Heart Transplant - Nurse Practitioner - Jefferson Hospital

Job Details

Advance Practice Clinician

Job Description

Responsibilities:

The advanced practice provider (Nurse Practitioner/Physician Assistant) within the ambulatory and inpatient setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The APP provides comprehensive care within the Heart  Transplant and Mechanical Circulatory Support  Program as part of the Cardiovascular and Transplant Institutes

  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.

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.

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.

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.

Other job duties include:

• Participation in 24/7/365 on-call schedule rotation.
• Coordination of evaluation of potential heart transplant or durable MCS recipients.
• Adherence to regulatory requirements of the United Network Organ Sharing (UNOS) bylaws, Centers for Medicare & Medicaid Services (CMS) and Joint Commission (JC) regulatory bodies.  
• Rounding in the inpatient setting.
• Providing pre/post operative teaching and continuous education.
• Provide clinical support in the outpatient ambulatory clinics.

Qualifications

Master’s Degree

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

BLS certification

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Primary Location Address

833 Chestnut 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 lead