PAARNP Hospitalist Emergency Response Team

The line is 100% (1 FTE) 12-hour shifts and this position would be day/night rotating based on the departments needs.

BASIC DUTIES:

• Function independently in the assessment diagnosis treatment and care plan for acutely decompensating patients in the inpatient and outpatient setting.

• Respond to nursing and provider concerns assess patients for acute change in clinical status and institute appropriate interventions.

• Promote evidence-based care and guidelines including BLS and ACLS and post-cardiac arrest care.

• Provide patient care on inpatient units proactively round on high-acuity patients and lead Code Blue events and Rapid Response events. The goal of this clinical service includes early identification of deteriorating patients prompt intervention and transfer to the appropriate level of care. The ultimate goal is to reduce the length of patient stay decrease transfers to the ICU and improve patient survival.

KEY AREAS OF RESPONSIBILITY:

Provision of Medical Care and Collaboration with Multidisciplinary Care Team:

• Perform overall medical care and medical management for inpatients. Exercise autonomy in medical decision-making under a collaborative practice agreement.
  Proactively round on high acuity patients and discuss recommendations with the primary team and nursing staff to develop a patient care plan.

• Respond to adult Rapid Response events by leading a multidisciplinary team.

• Respond to adult Code Blue events by leading a multidisciplinary team.

• Independently respond to outpatient adult Code Stroke alerts and facilitate triage for further management.

• Assist with appropriate documentation.

• Lead staff debrief meetings following adult Code Blue events.

• Following a Code Blue or Rapid Response event communicate with primary team and nursing staff to ensure smooth transition of care and hand off when patients are transferred to other units.

• Discuss treatment options and the associated risks benefits and limitations with patients and families to assist them in making informed decisions. Initiate goals of care discussion with patients and their families where appropriate.

• Perform and record a medical history and physical examination.

• Order and interpret laboratory tests imagining studies and other related studies.

• Prescribe order and administer medications.

• Direct other medical personnel and health professionals in the execution of evidence-based patient care.

Compliance with Internal Policies and External Regulations for Safe and Effective Care Delivery and Health Profession and Education:

• Accurately and appropriately complete documentation of patient care in the EMR and other records for compliance billing and other regulatory standards.

• Participate and/or lead in quality safety and process improvement activities.

• Participate in education training and simulation sessions.

Education/ Health/ Promotion/ Research:

• Provide education to patients and their families.

• Enhance and support the clinical educational experience of trainees including medical students residents and other health professional learners.

• Participate in ongoing research and professional development of self and other staff. Serve on committees to enhance patient care and operations.

Administration/ Human Resources Management:

• Assure effective communication/collaboration with all team members in the delivery of care.

• Follow prescribed practices in communicating and elevating any quality and patient safety concerns. Coach and recognize team members whenever appropriate.

• Participate in the UI Health Care APP Council and professional activities in the department hospital community and professional organizations.