University of Colorado Anschutz Medical Campus
Department: Surgery, Division of Cardiothoracic Surgery

Job Title: ICU – Day NP/PA Open Rank - Instructor, Sr. Instructor

Position #: 00839845 – Requisition #: 37712

Job Summary:

The candidate will provide comprehensive critical care management to postoperative cardiothoracic surgical patients, including those undergoing coronary artery bypass grafting (CABG), valve replacement, heart and lung transplants, and mechanical circulatory support.  Specific duties of the position will include inpatient responsibilities such as rounding, writing orders, managing MCS, performing procedures, discharge planning, and participating in the care provided to cardiothoracic surgery patients while in the ICU.  Close collaboration with attending physicians, residents, nurses, and allied health professionals is required. The APP will be integral to ensuring the highest standards of patient care, safety, and outcomes in a high-acuity, fast-paced environment. This is a night shift position, and the candidate will be required to work some weekends. The candidate will also be expected to participate in the development of protocols and quality improvement for the care of cardiothoracic surgery patients. Eligibility for prescriptive authority is required.

Typical Physical Demands: The NP/PA position requires the ability to handle and lift patients and operate required equipment. The position may also require a stationary position or movement for extended periods as required during the provision of services. This position requires frequent communication and must be able to exchange accurate information. The NP/PA may also be exposed to communicable diseases and bodily fluids, and it is expected that the candidate will be appropriately knowledgeable regarding universal safety precautions.

Key Responsibilities:

·         Evaluate and manage critically ill patients on the cardiothoracic surgery services lines while in the ICU.  This includes a detailed history, physical and a full chart review represented with appropriate documentation detailing an assessment and care plan daily or as needed with change in clinical status.

·         Evaluate and manage patients with urgent or emergent complaints in conjunction with the surgical team and intensivist.

·         Perform comprehensive assessments, develop differential diagnoses, and initiate management plans for critically ill postoperative cardiac and thoracic patients.

·         Independently manage ventilators, vasoactive medications, ECMO, and temporary mechanical circulatory devices under the supervision of CTICU intensivists or cardiothoracic surgeons.

·         Perform procedures including central line placement, arterial line insertion, chest tube management, IABP management, bronchoscopy and more (as credentialed).

·         Participate in multidisciplinary rounds and actively contribute to care planning and coordination.

·         Monitor patients’ progress, interpret lab/ima