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Cardiac Surgery Advanced Practice Provider
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Cardiac Surgery Advanced Practice Professional
4 weeks ago
The Cardio Operative NP/PA Surgery APP provides health care services under the direction of collaborating surgeons in the Department of Surgery under the direction of the Advanced Practice Professional team (APP).
Under the direction of the surgeon and APP team, the NP/PA is responsible for coordinating the health care plan for the assigned patient population by collaborating with consulting physicians and health care professionals.
The NP/PA carries out physician orders and maintains the continuum of care through the coordination and integration of all phases of patient care, guided by progress notes, consults, care plans, critical pathways, managed care guidelines, best practice protocols, evidenced-based care, and the utilization review processes.
In partnership with the supervising physician, the NP/PA evaluates care based on quality and core measures, access and cost effectiveness.
The NP/PA contributes to excellence in patient care by focusing on age-specific, developmental, and spiritual needs and serving as a role model in patient care, consulting, teaching, and leadership.
Responsibilities- Formulates and implements medical plans of care for acute management of all Surgery (inpatient, emergency department, and consult) patients with collaborating physicians.
- Assists with evaluation and triage of emergency room patients.
- Provides direct clinical services for surgical patients according to established protocols, using evidence-based practice and clinical practice standards, under the supervision of the collaborating physicians.
- Patient work-up including history and physical examination with ordering of appropriate laboratory tests, x-ray studies, and other diagnostic studies as indicated.
- Operative assisting, including endoscopic vein and radial artery harvest, femoral vessel exposure, cannulation, and repair, first and second assisting, including robotic procedures, opening and closing of incisions as indicated.
- Transport and initial care of the operative patient in the recovery room with completion of initial orders and brief operative note.
- Completion of daily hospital work rounds including pre and post operations and charting of progress notes as required or as assigned.
- Dictation of discharge summaries, chart rounds, staffing conference summaries, and consults as directed by service needs.
- Participation in the care of off-service patients as indicated by consulting (supervising) physician request.
- Orders appropriate diagnostic and laboratory data under the direction of the supervising physician and communicates results to physicians and other health care providers.
- Assesses changes in patient status and institutes routine and emergency interventions to stabilize patients under the direction of the supervising physician and APP team.
- Documents plan of care and patient progress in medical records and narrative summaries.
- Evaluates and documents patient outcomes and revises the plan under the direction of collaborating physicians in association with other specialty consultants.
- Helps facilitates discharge planning along with patients, families, other members of the health care team, and referral agencies.
- Acts as the daily central liaison to all health care team members for patient care concerns.
- Coordinates speech, physical, and occupational therapies.
- Participates in patient care conferences and peer quality review with collaborating physician, consulting medical teams, and other health care disciplines.
- Explains the purpose, preparation, and potential effects of the procedure to patient and families.
- Provides pre-operative teaching and discharge planning to patients and families.
- Designs, instructs, and reviews information and programs pertinent to the inpatient and outpatient surgical population.
- Participates on hospital, nursing, and medical committees as designated.
- Serves as a hospital resource to staff, patients, and families.
- Develops and implements a personal continuing education program to maintain current knowledge of surgical care and associated medical concerns.
- Competitive compensation.
- Benefits effective Day One, No waiting periods.
- Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long-term Disability.
- Retirement savings plan with employer match and contributions.
- Opportunity for growth and advancement throughout SJMHS and Trinity Health.
- Tuition Reimbursement.
