Cardiac Surgery - Advanced Practice Clinician- Nocturnist

Job Details

The Cardiac Surgery Program at Einstein Jefferson Philadelphia is seeking an experienced, full-time Cardiac Surgery Advanced Practice Clinician (APC) to join a highly collaborative and mission-driven team. This rewarding program delivers advanced cardiac surgical care to an underserved population and places a strong emphasis on the value, autonomy, and impact of its APCs.

You’ll join a group of dedicated surgeons and APCs within a fully APC-run service, offering meaningful responsibility, professional respect, and lifestyle flexibility. This position is primarily night shift, with occasional day shift coverage as needed.

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.

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.

Key Responsibilities:

• Provide comprehensive inpatient care for pre- and post-operative cardiac surgery patients in the CCU and Telemetry units, under the guidance of surgical attendings

• Perform and assist with diagnostic and therapeutic bedside procedures

• Ensure clear, timely, and accurate communication among nurses, physicians, and interdisciplinary clinical teams

• Support seamless care transitions through effective handoffs and ongoing collaboration with other clinical services

Qualifications:

• Master’s Degree

• National Board Certification as an Acute Care Nurse Practitioner or Physician Assistant

• BLS certification

Work Shift

Workday Night (United States of America)

Worker Sub Type

Regular

Employee Entity

Albert Einstein Medical Center

Primary Location Address

5501 Old York Road, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally loca