APP; Nurse Practitioner or Physician Assistant), Cardiac ICU​/Flex ICU; Flex-Cardiac Critical Care Services

Job Description APP (Nurse Practitioner or Physician Assistant), Cardiac ICU/Flex ICU.Harborview Medical Center has an outstanding opportunity for APP (ARNP or PA) with the Flex-Cardiac Critical Care Services.

Work Schedule
* 90% FTE, Days (36 hours per week); and with some nights, week-ends, and holidays.

Supervision:

The APP (Advanced Practice Provider), ARNP or PA, will work under the supervision of the Attending Physician on service and work collaboratively with physicians in post-graduate training programs (i.e., residents and fellows in Cardiovascular Medicine and Critical Care Medicine). The Flex-Cardiac Critical Care (FC3) service is an APP-led, attending physician–supervised model that focuses primarily on critical care cardiology in collaboration with cardiologists, with ICU overflow as a secondary function.

Patient Population:

Critically ill patients with complex cardiovascular and medical conditions, including but not limited to:
• Acute decompensated heart failure, cardiogenic shock, and mechanical circulatory support (e.g., balloon pump, Impella, ECMO/ECLS)
• Acute coronary syndromes, post-cardiac arrest care, and serious cardiac arrhythmias
• Respiratory failure requiring mechanical ventilation or non-invasive respiratory support
• Sepsis, multi-organ dysfunction, trauma, brain injury, and other critical medical conditions (MICU overflow)
Patients requiring advanced hemodynamic monitoring (e.g., pulmonary artery catheters)
Responsibilities:

Note:

responsibilities may evolve over time depending on the needs of the service, demand in other critical care services, and outreach roles.
1. Patient Care
• Providers are expected to rotate between the Medical ICU and the FC3 service.
• Providers may be deployed to other ICUs (Neuro Critical Care and Trauma ICU) based on need
• Admit new patients (e.g., write admission notes, develop initial assessments/plans, place admission orders in EMR)
• Provide frontline coverage for admitted patients (e.g., “cross-cover” / manage patients admitted by other providers, either daytime or nighttime)
• Participate in daily morning and afternoon rounds (e.g., present updated clinical information and problem-based plan of care on multidisciplinary ICU rounds, share tasks with other members of the ICU team such as completion of daily rounding checklist, entering orders in EMR, documenting, etc.)
• Daily management of ICU patients (e.g., evaluate and manage critically ill cardiac and medical patients, write daily progress notes, formulate and implement plans of care, communicate with consultants, update family/caregivers daily, work collaboratively with other members of the multidisciplinary team including physicians in training)
• Facilitate transitions of care to other service lines (e.g., documentation and direct hand-off for discharge from ICU to Acute Care, skilled nursing facility, or cardiology step-down services)
• Participate in family meetings and discussions of goals of care as a member of the critical care team
• Participate with team in critical care outreach activities for patients on Acute Care, Emergency Department, or other ICU services depending on clinical need (e.g., responding to “Code Blue,” Rapid Responses, supporting other ICU services with high clinical loads)
• Clinical work will involve both day and night coverage (see Work Hours below)2. Procedures
• Assist with or perform bedside procedures for hospitalized patients (e.g., central venous catheters, arterial lines, thoracentesis, paracentesis, lumbar puncture, point-of-care ultrasound, pulmonary artery catheter management, etc.) under the direction and supervision of the attending physician
3. Quality Improvement, Research, and Scholarship
• APPs are expected to be active participants in…