Nurse Practitioner (Acute Care)-Intensive Care and Resuscitation House Officer (Proactive APP)

AS A PROACTIVE APP, THIS PROVIDER’S WOULD NOT YET HAVE A HOME BASE AND THEY WOULD BE EXPECTED TO ROTATE TO MULTIPLE FACILITIES WITHIN A GEOGRAPHIC REGION AS NEEDED.  APPLICANTS WILL NEED TO BE FLEXIBLE WITH LOCATION ASSIGNMENTS.  SHOULD A NON-PROACTIVE HOUSE OFFICER POSITION BECOME AVAILABLE IN THAT GEOGRAPHIC REGION, THE PROACTIVE PROVIDER WILL HAVE FIRST CONSIDERATION TO STEP INTO THE PERMANENT LOCATION.

Not to be confused with a Hospitalist role, the Intensive Care and Resuscitation House Officer will oversee urgent and critical care of all patients within the regional hospital.  Other services can and will call for assistance when needed from the House Officer.

Coverage is 24/7 rotating day/night shifts including weekends and rotating holidays with the option for straight night-shift available with salary differential.

Duties include, but are not limited to:
•    Patient evaluations
•    Team Leader for Rapid Responses/Code Blues
•    Urgent patient management procedures (bedside echo, intubation, central line insertion, arterial line insertion, chest tube insertion and other procedures as necessitated by emergent situation)
•    Continual communication with other providers involved in care of admitted patients
•    Assist with admissions to ICU and subsequent critical care management
•    Other responsibilities as needed

All new-hires will go through an in-depth and fully paid 6 month orientation process that includes:

•    Dedicated didactic time with presentations on applicable topics provided by experts in their fields.
•    Multiple simulation days, progressive in nature, that provide real-life patient care scenarios in a safe environment for learning
•    Hands-on training for procedures in OR, IR and Cadaver Lab
•    Time spent at each regional site to learn workflows and patient management
•    Participation in a mentorship program (1 year in duration)

**Generous sign-on bonus for Acute Care NPs with at least 3 years of NP experience**

Relocation reimbursement available and continuing education/certification reimbursement offered as a part of a generous benefits package.

APRN: Nationally certified licensed healthcare provider who provides primary and/or specialty nursing and/or medical care in a variety of healthcare settings. Functions in collaboration with a physician according to a standard care arrangement and specialty certification. Provides advanced nursing care to patients with complex acute, critical, and chronic health conditions, including the delivery of acute care services. Practices in any setting in which patients require complex monitoring and therapies, high intensity nursing intervention, or continuous nursing vigilance within the range of high-acuity care.

PA: Nationally certified licensed healthcare provider who provides primary and or specialty medical care in a variety of healthcare settings. Functions with the collaboration agreement of a Physician, (as per O.R.C. 4730). Develops a working diagnosis and treatment plan based on histories and physical exam, providing continuing medical care, including daily examinations, writing orders, chart notes.  PA's are privileged by the Board of Governors. PA's in this role provide advanced care to patients within  any setting in which patients have complex, acute, critical and chronic health conditions. Practices in any setting in which patients require complex monitoring and therapies and high intensity medical interventions and/or continuous vigilance within the range of high-acuity care.

Job Responsibilities:

• Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data on new and former clinic patients and hospital admissions to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan.
• Must be able to work with collaborating physician.
• Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board
• Autonomously takes initiative responding to and taking the lead in rapid response, codes and stroke alerts, admissions to the ICU, as well as performing specialized procedures , such as,  blood draws, IV starts, intubation, arterial line placement, central venous catheter placement , ventilator management, in addition to other specific procedures as necessitated by the patient situation.  Must be prepared to function independently in house as the sole provider in hospital.
• Provides information and answers routine questions of patients and families regarding their disease, including preventive health maintenance topics such as diet, weight, smoking and topics related to medical specialty, with basic recommendations.
• Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards.
• May participate in medical team rounds; collaborates with nursing, medical and other healthcare team members.
• Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.
• Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
• May serve as clinical preceptor for PA/APRN students and other health professionals.
• May serve as Faculty for onboarding new employees.
• Demonstrates a high standard of moral and ethical behavior.  Demonstrates compassion and professionalism and a commitment to excellent patient care.
• Work/shift requirement: provide 24 hour, 7 days  per week  coverage, typically one NP/PA per shift (13-13 hour shifts per month and one 13 hour call shift per month)
• Other duties as assigned.

Education:

APRN

Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role.

Graduate of an accredited APRN program.

If in neonatal care service area Master’s Degree is required upon hire.

PA

Graduate of an A.R.C. approved Physician Assistant Program.

Master’s degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board.

Languages:

Oral and written communication in English

Certifications:

NP

• Currently licensed as a Nurse Practitioner in applicable state(s).
• Must be licensed as an RN in applicable state(s).
• National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing.
• Basic Life Support (BLS) through the American Heart Association (AHA) required.
• Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
• Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
• Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.

CNS

• Currently licensed as a Clinical Nurse Specialist in applicable state(s).
• Must be licensed as an RN in applicable state(s).
• National certification as a Clinical Nurse Specialist by nationally accredited organization recognized by state Board of Nursing.
• Basic Life Support (BLS) through the American Heart Association (AHA) required.
• Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
• Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
• Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals

PA

• Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board.
• License to practice and prescribe issued by their practicing states Licensing Board.
• Current DEA License or DEA designee as required by NCQA.
• Basic Life Support (BLS) through the American Heart Association (AHA) required.
• Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting.
• If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system.
• Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement.
• Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.

Work Experience:

• Related clinical experience preferred.

Physical Requirements:

• Typical physical demands include the ability to walk and stand for long periods of time.
• Manual and finger dexterity and eye/hand coordination to perform physical examinations.
• Requires corrected vision and hearing to a normal range.
• Occasionally lifts and carries items weighing up to 50 pounds.
• May require exposure to communicable diseases and/or body fluids.

Personal Protective Equipment:

• Follows standard precautions using personal protective equipment as required.