years of experience, education, credentials, and internal equity considerations.
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