Nurse Practitioner/Physician Assistant (Inpatient Tier II) - Cardiac Surgery, Day shift - Thomas Jefferson University Hospital

Job Details

The advanced practice provider (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 APP provides comprehensive care on the inpatient Cardiothoracic Surgery service.

Job Description

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.

· Open radial harvesting

· Endoscopic vein harvesting

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.

Schedule: 3 12 hour shifts with 4 on call and rotating weekends every other month

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Primary Location Address

111 S 11th Street, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research.