APP Cardiac Surgery

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Job Type : Regular

Scheduled Hours : 40

Job Summary :

The Physician Assistant / Nurse Practitioner (PA / NP) Cardiac Surgery provides operative (pre, intra and post) care to patients. Under the auspices of a designated supervising physician(s), the PA / NP Cardiac Surgery applies in depth knowledge, expert skill, and clinical judgment in first assisting the surgeon with performing complex surgical procedures. Additionally, the PA / NP Cardiac Surgery provides care as needed in the inpatient and outpatient clinical settings and participates in call coverage with the cardiac surgeons and advanced practice providers.

Demonstrate respect, dignity, kindness, and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.

Job Description : Direct Patient Care

• Provide care to patients including assessment, comprehensive evaluation, interpretation of diagnostic data, and coordination of patient plans of care as well as staff, patient, and caregiver education. Demonstrates knowledge and understanding of St. Elizabeth Healthcare's clinical pathways (for appropriate area of practice) and applicable clinical policies and procedures. Demonstrates competence in patient assessment, prescribing of pharmaceutical agents, and utilization of evidence-based practices. Initiates medical orders including, but not limited to, orders for prescribing and dispensing certain medications within the PA / NP scope of practice as defined by applicable state law and established hospital protocols.
• Participates in call coverage with the cardiac surgeons and other advance practice providers as assigned.
• Arrive a minimum of 15 minutes prior to case start time to assist with prepping and draping.
• Demonstrates aseptic technique while providing care to perioperative patients utilizing advanced surgical instruments, including cardiac and cardiac robotic instrumentation and technology. Under direction of surgeon(s), completes and / or assists with procedures including but not limited to endoscopic harvesting of saphenous vein(s) for bypass procedures, tissue dissection and exposure, sternal wiring and wound closure, cannulation and decannulation, placement of drains, placement and removal of small bore chest tubes, placement of central lines, provision of hemostasis, wound exposure, handling of tissue to reduce possible injury, suturing, and application of wound dressings.
• As directed, make daily inpatient rounds and record pertinent patient progress in charts.
• Perform histories and physicals.
• Write orders in hospital charts for review and counter signature by surgeon.
• Write standing orders as directed by supervising surgeon.
• Record pertinent data on patient charts for signature by surgeon.
• Provide preliminary assessment and interpretation of various diagnostic studies including laboratory tests, electrocardiograms, and radiologic studies.
• Initiate consultation and monitor patients for special tests.
• Dictate or write progress notes and discharge summaries.
• As needed, perform postoperative follow-up care inpatient and ambulatory to include :

Remove sutures, staples

Planning / Organizing / Initiating

Communication

General Work Practice

Health and Safety

Personal Growth and Development

Education, Credentials, Licenses (PA-C) :

Education, Credentials, Licenses (APRN) :

Knowledge :

Expert knowledge of surgical procedures, instrumentation, and operative techniques. Experience with suturing and wound closure. Knowledge of tissue dissection / exposure, blood vessel clamping, coagulating bleeding points, ligation of vessels, saphenectomy procedures, and drain placement. Knowledge of intra-aortic balloon pump and ventricular assist device insertion techniques.

Kind and Length of Experience :

Two years of a variety of clinical experiences including acute care, surgery, and ambulatory settings.

FLSA Status : Exempt

Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.