Cardiothoracic Surgery Advanced Practice Clinician (Nurse Practitioner/Physician Assistant) Jefferson Center City

Responsibilities

• Endoscopic vein harvesting
• Open radial harvesting
• Schedule : 3 12 hour shifts with 4 on call and rotating weekends every other month

The advanced practice clinician (Nurse Practitioner / Physician Assistant) within the acute care hospital setting works in collaboration with, and is an integral member of, a multidisciplinary health care team.

The APC provides comprehensive care on the inpatient Cardiothoracic Surgery service.

Assessment & Management

• Performs complete history & physicals and documents in the medical record.
• Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
• The APP may 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.
• Assesses 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

• Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
• Manages diagnostic tests through ordering, interpretation, performance, and supervision.
• Formulates differential diagnoses by priority.
• Diagnoses complications and orders appropriate interventions

Formulates Plan of Care

• Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs.
• Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.
• Implements and modifies plan of care.
• Prescribes diagnostic strategies and therapeutic interventions.
• May perform advanced procedures consistent with privileges and competency validation.

Communication and Collaboration

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

Documentation

Documents / dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable.

h&p, 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)

Documentation is timely, meets acute care compliance standards and captures patient acuity.

Professional Practice

• Demonstrates Professional Practice behaviors including : preceptor / mentoring, education and instruction of graduate students.
• Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
• Actively participates in Advance Practice Grand Rounds and specialty specific meetings.
• Maintains CEUs, and membership in a professional organization.

Qualifications

• Master’s Degree
• 3-5 years of CT Surgery experience
• At least 2 years of first assist experience
• National Board Certification as an Acute Care Nurse Practitioner with RNFA or Physician Assistant
• BLS certification
• Detail oriented and committed attitude to excellence
• Personal accountability

Closing Statement

Jefferson includes Thomas Jefferson University and Jefferson Health, a dynamic university and health system with broad reach across the Delaware Valley.

Jefferson is the second largest employer in Philadelphia and the largest health system in Philadelphia based on total licensed beds.

Jefferson’s mission, vision and values create an organization that attracts the best and the brightest students, faculty, staff, and healthcare professionals, as well as the most visionary leaders to drive exceptional results.

• OUR MISSION : We improve lives.
• OUR VISION : Reimagining health, education and discovery to create unparalleled value
• OUR VALUES : Put People First, Be Bold & Think Differently and Do the Right Thing

As an employer, Jefferson maintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.