PRN Critical Care Nurse Practitioner; NP) or Physician Assistant; PA)

• Part-time
• Shift: Variable Shift
• Status: PRN

The Critical Care APP isa member of the Pulmonary Medicine team with the primary responsibility of managing patients withacute, critical, and chronic illness and disease in the intensive care setting.

The Critical Care APP has a specialized skill set and knowledge about caring for critically complex patients, i.e., Neuro, Medical and Surgical. In this position, the APP will work underdirectionof the Manager, Pulmonary & Critical Care and collaboratively with a matrix reporting relationship to the Pulmonary Clinical Director. The APP will also work collaboratively with all Critical Care Physicians, the Neurocritical Care Director, and Surgical Services Clinical Director.

• This position is PRNandrequires both day shift and night shift. Shifts are 7-7.
• Providein house overnight coverage for ICU patients and new admissions with supporting physician. No on-call requirements.
• Supports the Mission, Vision, and Values of Munson Healthcare.
  • Manages complex acute, critical, and chronically-illadult patients at risk for urgent and emergent conditions, using both physiologically and technologically derived data, to manage physiologic instability and risk for potential life-threatening conditions.
  • Obtains medical histories, performs physical exam, and developsassessmentandplan.
• Collaborates, as appropriate, with others to diagnose and manage acute and chronic and/or multi-system health problems including, but not limited to:
  
  Acute Respiratory Distress Syndrome, pneumonia, Sepsis, Diabetic Ketoacidosis, Stroke (both hemorrhagic and ischemic), Acute Abdomen and Traumas.
• Identifies the presence of comorbidities and the potential for rapid physiologic deterioration or life-threatening instability.
• Collaborates withintraprofessionaland interprofessional team to achieveoptimalpatient outcomes during acute,critical and/or complex chronicillnessincluding daily rounding with the interdisciplinary team.
• Employs interventions, both pharmacologic and non-pharmacologic, to regain andmaintainphysiological and psychological stability.
• Performs diagnostic and therapeutic interventions including butnot limited to:
  Interpretation of EKG and imaging studies, Laboratory and Radiologic Studies, Respiratory support, Hemodynamic monitoring, Lumbar puncture, Wound debridement and Closure, central line, arterial line, hemodialysis catheters, chest tubes, thoracentesis/paracentesis, and suture removal.
• Implements interventions to support the patient with a rapidly deteriorating physiologic condition based on Advanced Cardiac Life Support and Fundamentals of Critical Care Support.
• Collaborates with the patient, family, and others to provide palliative and end-of-life care options.
• Provide Consult Services in coordination with a partnering(in the case of a Physician Assistant) or supervising (in the case of a Nurse Practitioner) physician.
• Provides care coordination, which includes managing a variety of ancillary services, pre-operative plans, discharge planning, provider referrals and medical devices such as insulin pumps, defibrillators, and pacemakers.
• Maintains patient health records according to established standards and guidelines.
• Provides clinical direction to nursing staffregardingthe continued care of patients.
• Performs other duties and responsibilities as assigned.
• Perform daily rounds withmultidisciplinaryteam.
• Consult services and work under a supervising physician.

• Oracle Health

• We’renorthern Michigan’s largest healthcare system and we are deeply rooted in the communities we serve. That means that our patients are often our…