RN Nurse Practitioner - CT Surgery Clinic - Medical Group APPs Exempt

Job Overview

The Pre-Op Nurse Practitioner (NP) is a NP who works under the direction of the Department's Administrative and Medical Directors to facilitate safe and efficient operational flow of the cardiovascular patient population at Keck Medical Center. The NP is responsible for the application of the nursing process, supervision of clinical practice, education, leadership, and patient care management. The NP will function as part of inter‑professional teams by communicating, planning, and implementing care directly with other healthcare professionals, including physicians, pharmacists, office support staff, clinical nurse specialists, and other nurse practitioners.

Outpatient duties include providing cardiac clearance for established cardiology patients for surgery, pre‑transplant evaluation, and independent evaluation of general cardiology patients. The NP may support cardiovascular medicine physicians in their clinics using a team approach to efficiently evaluate and treat our outpatient cardiovascular medicine patient population. The NP will be responsible for appropriate documentation, clinic consults, follow up, coordination of care, triage phone calls, clinical questions, and pharmacy interactions.

The NP may also be involved in our telemedicine program. The NP should demonstrate knowledge of regulatory requirements, critical thinking in providing care according to professional standards, and serve as a resource for RNs, LVNs, and support staff. The NP works collaboratively with other health‑care team members, consulting and referring as appropriate, but retains responsibility for ongoing clinical management of the patient (e.g., post‑implant VAD care, heart failure).

The Nurse Practitioner - Cardiology under general supervision and in accordance with standardized procedures, performs physical examinations and treats common episodic and chronic health‑care problems, counsels patients and families, monitors patient progress, assists with medical research projects. The NP serves as a resource for RNs, LVNs, and support staff, works collaboratively with the health‑care team, and maintains responsibility for ongoing clinical management of the patient (e.g., post‑implant VAD care, heart failure).

• Conduct in‑depth interviews with patients and/or family, construct comprehensive medical histories, perform initial and periodic physical examinations, and explore patients’ interpretation of health needs. Identify and treat patients’ diseases (e.g., post‑implant VAD care, heart failure).
• Identify patients’ educational needs and provide health‑related information to enhance understanding of medical conditions and related treatments. Obtain informed consent for procedures, instruct and counsel patients and families regarding care, medical problems, psychological problems and use of prescribed devices, treatments, and drugs.
• Directly perform or order appropriate diagnostic studies and interpret finished results.
• Develop and implement long‑ and short‑range treatment plans.
• Perform procedures such as obtaining specimens, performing injections, immunizations, lumbar punctures, skin biopsies, suturing, wound care, and management of conditions produced by trauma or infection.
• Write orders to increase, decrease or change medication, subject to checking and counter‑signing by physician.
• Initiate consultations and monitor scheduling of patients for special tests.
• Identify records pertinent to patients’ progress, update and summarize charts, change orders when appropriate and notify the responsible physician of changes in the patient’s condition.
• Instruct and counsel patients and families regarding preventive care, medical problems, psychological problems, and use of prescribed treatments and drugs.
• Act as the lead in the clinics (being the resource for RN, LVN, and support staff) and act as the liaison with governmental agencies such as CDC and NIH. Assist with medical research projects following research protocols and obtain IRB approval for treatment protocols.
• Research community resources for referral of patients and refer patients to the most appropriate resource…