Nurse Practitioner​/Physician Assistant, Cardiology

JOB SUMMARY

This paragraph summarizes the general nature, level and purpose of the job.

The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team.

Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal.

NP and PA roles are described as follows:

NP: The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The NP provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertain to the Service, Clinic or Department and are established by the NP and supervising physician(s), approved by appropriate medical and nursing administrators, the IDPC, and the SHC Medical Executive Board and Board of Directors.

PA: The Physician Assistant functions under the general Physician Assistant Role Description approved by the IDPC. Specific functions pertain to the Service, Clinic or Department and are established by the PA and supervising physician(s), approved by medical and nursing administrators, the IDPC, and the SHC Medical Board and Board of Directors.

The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.

Employees must abide by all Joint Commission Requirements including sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, ongoing education and training, communication and safety/quality programs, compliance with National Patient Safety Goals, licensure and health screenings.

Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and Code of Conduct.

A. NP/PA may provide only those medical services which they are competent to perform, in collaboration with a physician.

B. NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem exceeding the NP/PA7s level of competence or refer cases to a collaborating physician.

C. Scope of Practice of the NP/PA:

• Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures.
• Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients.
• Performs or requests and evaluates diagnostic studies as indicated.
• Administers, orders, furnishes and prescribes medications.
• Orders and collects specimens for routine laboratory tests and radiology/nursing services.
• Performs designated procedures after demonstrated competency where applicable.
• Obtains informed consent, as indicated.
• Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork.
• Enrols patients in investigational studies approved by IRB, and orders tests and medications as directed by the supervising physician.
• Assists the supervising physician in the operating room after appropriate training, and adheres to standardized procedures.
• Communicates effectively with patients, families, staff and diverse communities.
• Recognizes situations requiring physician attention and initiates life-saving procedures when necessary.
• Facilitates coordination of inpatient/outpatient care and collaboration with community…