Job Abstract

Seeking an Advanced Practice Provider for a combination Critical Care and Surgical House Officer role at St. John Medical Center. This position will work straight nights (night shift Premium pay) and rotating weekends. Nurse practitioner must be AGACNP and will consider new grads with critical care background.

Position Summary/Essential Duties: (Critical-Care)

• Provides medical and surgical management for critical-care service and also serves as the Surgical House Officer (hospital wide) during night shift.
• Critical-care duties include managing the comprehensive care of acutely and chronically critically ill or injured patients 13 years of age and older in collaboration with the intensivist physician on duty (or on-call).
• Advanced skills of comprehensive airway management including endotracheal intubations using direct laryngoscopy and video assisted laryngoscopy, surgical airway management including open surgical cricothyrotomy, ventilator management, non-invasive positive pressure ventilation, and high-flow modalities.
• Invasive procedures to include central lines, peripherally inserted central catheters (PICC lines), mid-lines, arterial lines, tube thoracostomy, dialysis catheters, cooling catheters, and various urinary catheters as indicated.
• Selection, implementation, management, and titration of vasoactive drugs, insulin infusions, sedation, and analgesia.
• Responds to all full trauma activations in ED, intracranial hemorrhages and aortic syndromes that are being transferred to a higher level of care in the ED.
• The above listed critical-care duties require that this position must be certified as an acute care nurse practitioner (ACNP)
• Other duties as assigned.

Position Summary/Essential Duties: (Surgical House)

• Works in collaboration with multiple surgical service lines to provide perioperative care and support.
• Duties include history and physical exam, admission note entry, daily post-operative rounding and entering progress notes and orders, seeing new consults including in the emergency department, evaluating any change in condition concerns, assisting with completing the discharge process, and writing discharge summaries. Always providing high quality house coverage service that meets the general and specialty specific clinical needs of the organization.
• Providing advanced procedural service as needed. Performing procedures to gain vascular access including PICC lines, mid-lines, intraosseous, and peripheral IVs. Proficiency in the use of ultrasound guided procedures is required as well as competency to perform the procedure without ultrasound when applicable.
• Inserting urinary catheters using proper technique and placement.
• Applying and maintaining complex wound vacuum dressings.
• Completing admission orders and H&P (if patient is admitted to the surgical service) or Consult (if on medical service with a surgical consult request).
• Attending and participating in surgical department meetings and OR committee.
• Developing collegial working relationships with the service line Physician/Surgeons.
• Maintains current certifications required of all hospital APP’s (BLS, ACLS, CME, DEA).
• Establishes and performs quality assurance evaluations per hospital QA policy.
• Performs all services as approved in delineation of privileges by the Medical Staff. All privileges will be within the scope of licensure as set forth by ORC 4730 or OAC 4723.

Position Requirements:
Demonstrated competence as a practitioner
Effective oral and written communication skills
A variety of technical patient care devices specific to the clinical area
Computers and selected office equipment

Education/Expertise:
Nurse Practitioner: Nursing Doctorate or Master of Science in Nursing with emphasis on clinical practice.
ACNP board certification, required
-or-
Physician Assistant: Completion of a formal Physician Assistant training from an accredited program with NCCPA certification.

Required Credentials, Licensure or Certification (i.e. RN, RRT):
Nurse Practitioner: BLS required; ACLS preferred; Current Registered Nurse license to practice in Ohio.; Current APRN license to practice in Ohio.
-or-
Physician Assistant: BLS required; ACLS preferred;; NCCPA-Certified.; DEA license