PAARNP Hospitalist Cardiothoracic Surgery

The department of Cardiothoracic Surgery is seeking a full-time PA/ARNP in the Division of Cardiothoracic Surgery. This position will focus on the care of hospitalized and ambulatory patients manage length of stay improve resource utilization and decrease costs to patients and the institution while providing personalized care to the cardiothoracic surgery patients within the Department of Surgery and UI Heart and Vascular Center. To be part of a team that cares for the cardiac and thoracic patient population across the continuum of care pre-procedure intraoperative and post-operative management. This position requires weekend holiday and night call coverage responsibilities as clinically indicated.

CHARACTERISTIC DUTIES AND RESPONSIBLITIES:

Clinical

Provide comprehensive medical and surgical management of patients residing within the cardiothoracic surgery service as well as patients that are managed collaboratively with other services such Anesthesia Cardiology and Critical Care.

Facilitate timely admissions discharges and transfers.

Obtain complete health and medical histories form the patient and family.

Perform comprehensive physical exams on patients.

Exhibit current and comprehensive knowledge of vascular cardiac and thoracic diseases.

Assess and facilitate referrals and consultation per patient needs.

Demonstrate accountability for evaluation of clinical practice including adherence to organizational state and national practice standards and codes.

Perform medical diagnosis therapeutic procedures and prescribes medications as clinically indicated for patient care.

Order and evaluate lab x-ray EKG echo and other tests as clinically indicated.

Provide anticipatory guidance and counseling to patients and families receiving vascular/thoracic/cardiac surgery.

Document patient assessment and plan of care in the electronic medical record and generate appropriate health reports for outgoing correspondence.

Attend rounds/bed huddles in the ICUs and step-down units.

Function as first assist in the OR with invasive procedures including but not limited to endovascular vein harvesting and central line placement.

Insert and remove chest tubes discontinues epicardial wires and documents procedures in the electronic medical record.

Manage intra-aortic balloon pumps and discontinue as clinically indicated.

Perform Extracorporeal Life Support Device management and device interrogation.

Consultation

Serve in a consultative and resource capacity to other divisions departments and health care professionals as needed for management of cardiac vascular and thoracic patients.

Provide expert knowledge and model behavioral skills that appropriately impact clinical practice and patient outcomes.

Education

Provide education and serve as a resource for nursing staff medical and advanced practice provider students and residents in area of clinical expertise.

Participate in the development utilization and evaluation of resources to meet patient/family educational needs.

Contribute to professional sharing of expertise and knowledge with others.

Participate in thoracic cardiac and vascular surgery conferences and presentations.

Maintain necessary continuing medical/nursing education requirements for licensure.

Administration

Contribute toward the achievement of divisional and departmental goals.

Perform other projects or tasks designated by supervisor.

Research/QA/QI

Participate in the development and implementation of divisional and departmental QA/QI/research programs.

Participate in consent and protocols for clinical trials/research projects in conjunction with other disciplines.

Complete and update clinical data collection assist with the maintenance of Society of Thoracic Surgery registry and other databases.

Participate in thoracic cardiac and vascular surgery research projects.

Professional Responsibilities

Participate in clinically relevant activities and attend UI HealthCare APP council meetings and other conferences to enhance clinical and professional expertise.

Maintain national and state licensing and certification requirements.

Maintain current compliances (University UI Health Care Departmental etc.) as required.

SUPERVISION RECEIVED

Clinical practice oversight received from the assigned collaborating physician. Functional and administrative oversight received from the APP lead.