Advanced Practice Provider - Cardiology - Full Time - Days

Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Location: MPC - 1 Edmundson Place
Address: One Edmundson Place, Council Bluffs IA

Work Shift: M- F 8a-5p
No call

Provides quality of care and safety to our patients and employees.

A licensed independent practitioner who under the supervision of MPC Heart Consultants physicians is responsible for managing health problems and coordinating services for complex acute, critical and chronically ill adult cardiac patients in the inpatient and outpatient hospital setting as well as the clinic. This includes but is not limited to: assessment, diagnosis, develop and implement plan of care plan, treatment, counseling, patient education, and research activities. Coordinates care of patients between cardiologists and other health care team members.

Responsibilities:

Essential Job Functions

Perform primary health care for patients by utilizing the processes of assessment and diagnosis of health status.

• Obtain patient's medical and history information, data collection is prioritized according to immediate condition or needs.
• Perform physical exam and determine patient's mental status.
• Develop and implement treatment, follow-up and evaluation plans for patient outcomes.
• Collaborate with physicians and other disciplines as appropriate and provides regular and consistent feedback.
• Use appropriate assessment techniques & diagnostic information.  Performs tests relevant to patient condition and record findings.
• Order appropriate ancillary tests.
• Derive diagnosis from the assessment data and diagnostic information as data becomes available.
• Use new or additional data to form a treatment plan.
• Perform telephone triage to determine patient condition and provides appropriate consultation scheduling appointments when needed.
• Incorporate research into clinical practice as appropriate.

Implement interventions consistent with the established plan of care in a safe and appropriate manner.

• Apply established therapeutic practices to patient's problem.
• Administer medications and immunizations using the appropriate method and with physician oversight if applicable.
• Prescribe medications according to Controlled Substance Registration Certificate issued by the DEA.
• Generate referrals to appropriate services as needed to further diagnose and/or progress of care.

Evaluate patient care to determine response to care/interventions for optimal patient outcome.

• Evaluate the patient's capabilities and/or limitations related to nursing and medical interventions.
• Recognize and address patient and family capabilities and limitations (physical and mental).
• Return patient telephone calls.
• Monitor outcomes and documents patient response to interventions.
• Seek out new treatment methods necessary to ensure patient progress.

Provide patient and family teaching and education specific to the patient's health care.

• Proper use of medication and health/illness prevention to ensure adequate knowledge/awareness.
• Interview and advise specific to patient needs.
• Demonstrate sensitivity to family regarding need for patient information on a timely basis.
• Work collaboratively with physicians and other team members to provide appropriate patient education geared to the patient's needs and family's ability to provide care.
• Use adult learning principles for teaching purposes being careful to check for understanding and being available for follow-up questions.
• Recommend references and resources such as printed materials, online, community and other information sources to fulfill the family's need for education.

Maintain a professional behavior in attitudes, demeanor, and interactions to achieve organization's mission.

• Communicate effectively with physicians, staff and patients.
• Is approachable and professional in working with other health professionals, patients and their family.
• Maintain a professional appearance, behavior, and work environment.
• Initiate action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital/clinic employees (i.e., falls, needle sticks, patient concerns).
• Communicate to appropriate personnel regarding unresolved issues.
• Serve as a role model in the provision of emerging care.
• Serve as a reliable/knowledgeable resource for staff.
• Participate in meetings, research on special projects and professional organizations.

Comply with the bylaws, rules and regulations of the organization as they pertain to Nurse Practitioners or Physician Assistants.

• Know and follow organization policy & procedures.
• Follow Medical Protocols for professional discipline.
• Maintain certification/licensure.
• Follow guidelines of regulatory bodies (FDA etc.).

Maintain complete patient records.

• Document data appropriately.
• Document treatment plan of care that is individualized, appropriate and reflects patient's needs.
• Document interventions.
• Document consultations with other practitioners/physicians.

Provides non-urgent, urgent and sometimes emergent healthcare. This may include assessment, consultation, establishing diagnoses and implementation of a treatment plan according to approved practice protocols.

• Data collection is prioritized according to patients' immediate condition or needs.
• Uses appropriate assessment techniques & diagnostic information.
• Integrates data to a complete and pertinent data base.
• Derives diagnosis from the assessment data and diagnostic information as data becomes available.
• Uses new or additional data to form a treatment plan.
• Evaluates plan of care.
• Incorporates research into clinical practice as appropriate.

Consultation performed in a timely fashion to be determined by the individual needs of the patient.

• Discusses assessment data & diagnostic information and validates diagnosis and treatment plan as needed with staff physician.
• Discusses findings and plan of care in private with physician as needed for continuity of patient care.
• Facilitates patient transition within and between healthcare settings including coordination of patient dismissals.
• Serves as liaison between patients, families, physician and other hospital staff.

Participate in performance improvement and outcome management.

• Meet regularly with medical director for chart reviews.
• Identify concerns in patient care & follows up according to hospital policy.
• Participate in patient satisfaction and other quality improvement initiatives.
• Participate in tracking of variances in care.

Provide appropriate care specific to the age of the patient to ensure understanding and comfort level of treatment as outlined in the "Age Specific Criteria".

• Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
• Right Task
• Right Person
• Right Communication (clear, concise, correct, complete)
• Right Feedback

Demonstrates a working knowledge of cardiac anatomy and physiology, normal lab values and an understanding of cardiology specific diagnostic testing.

• Supervises vasodilator and exercise nuclear stress, Dobutamine and exercise stress echocardiograms in hospital and outpatient clinic environments.

Complies with the bylaws, rules and regulations of the Hospital and Hospital Medical Staff as they pertain to Nurse Practitioners.

• Knows and follows hospital policy & procedures.
• Follows Medical Protocols for Nurse Practitioners.
• Maintains Certification/licensure.
• Follows guidelines of regulatory bodies (FDA etc.).

Maintains complete patient records.

• Documents data appropriately.
• Documents treatment plan of care that is individualized, appropriate and reflects patient's needs.
• Documents interventions.
• Documents consultations with other practitioners/physicians.

Endeavors to stay current in the cardiac discipline as well as accessing appropriate continuing education.

• Participates in educational programs appropriate for practice.
• Keep certification or validations current.
• Actively and regularly seeks experiences and learning opportunities.
• Participates in opportunities to share knowledge and skills with staff and other health care providers.

Professional attitude and manner.

• Serves as a role model in the provision of emerging care.
• Serves as a reliable/knowledgeable resource for staff.
• Participates in staff meetings.
• Participates in professional organizations.
• Participates in research on special projects.
• Participates in work schedule development to ensure midlevel coverage.

Participates in performance improvement and outcome management.

• Meets regularly with medical director for chart reviews.
• Identifies concerns in patient care & follows up according to hospital policy.
• Participates in patient satisfaction and other quality improvement initiatives.
• Participates in tracking of variances in care.

Schedule:

Work Shift: M- F 8a-5p 
No call

Job Description:

Job Requirements

Education

• Graduate of Masters of Science in Nursing (MSN) or Doctorate of Nursing Practice (DNP) program.
• Satisfactory completion of annual mandatory education requirements.

Experience

• Minimum of 3 years of relevant clinical experience required.
• 1 year cardiology experience preferred for Heart Consultants and Council Bluffs Heart Care Center.

License/Certifications

• Current valid Registered Nurse (RN) License, valid compact multi-state license, or a temporary permit while awaiting licensure required.
• Current Nurse Practitioner (APRN.NP.NE or ARNP.IA) licensure for work state required.
• Current American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
• Current Advanced Cardiac Life Support (ACLS) Certification required.

Skills/Knowledge/Abilities

• Strong leadership, problem-solving and medical judgement skills required.
• Strong interpersonal skills necessary to effectively communicate and interact with patients, family members and hospital personnel/co-workers.
• Comfort utilizing electronic communication systems.
• Ability to perform numerous tasks at once.
• Ability to adapt to fast pace work environment.

Physical Requirements

Weight Demands

• Medium Work - Exerting up to 50 pounds of force.

Physical Activity

• Occasionally Performed (1%-33%):
  • Climbing
  • Crawling
  • Kneeling
  • Sitting
• Frequently Performed (34%-66%):
  • Balancing
  • Carrying
  • Crouching
  • Distinguish colors
  • Keyboarding/typing
  • Lifting
  • Pulling/Pushing
  • Repetitive Motions
  • Stooping/bending
  • Twisting
• Constantly Performed (67%-100%
  • Grasping
  • Hearing
  • Reaching
  • Seeing/Visual
  • Speaking/talking
  • Walking

Job Hazards

• Not Related:
  • Electrical Shock/Static
  • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
• Rare (1-33%): - Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
• Occasionally (34%-66%):
  • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
  • Equipment/Machinery/Tools
  • Explosives (pressurized gas)
• Frequent (67%-100%):
  • Chemical agents (Toxic, Corrosive, Flammable, Latex)
  • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
  • Mechanical moving parts/vibrations

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.