Scheduled Hours

40

Position Summary

Work schedule and shifts: 10 hour days - No holiday or Weekend requirements.

Clinic overview: This is an inpatient role only. No ambulatory expectations. This position is located within the Barnes Hospital managing cardiac consult services.

Day-in-the-life snapshot:

- See inpatient cardiac surgery consults in a timely fashion (same day as consult placed).
- Review and staff all patients with appropriate cardiac surgeon.
- Document full billable consult notes.
- See all inpatient cardiac surgery follow-up patients daily (patients who have not yet had a decision made on surgery or are waiting on surgery).
- Document daily progress notes as appropriate.
- Help plan for surgery-date/bookcase, order and ensure all pre-op testing that is needed is complete prior to surgical date.
- Order TEE, LHC, other needed pre-op testing and follow up results.
- Keep cardiac surgery consult list up to date.
- email sign-out list to attendings and fellows daily.
- Coordinate care between patient, primary teams, consulting teams.
- Answer all incoming calls/pages/emails/EPIC chat messages/questions from all services.
- Patient and family teaching and education re: surgery, what to expect before, during and after surgery.
- Helping to ensure surgical consents are completed.
- Communicate any updates in patient status and testing with surgeons and escalate care as needed
- Order intra-op antibiotics for all same day surgery admission patients (usually done one day to one week prior).
- Participate in weekly multidisciplinary valve and aortic meeting.
- Participate in weekly Cardiac Surgery Grand Rounds.
- Participate in monthly Cardiac Quality Steering Committee meeting.
- Help with Quality Initiative projects as directed by the Steering Committee.
- Coordinate any needed follow-up care for patients discharged home and waiting on surgery.

Provides primary and/or specialty nursing and/or medical care in a variety of settings; works under physician oversight as required by state regulation and functions within the scope of practice defined by the Nurse Practitioner’s specialty certification, Barnes-Jewish Hospital medical by-laws, and, where it exists, the collaborative practice agreement.

Job Description

Primary Duties & Responsibilities:

• Provides direct patient care to include obtaining patient history, performing patient assessment via observation, interview and examination; orders, performs and interprets diagnostic studies; performs preventative health assessments, screenings, immunizations and care; provides direct treatment and management of acute and chronic disease conditions; develops and implements patient-centered plan of care in collaboration with physicians, patients, consultants, nurses, ancillary care providers and others as appropriate to the patient's condition.

• Manages health conditions via prescriptive authority or referral to other healthcare providers or community resources; may perform diagnostic or therapeutic interventions consistent with certification and state regulations.

• May bill for services covered by collaborative practice agreement.

• Provides counseling and education of patients and their families/caregivers concerning preventative health, treatment options and community resources.

• Monitors/ensures accuracy of patient medical records; maintains all required reports, records, statistics, etc.

• Maintains a safe, comfortable and therapeutic environment for patients/families in accordance with established clinic/hospital standards.

• Provides management services for clinical research study projects; monitors participating subjects, including medication administration and family/patient education.

• Works in accordance with established departmental policies and procedures, objectives, quality assurance programs, and safety, environmental and infection control standards.

• Regularly participates in constant quality improvement and process improvement activities centered on the goal of providing exceptional, evidence-based patient care.

• Enhances professional growth and development through educational programs, current literature, in-service meetings and workshops.

Working Conditions:

Job Location/Working Conditions

• Normal office environment

• Exposure to blood-borne pathogens

• Exposure to chemicals

• Requires protective devices

• Dust, dirt, grease or other disagreeable elements

• Patient care setting

• Direct patient care set