Cardiothoracic Surgical Physician Assistant or Nurse Practitioner

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Start the day excited to make a difference...end the day knowing you did. Come join our team.
Provides clinical services and surgical assistance to the appropriate programs and its patients/in both the inpatient and outpatient settings, working closely and assisting the physician in providing quality, efficient and continuous, cost-effective care during the patient's hospitalization. The Advanced Practice Provider is actively involved in providing formal and informal care, education and participates in the review and development of specific policies, procedures, and practice guidelines. The incumbent in this position must be able to demonstrate effective interpersonal skills and an understanding of the interdependent roles of various allied health professionals.
The individual will assess physical, psychosocial, cognitive, and functional components, develop a treatment plan, order and interpret diagnostic components of the plan, and prescribe non-pharmacological and pharmacological agents.
The Advanced Practice Provider functions professionally under a practice agreement with the supervising physician and operationally under the Vice President Nursing Services and/or the designee.
Essential Functions & Responsibilities:
In collaboration with physician, demonstrates ability to consul patients and family members about diagnosis, testing, surgery and risk of procedures.
Performs comprehensive health assessments for the purpose of diagnosing and treating individuals.
Participate in the care and management of patients in the outpatient setting, seeing outpatients either independently or in conjunction with supervising physician.
Formulates appropriate differential diagnosis, develop treatment plan to include appropriate diagnostics; identifies non-pharmacological interventions, appropriate pharmacological agents and education. The plan is based on mutually established priorities to maximize the health potential of the patient.
Provides relevant patient and family education; requests consults from appropriate physicians and makes appropriate referrals to other professional and community agencies.
Orders and provide preliminary interpretation of diagnostic studies.
Prescribes non-pharmacological therapies and pharmacological agents within the defined scope of service and according to guidelines established by the supervising physician.
Demonstrates the ability to use effective organizational/prioritization problem-solving and decision-making abilities in practice.
Provides emergency treatments and initiates emergency life saving measures per ACLS guidelines.
Meets all the requirements of the practice agreement with the supervising physician under the regulations and requirements of the Commonwealth of Virginia.
Delineation of Privileges:
Obtain, record and dictate medical histories
Perform, record and dictate physical examinations
Make daily rounds, record progress notes, write routine comfort and diet orders, order laboratory tests and non-invasive examinations, write approved routine orders, and change dressings.
Prepare patients for discharge from the hospital
Dictate discharge and transfer summaries
Evaluate patients who require a surgical consult
Clinical Procedures:
Apply and change dressings
Remove sutures and staples
Perform venipunctures
Insert IV catheters and needles
Catheterize urinary bladder
Pass nasogastric tubes
Place and remove chest tubes and monitoring lines
Irrigate chest tubes and catheters
Remove intra-aortic balloon pump
Debride, irrigate and pack surgical wounds
Remove drainage catheters
Assist in the operating room: Prep, position and drape
General Thoracic Surgery
Assist in minimally invasive procedures, including thoracoscopy and advanced foregut laparoscopy, open/VATS lobectomy, paraesophageal hernia and nissen fundoplasty
Close wound and apply dressings
Transfer patient to post-anesthesia care
Communication:
Educate patient/family regarding disease procedures, medication, nutrition, healthcare, and post-discharge care
Dictate letters to physicians, patients
Act as liaison between patients and physicians
Act as liaison between nursing and physicians
Request consults from health agencies and act as liaison
Make and receive phone calls to/from patients, physicians and nurses for information, triage and to advise
Provide education to nursing staff as required
Participate in the management of Thoracic surgery Database (update patient records, run reports, harvest data for the Society of Thoracic Surgeons)
Other:
Maintain statistics
Complete insurance forms and home health forms
Maintain written material; teach devices and special equipment for use of personnel and patients
Perform other duties as assigned
Qualifications:
Registered Nurse licensed to practice in Virginia or eligible
MSN and Current Virginia state certification as an Adult Nurse Practitioner, or;
NCCPA certification and Virginia license, required
AHA BLS Provider CPR required
Adult medical-surgical experience, preferred
Experience providing operative support to cardiac, vascular or thoracic service, desired
Previous OR experience, desired
Ability to work effectively in emergency situations and under stress
Ability to work cooperatively/collaboratively as part of a team, developing productive working relationships with diverse groups of people
Proficient leadership skills
As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

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