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Nurse Practitioner or Physician Assistant - Cardiothoracic ICU

Medical University of South Carolina, Charleston, SC, United States


Job Description Summary
The Nurse Practitioner or Physician Assistant is a valued member of the intensive care team who has coordination and clinical skills required for the comprehensive management of critical care medicine patients. Through relationships in an interprofessional culture that supports all members of the healthcare team, the Nurse Practitioner or Physician Assistant will demonstrate specialized skills in the care of patients and families undergoing operative and other invasive procedures. The Nurse Practitioner or Physician Assistant coordinates involvement of medical/surgical specialty teams, practicing in a collaborative environment necessary to develop a comprehensive plan for the patient. Reviews the plan of care with the other members of the clinical team, participates in directing that care. The provider will work with the team to ensure adherence to protocol requirements and regulatory guidelines contributing to excellence in patient care, research, teaching, and leadership to the organization and profession. They will perform diagnostic/therapeutic procedures; peri-procedural services, and coordinate discharge planning to next level of care (as applicable).

Patient Population Focus
Intensive Care Unit (ICU)

Patient Population Age Range
13 years-death

Required Minimum Training and Experience
Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant, or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN.

Physician Assistant: Completion of an accredited PA program and current license or eligibility for licensure as a PA.

Registered Nurse Practitioner: Completion of an accredited NP program and current license or eligibility for licensure as an APRN.

AGPNP/ANP

(Adult Gerontology Primary Care NP or Adult NP): Adult patients (13 years to death), stable chronic disease state management or primary care setting.

FNP

(Family NP): Birth to death, stable chronic disease state management, primary care across the lifespan.

Preferred Training and Experience
Physician Assistant or APRN License Type/Certification.

AGACNP/ACNP

(Adult Gerontology Acute Care NP/Acute Care Nurse Practitioner): Adult patients (13 years to death), acutely ill or injured, potentially unstable, or technologically dependent.

Preferred Experience: 2+ years NP experience or PA-C experience preferred. Acute Care training and/or cardiology experience also preferred.

Degree of Supervision
Advanced Practice Registered Nurse or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician.

Required Licensure, Certifications, Registrations

Basic Life Support (BLS).

Advanced Cardiovascular Life Support (ACLS).

If applicable, DHEC and DEA license applications must be started prior to first day.

Job Duties
Provides direct care to patients through the following activities:

Takes comprehensive history and performs physical examinations.

Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline.

Performs the following therapeutic procedures in accordance with procedural privileges, skill and proficiency as approved by the Clinical Division Chief

Arterial line placement

Central line placement

Pulmonary artery catheter placement

Chest tube removal

Temporary epicardial pacing wires removal

Epidural catheter removal

External pacemaker application

Direct current cardioversion

Lumbar puncture

Bronchoscopy

Intubation

Paracentesis

Thoracentesis

Interosseous access

Initiates referrals to other health care providers and/or consults with the attending physician or the collaborating physician.

Documents and bills for direct care provided.

Utilizes current research and evidence-based decision-making in all clinical practice.

Performs and participates in quality/performance improvement activities and clinical research.

Participates in and supports accreditation, compliance, and regulatory activities of the organization.

Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education.

Potential to precept students at MUSC enrolled as an advanced practice provider student; and facilitate the learning of other new team members.

Maintains licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law.

Physical Requirements
Continuous requirements to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces.

Equal Opportunity Employer
Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

E-Verify
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees.

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