Advanced Practice Provider (NP/PA/APP) - Cardiothoracic ICU

The Rector & Visitors of the University of Virginia
$98,841.60 - $158,142.40 Annual
United States, Virginia, Charlottesville
1215 Lee Street (Show on map)
Nov 16, 2024
We are seeking an experienced and dedicated Advanced Practice Provider to join our team in the Cardiothoracic Surgery Intensive Care Unit (TCV ICU). As a member of our dynamic and collaborative multidisciplinary team, you will play a pivotal role in providing exceptional critical care management to our postoperative cardiac, thoracic, and vascular surgery patients. Following a 3-month onboarding process, newly hired TCV ICU APPs will manage care of 6-8 patients representing the cardiac, vascular, and thoracic surgery population in a practice model that emphasizes independence with the support and collaboration of physician colleagues. As an academic medical center, UVA possesses a rich culture of continual education and professional development that welcomes engaged learners. We work closely with resident physicians and students of all specialties including medical, physician assistant, and nurse practitioner students. Beyond the qualities included in the general position description, success in a TCV ICU APP role will require the following: Accepting new OR admissions, hospital transfers, and urgent acute transfers along with coordinating discharges and transfers Conduct comprehensive assessments of patients admitted to the TCV ICU, who have undergone cardiac, thoracic, and vascular surgeries, including heart and lung transplantation, as well as those requiring ECMO or other mechanical circulatory support devices. Develop and implement evidence-based care plans tailored to the individual needs of each patient, ensuring optimal outcomes and patient safety. Prescribing appropriate pharmacologic and non-pharmacologic therapies, evaluating patient responses, and adjusting the plan of care based on ongoing objective and subjective data collection. Perform a wide range of interventions and procedures within the scope of advanced practice, including but not limited to, invasive monitoring, ventilator management, and hemodynamic support. Perform common ICU bedside interventions including bronchoscopy, central line, arterial, and chest tube placements Collaborate closely with the multidisciplinary team, including surgeons, critical care intensivists, nurses, respiratory therapists, and pharmacists to coordinate care and facilitate communication. Maintain thorough and accurate documentation of patient assessments, interventions, and outcomes in accordance with institutional protocols and regulatory standards. Self-motivated learning, engagement in process improvement and quality improvement initiatives Additional information: 24/7 position; weekends, nights and holidays (on rotation) required 3 x 12-hour shifts weekly Works in conjunction with the medical director, administrative management, nursing and other interprofessional team members to facilitate patient care and management throughout the health care system. * Exercises independent judgment in the assessment, diagnosis and initiation of medical processes and procedures commensurate with training and experience, as credentialed by UVA Health System. * Performs and documents comprehensive health histories and physical assessments, to include initiation of CPR or other appropriate emergency therapy as needed. * Formulates diagnoses, identifies problems and health risk profiles, documents and clearly communicates with other members of the health care team. * Performs, orders, and interprets diagnostic studies, such as x-rays and laboratory tests, in consultation with peers and colleagues. * Performs procedures within scope of practice and UVA Health System credentialing and privileges. * Orders medications, treatments and therapies in accordance with Virginia Prescriptive regulations. * Requests consultation and initiates referrals to other health care providers, including specialists when and if needed. * Evaluates and analyzes patient responses to the disease process and/or therapeutic, diagnostic interventions. * Provides information, education and support to patients/families regarding disease processes and treatment plans (diagnostic procedures, medications and treatments), thus facilitating communication between patients/families and the health care team. * Participates in on-call responsibilities as appropriate and as determined by department or unit. * Manages patients in accordance with established UVA Medical Center and UVA UPG policies and procedures. * Reports births, deaths, outbreaks of communicable diseases and other information critical to the patient's and/or the public's health as required by legal or governmental authorities, in a timely manner. * Meets quality standards as determined by the Medical Director and/or UVA Health System. * May serve on select committees as needed. * May participate in the clinical experience of students (graduate/post graduate advanced practice, nursing, and medical students), interns, and residents, as appropriate. * Participates in group, peer and other review activities as requested. * Prepares and attends to all reports, claims, and correspondence necessary or appropriate to the performance of professional services. * Promotes the professional practice of the advanced practice group by serving as a clinical resource to nursing, medical and allied health care practitioners. * Follows policies and procedures, including those of UPG, UVA Medical Center, CMS and other contracted payers with which the entity may contract. * Accurately assigns Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-10), codes. * Updates practice through continuing education by attending conferences, rounds, reports, lectures, journal clubs and regional/national professional conferences. * Seeks professional development and growth opportunities that enhance professional practice through formal and informal activities including developing and presenting educational programs. * Performs other duties as assigned that are commensurate with professional service normally and customarily provided by a licensed independent provider. Job Specific Duties Intensive Care 24/7 position with a team of 16 Advanced Practice Providers working with Cardiac, Thoracic, and Vascular surgery patients. Specialty care including mechanical circulatory support and ECMO. Position Compensation Range: $98,841.60 - $158,142.40 Annual MINIMUM REQUIREMENTS Education: Graduate of an accredited graduate school of nursing or physician assistant program with a master's degree. Experience: Department and unit specific. Licensure: License or license eligible as an Advance Practice Provider (Nurse Practitioner, Physician Associate, Certified Registered Nurse Anesthetist, and Certified Nurse Midwife) as set forth by the state of Virginia. If Nurse Practitioner, license to Practice as a Registered Nurse in the Commonwealth of Virginia is required. Must demonstrate and maintain all credentialing and licensing requirements of UVA Health System, the Virginia Board of Medicine or the Virginia Board of Nursing, and appropriate certifying bodies. Current Basic Life Support (BLS) required. Current PALS/NRP, as required, specific to position. Advanced Cardiac Life Support (ACLS) as required, specific to position. PHYSICAL DEMANDS Job requires standing for prolonged periods, frequently bending/stooping, reaching (overhead, extensive, and repetitive); Repetitive motion: computer keyboard. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull 50 - 100lbs. May be exposed to noise, radiation, radioactive materials, blood/body fluids and infectious disease. The University of Virginia, including the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician's Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex, pregnancy, sexual orientation, veteran or military status, and family medical or genetic information.