APP Cardiac and Thoracic Surgery
St. Elizabeth HealthCare Edgewood, KY (Onsite) Full-Time
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Job Details
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Job Description
The Nurse Practitioner/Physician Assistant-Cardiac & Thoracic Surgery provides inpatient and outpatient, operative as well as pre and post-operative care treatment to patients under the auspices of a designated supervising physician(s). Additionally, the Nurse Practitioner /Physician Assistant-Cardiac & Thoracic Surgery applies in depth knowledge, expert skill, and clinical judgment in first assisting the surgeon with performing complex surgical procedures.
Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.
Job Duties
Direct Patient Care
Provide care to patients including assessment, comprehensive evaluation, interpretation of diagnostic data, and coordination of patient plans of care as well as staff, patient and caregiver education. Demonstrates knowledge and understanding of St. Elizabeth Healthcare's clinical pathways (for appropriate area of practice) and applicable clinical policies and procedures. Demonstrates competence in patient assessment, prescribing of pharmaceutical agents, and utilization of evidence-based practices. Initiates medical orders including, but not limited to, orders for prescribing and dispensing certain medications within the Nurse Practitioner / Physician Assistant scope of practice as defined by applicable state law and established hospital protocols.
Demonstrates aseptic technique while providing care to perioperative patients utilizing advanced surgical instruments, including cardiac and cardiac robotic instrumentation and technology. Under direction of surgeon(s), completes and/or assists with procedures including but not limited to: harvesting of saphenous vein(s) for bypass procedures, tissue dissection and exposure, sternal wiring and wound closure, cannulation and decannulation, placement of drains, placement and removal of small bore chest tubes, placement of central lines, provision of hemostasis, wound exposure, handling of tissue to reduce possible injury, suturing, and application of wound dressings.
Planning/Organizing/Initiating
Organize and prioritize clinical responsibilities to maximize time, efficiency, and productivity. Implement and evaluate progress toward goals for prescribed plan of care based on protocols/guidelines/pathways. Provide patient care information to staff and collaborate with supervising physician(s) about the patient's progress. Demonstrates flexibility, sound judgment, and adaptability in decision making/problem solving/team building to function as an effective team member.
Communication
Maintain effective verbal and written communication skills with all members of the healthcare team to promote continuity of care. Documentation in the patient's medical record regarding all treatments and interventions is clear, concise and completed in a timely manner. Interactions with all health care professionals are conducted in a professional manner. Keep hospital staff/management informed of pertinent information. Provide educational sessions for facility staff as needed. Effectively communicates with patient family/significant other in a professional manner. Demonstrates excellent customer service skills with patients, visitors, and healthcare team.
General Work Practice
Maintain a safe work environment, which is conducive to and complies with all state, federal, and facility and regulatory standards, policies, and procedures. Maintain a current collaborative practice agreement with applicable physician(s). Adhere to HIPAA guidelines, professional code of ethics and appropriate billing practices in executing role. Participates in the quality improvement activities and community education.
Health and Safety
Adhere to infection control, emergency, safety, fire and disaster plans and policies, completing required initial training and updates. Demonstrate consistent use of standard precautions and proper body mechanics. Participates in accurate and complete surgical counts. Follow OSHA guidelines. Provide a safe environment to protect patients, visitors and facility staff.
Personal Growth and Development
Evaluate own educational needs and seeks to enhance knowledge base. Participate in professional organizations associated with area of specialty.
Performs other duties as assigned.
Qualifications
Education, Credentials, Licenses:
Graduate of an accredited Nurse Practitioner or Physician Assistant Program and meets the requirement for certification/re-certification by the National Commission on Certification of Physician Assistants (NCCPA) or Master's degree in nursing with National Nurse Practitioner Certification in appropriate specialty area.
Licensed as a Nurse Practitioner / Physician Assistant in the state where work is being performed including completion of CME/CEU requirements.
Requires Certificate of Authority and Standard Care Arrangement with collaborating physician to practice as a nurse practitioner or physician assistant.
Must have SEH medical staff privileges as an allied health professional.
DEA Certificate with prescribing/dispensing privileges in the state where work is being performed.
Basic Life Support (BLS) certification.
Specialized Knowledge:
Demonstrated skills and knowledge as a Nurse Practitioner or Physician Assistant in cardiothoracic Services.
Experience with instrumentation, and operative techniques. specific to cardiothoracic procedures.
Expert knowledge of anatomy and physiology. Suturing and wound closure. Knowledge of tissue
Strong computer skills including electronic medical record.
Excellent verbal, written, and oral communication skills.
Demonstrated leadership ability.
Ability to perform effectively in emergent and stressful situations. dissection/exposure, blood vessel clamping, coagulating bleeding points, ligation of vessels, saphenectomy procedures, and drain placement. Knowledge of intra-aortic balloon pump and ventricular assist device insertion techniques.
Kind and Length of Experience:
Two to five years of a variety of clinical experiences including acute care and ambulatory settings. Two or more years assisting with surgical experience,
Recommended Skills
• Adaptability
• Anatomy
• Basic Life Support
• Billing
• Bleeding
• Certified Nurse Practitioner
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Job ID: 2509799309
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