NP​/PA Heart Failure and Pulmonary Hypertension

Heart Failure And Pulmonary Hypertension Nurse Practitioner Or Physician Assistant

The Heart Failure and Pulmonary Hypertension Nurse Practitioner or Physician Assistant utilizes a patient-centered coordinated care model, demonstrating competencies in leadership, direct clinical practice, consultation/collaboration, coaching/guiding, research, and ethical decision-making. The APP works collaboratively with the practice/hospital team to assess, plan, and implement care for individuals with health and safety needs.

The position is dedicated to the comprehensive care of patients with pulmonary hypertension. The APP will manage this specific patient population across both inpatient and outpatient settings, ensuring continuity of care and specialized treatment.

Core Clinical Duties and Privileges:

• Manage a daily inpatient assignment average of 5-10 patients
• Manage patients in the outpatient clinic setting, including new patient evaluation
• Formulating daily plan of care including current management of medical therapy with IV inotropes, IV prostacyclins, discharge plan, and collaborating with multidisciplinary team
• Interpret clinical data, hemodynamic monitoring including right heart catheterizations and Swan-Ganz catheter hemodynamics to guide treatment of Pulmonary Hypertension.

Operational and Scheduling Requirements:

• Provide coverage and support providers for both inpatient and outpatient services as scheduled.
• Work schedules are 8 hour shifts, which may include rotating weekends. Outpatient clinic hours are typically standard business hours.

Department-Specific Quality & Regulatory Compliance:

• Maintaining Pulmonary Hypertension Accreditation- obtained- 8/2024
• Collecting data for the Pulmonary Hypertension Program for organization and research.
• Developing PAH education and lectures for nurses and providers
• Serve as a liaison and collaborate with specialty pharmacies on IV, SQ and oral medication for PH patients

No Weekends Required No Holidays Required On-Call Commitment Required

Responsibilities:

Performs and documents accurate, complete, and relevant history and physical assessments appropriate for the patient's age, gender, and clinical problem. Orders, performs, and interprets laboratory tests and diagnostic studies/procedures in collaboration with physicians and consultants as appropriate. Manages general medical and surgical conditions based on comprehensive knowledge of etiologies, risk factors, pathophysiology, and the indications and contraindications of pharmacologic agents and other treatment modalities.

Prescribes medication safely and effectively in accordance with best practices, hospital policy, and NJ regulations, providing patient education as needed. Seeks opportunities to promote Hackensack Meridian Health (HMH) APN practice recognition (locally, nationally, and internationally) through conferences, publications, and presentations. Provides care that is patient- and family-centered, compassionate, and effective for the promotion of health and treatment of disease. Practices as a healthcare provider according to the rules and regulations of the Medical Staff and bylaws as outlined in the delineation of privileges.

Adheres to HMH nursing protocols, standards of care, and disease-specific quality indicators. Applies evidence-based and value-based medicine to systematically analyze and improve patient care practices and outcomes. Evaluates patient/family transition of care planning, considering resource utilization, cost, quality, safety and self-management promotion for chronic conditions. Demonstrates clinical expertise through advanced assessment and procedural skills pertinent to the practice specialty. Completes medication reconciliations as appropriate.

Participate in annual APN peer review. Translates `best practice' into clinical practice by evaluating current protocols and standards of care. Provides culturally sensitive and educationally appropriate health management education to patients and families. Facilitates consistent, coordinated care and clear communication among all members of the healthcare team through participation in daily interdisciplinary rounds. Serves as an advocate for patients and families, identifying and addressing obstacles to care progression and escalating issues as appropriate.

Serves as a clinical resource for the multidisciplinary team by addressing clinical, process, and system improvement opportunities. Participates in organizational and departmental meetings, committees, and work groups as necessary. Demonstrates the highest level of accountability for professional practice and adheres to ethical principles regarding patient confidentiality, informed consent, and adverse outcomes. Collaborates with medical staff to support nursing-led protocols. Mentors other APNs, precepts students in APN programs and participates in educational programs for nursing as a clinical expert.

Identifies patient/family educational needs and collaborates to implement appropriate teaching…