Cardiac Surgery - Nurse Practitioner - Night shift

Cardiac Surgery Advanced Practice Provider

The cardiac surgery program at Einstein Jefferson Philadelphia is seeking an experienced full-time cardiac surgery Advanced Practice Provider (APP). This program is rewarding, bringing advanced cardiac surgery services to an underserved population. The program highly values their APPs. Join a team of dedicated surgeons and APPs in this completely APP-run service. This position offers lifestyle flexibility!

Job Description

• Assist in the management and implementation of the health care plan for Cardiac Surgical Service as defined by surgical attending staff.
• Responsible for inpatient care related to pre and postoperative heart surgery patients in the CCU and Telemetry unit as defined by surgical attending.
• Perform and assist with diagnostic and therapeutic bedside procedures.
• Assure clear and concise transfer of clinical information between nurses, clinical staff, and physicians.
• Maintain communication with other clinical services.

Assessment & Management

• Perform complete history and physicals and document in the medical record.
• Order and collect data using appropriate assessment techniques, relevant supporting diagnostic information, and diagnostic procedures where indicated.
• Serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
• Assess for risks associated with the care of the acute and complex chronically ill patient including medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions, and diagnostic procedures.

Diagnosis

• Collaborate with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
• Manage diagnostic tests through ordering, interpretation, performance, and supervision.
• Formulate differential diagnoses by priority.
• Diagnose complications and order appropriate interventions.

Formulates Plan of Care

• Identify expected outcomes from diagnosis, and formulate and document a plan of care to address complex acute and chronic health care needs.
• Utilize evidence-based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.
• Implement and modify plan of care.
• Prescribe diagnostic strategies and therapeutic interventions.
• May perform advanced procedures consistent with privileges and competency validation.

Communication and Collaboration

• Maintain ongoing communication and collaboration with interdisciplinary health care team.
• Facilitate and communicate with patient, family, and staff to promote continuity of care across the inpatient and outpatient continuum of care.

Documentation

• Document/dictate key components of patient's progress via daily progress note, transfer, discharge summary, or clinic note where applicable (history & physical, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, in medical record per specific patient unit or service, death summary).
• Ensure documentation is timely, meets acute care compliance standards, and captures patient acuity.

Professional Practice

• Demonstrate professional practice behaviors including preceptor/mentoring, education, and instruction of graduate students.
• Seek opportunities for active engagement in research and the analysis of evidence-based practice.
• Actively participate in Advance Practice Grand Rounds and specialty-specific meetings.
• Maintain CEUs and membership in a professional organization.

Qualifications

• Master's Degree
• National Board Certification as an Acute Care Nurse Practitioner
• BLS certification

Work Shift

Workday Night (United States of America)