Scheduled Hours

40

Position Summary

This position is for an Advanced Practice Provider (APP) (i.e., acute care nurse practitioner or physician assistant) to join a vibrant and cohesive APP group, working alongside Washington University School of Medicine Pulmonary and Critical Care Medicine faculty and fellows, to provide medical care to patients in the Medical Intensive Care Unit and the Stem Cell Transplant and Oncology Intensive Care Unit at Barnes-Jewish Hospital (BJH). A full-time position is three 12-hour shifts per week with approximately 33% of shifts as nighttime coverage. The APP will work under physician oversight as required by state regulation, and function within the scope of practice defined by their certification, BJH medical by-laws, and collaborative practice agreements.

Job Description

Primary Duties & Responsibilities:

• Provides direct patient care services in an intensive care unit setting, including:
• Obtain patient history.
• Perform physical examination and re-assessments.
• Order and interpret diagnostic tests, such as x-rays, EKGs, and laboratory studies.
• Directly treat and manage acute and chronic disease conditions, such as shock, sepsis, gastrointestinal bleeding, acute respiratory failure, acute kidney failure, decompensated liver failure, hematological emergencies, and other critical illnesses requiring intensive care.
• Develop and implement a patient-centered plan of care in collaboration with the patient and/or next of kin, physicians, nurses, pharmacists, respiratory therapists, physical therapists, occupational therapists, speech pathologists, and other ancillary care providers, as clinically indicated.
• Perform diagnostic or therapeutic procedures under the supervision or authorization of a physician, such as insertion of arterial lines and central venous catheters, consistent with certification, credentialing, and state regulations.
• Discuss patient care with consultants, emergency department providers, and hospital medicine providers.
• Prescribe medications and therapies to manage health conditions according to certification, credentialing, and state regulations.
• Counsel and educate patients and their families/caregivers concerning diagnoses, treatment options, palliative care, and end-of-life planning, as clinically indicated.
• Triage patients needing admission to the intensive care unit.
• Document assessment, exams, and test findings in the patient’s electronic health record.
• Participate in rounds on assigned patients.
• Maintain a safe, comfortable, and therapeutic environment for patients/families in accordance with established clinic/hospital standards.
• Work in accordance with established departmental policies and procedures, objectives, quality assurance programs, and safety, environmental, and infection control standards.
• Enhance professional growth and development through educational programs, current literature, in-service meetings and workshops, and/or attendance at national conferences.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education:

M.S.N. - Master Of Science In Nursing - Nurse Practitioner

Certifications:

Acute Care Nurse Practitioner (ACNP) - Missouri Division of Professional Registration, Advanced Practice Nurse (APN) - Missouri Division of Professional Registration, Basic Life Support - American Heart Association, Basic Life Support - American Red Cross

Work Experience:

No specific work experience is required for this position.

Skills:

Not Applicable

Driver's License:

A driver's license is not required for this position.

More About This Job

Required Qualifications

• APN licensure or ability to successfully obtain licensure within three months of date of hire.
• Certain/additional certifications may be necessary based on area of specialty.
• Basic Life Support certification (Online Basic Life Support certifications, those without a skills assessment component, are not sufficient to meet the Basic Life Support requirement).

Preferred Qualifications

Education:

No additional education beyond what is stated in the Required Qualifications section.

Certifications:

No additional certification beyond what is stated in the R