Cardiothoracic ICU APP — Critical Care

Seeking a highly skilled, experienced APP to join our growing cardiothoracic critical care team. This is a 24/7 service therefore this position requires days, nights, weekends and occasional holidays in a rotation with the team.

In this position you will be responsible for examining, diagnosing and treating patients with complex cardiac, respiratory, and thoracic diseases under the direction of the attending physician. Our APPs play an integral role in the multidisciplinary care team by coordinating discussion, communication, and implementation of care plans with various consulting physician services, nursing, respiratory therapy, pharmacy, nutritional support, and other ancillary teams.

In addition to these skills, you will be expected to have obtained competency in common ICU procedures, including but not limited to endotracheal intubation, arterial blood gas collection, arterial catheter line placement, central venous catheter line placement, temporary dialysis catheter line placement, transvenous pacemaker line placement, and pulmonary artery catheter line placement. Our cardiothoracic critical care providers are also the rapid response team for the hospital’s cardiac catheterization lab.

Our APPs are expected to interpret and manage endotracheal tubes, tracheostomy tubes, ventilators, pacemakers, sedation (MAC and Deep), ABGs and VBGs as well as complex acid/base derangements, fluid balance goals with diuretics, hemodialysis, and CRRT, vasopressors and inotropes, XRAYS, and laboratory investigations.

• Shock – All Types
• Sepsis
• Respiratory Failure
• Heart Failure
• Renal Failure
• Acute & Chronic HTN
• Bradycardia
• Tachycardia (SVT, AFIB, Aflutter)
• VT/VF
• Encephalopathy
• Delirium
• Insomnia
• Care of Postop Cardiac Surgery Patient (CABG, Valve, Thoracic)
• Care of Postop Heart Transplant Patient
• Care of Postop Lung Transplant Patient
• Care of Post Cardiac Arrest Patient

Physician Assistant

• Required:
  
  Master’s Degree Graduate of an accredited Physician Assistant educational program
• LIC-Physician Assistant – State of Michigan, required upon hire
• CRT-Physician Asst Certified (PA-C) – NCCPA, required upon hire
• CRT-Basic Life Support (BLS) – AHA or ARC, 90 days required
• CRT-Pediatric Advanced Life Support (PALS) – AHA, 120 days required
• CRT-Advanced Cardiovascular Life Support (ACLS) – AHA, 120 days required

Nurse Practitioner

• Required Master’s Degree. Nurse Practitioners who obtained their education and certification after 2000 must show evidence of completion of a master’s, post‑master’s or doctorate from a Nurse Practitioner program that is accredited by the Commission on the Collegiate of Nursing Education or the National League for Nursing Accrediting Commission.
• 3 years of relevant experience current, relevant clinical experience required.
• Previous experience functioning in a collaborative role required.
• Experience as a Nurse Practitioner preferred.
• LIC-Registered Nurse (RN) – State of Michigan, required upon hire.
• LIC-Nurse Practitioner (NP) – State of Michigan, required upon hire.
• CRT-Basic Life Support (BLS) – AHA or ARC, 90 days required.
• CRT-Advanced Cardiovascular Life Support (ACLS) – AHA, 120 days required.
• CRT-Neonatal Resuscitation Program (NRP) – AHA, required upon hire.

Right in the heart of Grand Rapids, you’ll find a nationally recognized hospital for patient quality and safety and the regional leader in full‑service hospitals. Since 1873, Corewell Health Butterworth Hospital (part of Corewell Health Grand Rapids Hospitals) has been growing and building a reputation of excellence in care, diagnostics, treatment, prevention and education. It is the flagship hospital for Corewell Health Grand Rapids Hospitals, which includes Fred and Lena Meijer Heart Center, Helen DeVos Children's Hospital and Lemmen-Holton Cancer Pavilion.

Butterworth Hospital offers a wide range of advanced medical, surgical and specialty care services that allow the urban campus in downtown Grand Rapids to serve as a major tertiary and qua ternary referral center for West Michigan and beyond. These services include the only Regional Burn Center and Level I…