POSITION DESCRIPTION
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POSITION
SUMMARY: Coordinates and manages the care of
the CT surgery patient across the continuum of care. Works in collaboration
with the CT Surgery providers to ensure comprehensive acute/ long-term care
for patients managed by the service. Helps develop the team to meet quality
and performance measures for CT Surgery. The Advanced Practice Professional
(APP) coordinates involvement of medical/surgical specialty teams necessary
to develop a comprehensive plan for the patient, and reviews the plan of care
with the other members of the clinical team, participates in directing that
care. The APP will order/perform diagnostic/therapeutic procedures,
interpretation of such studies, will be involved with all aspects of the peri-operative services and coordinates discharge/follow
up planning. The APP will work with the team to ensure adherence to protocol
requirements and regulatory guidelines. They will ensure protocol compliance
and close monitoring of order sets. The APP participates in the education of
residents and medical/APP/nursing students. Provide
healthcare services consistent with state law and the requirements of the
professional licensing or certification authority and/or hospital privileges,
where applicable. Such service may include, but are not limited to. |
MINIMUM QUALIFICATIONS FOR NURSE PRACTITIONER: |
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EDUCATION, CERTIFICATION, AND/OR LICENSURE: |
|
1. |
Graduate of a CCNE accredited nursing program with Master’s
Degree in Nursing |
2. |
National
Certification by one of the recognized APRN Certification Centers |
3. |
Licensure, or
eligibility for licensure, as a professional Registered Nurse and Advanced
Practice Registered Nurse in West Virginia. |
4. |
BLS certification required. Additional life support
certification at the discretion of the department. |
5. |
Department Specific: APRNs requesting to be privileged as First Assists in peri-operative services will be required to complete an ANOR approved CNOR
Certificate program and obtain a passing grade on CNOR certification exam. |
6. |
Advanced Cardiac Life Support (ACLS) at the discretion of
the department. |
EXPERIENCE: |
|
1. |
Eligible
new graduates will
be considered. |
PREFERRED QUALIFICATIONS: |
|
EXPERIENCE: |
|
1. |
CT
Surgery, Acute care or cardiology experience preferred. |
MINIMUM QUALIFICATIONS FOR PHYSICIAN ASSISTANT: |
|
EDUCATION, CERTIFICATION, AND/OR LICENSURE: |
|
1. |
Bachelor’s OR Master’s Degree as a
Medical/Surgical (as applicable) Physician Assistant required. |
2. |
Graduate
of an ARC-PA approved Physician Assistant (PA) training program required. |
3. |
Certification
by the National Commission for Certification of Physician Assistants required. |
4. |
Must
be licensed or eligible for licensure by the WV Board of Medicine. |
5. |
BLS
certification required. Additional life support certification at the
discretion of the department. |
6. |
Advanced
Cardiac Life Support (ACLS) at the discretion of the department. |
EXPERIENCE: |
|
1. |
Eligible
new graduates will
be considered. |
PREFERRED QUALIFICATIONS: |
|
EDUCATION, CERTIFICATION, AND/OR LICENSURE: |
|
1. |
Masters level education as Medical/Surgical
(as applicable) Physician Assistant preferred. |
EXPERIENCE: |
|
1. |
CT
Surgery, Acute care or cardiology experience preferred. |
CORE
DUTIES AND RESPONSIBILITIES: The
statements described here are intended to describe the general nature of work
being performed by people assigned to this position. They are not
intended to be constructed as an all-inclusive list of all responsibilities
and duties. Other duties may be assigned. |
|
1. |
Manages comprehensive and individualized care for
cardiothoracic surgery patients and their families in the inpatient phase of
hospitalization and immediate post discharge in the ambulatory setting. |
2. |
Completes
daily rounds: consults and/or pre-procedure evaluations during weekdays and
as applicable, weekends/holidays as determined by specific clinical site and
specialty. |
3. |
Completes
integrated assessments, documents efficient and precise clinical evaluations/plan
in the electronic medical record (EMR) |
4. |
With
the collaboration of faculty or by following established clinical Guidelines
and Protocols, orders additional labs and/or
diagnostic studies or consults as deemed appropriate |
5. |
Performs,
interprets and /or communicates results of diagnostic tests following
established clinical guidelines and scope of practice in the inpatient and
outpatient setting |
6. |
Communicates
to patients comprehensive care team results of labs /
diagnostic studies following established clinical guidelines and scope of
practice, regarding abnormal findings in the evaluation of the patient. |
7. |
Develops a comprehensive individualized plan of care for CT Surgery
patients, which includes teaching, discharge planning and necessary referral
to other members of the health care team as necessary. |
8. |
Identifies
unstable or complex
patient care situations and facilitates appropriate intervention with
appropriate resources, in the clinic and/or hospital setting. |
9. |
Recognizes emergency
situations and initiates effective emergency care. |
10. |
Facilitates
patient discharge by coordinating appropriate services and tests prior to
discharge necessary for outpatient follow-up appointments in the clinic (as
applicable). |
11. |
Demonstrates
expertise in caring for patients across the age continuum of their
educational experience and certification. |
12. |
Possess
and/or acquire the appropriate surgical skill set to be able to first assist
in all CT surgery operations performed by the
service (as applicable) |
13. |
Possess and/or acquire the appropriate surgical skill set
to be able to perform open and/or endoscopic harvesting of appropriate conduit
during the CT surgery operation(as applicable) |
14. |
Assists in the collection of outcome measures (as
applicable). |
15. |
Demonstrates
critical thinking and diagnostic reasoning skills in clinical decision making
by the identification, evaluation and management of the individual needs of
patients/families. |
16. |
Demonstrates the ability to utilize equipment in a safe
manner. |
17. |
Bases
decisions made/actions taken on the relevant scientific principles, established
standards of care and/or research findings. |
18. |
Utilizes teaching/learning theory and appropriate
teaching strategies in the provision of education to nursing staff, hospital
staff, students, patients, families and the community. |
19. |
Promotes
an environment that facilitates learning by responding to appropriate
patient/family preferences, priorities and readiness to learn. |
20. |
Updates own knowledge base throughout the year. |
21. |
Completes all identified clinical competencies. |
22. |
Serves as a resource person for staff caring for the CT
surgery patient. |
23. |
Participates
and initiates inter-disciplinary approaches to patient care, program
development and education. Serves as a professional role model. |
PHYSICAL
REQUIREMENTS: The
physical demands described here are representative of those that must be met
by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities
to perform the essential functions. |
|
1. |
Heavy/Hard
work: Work requires strength and/or stamina, lifting, moving, stooping,
reaching, positioning of patients, standing
for protracted period of time, walking, moving of patients, materials and
equipment weighing 40+ pounds. |
WORKING
ENVIRONMENT: The work
environment characteristics described here are representative of those an
employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities
to perform the essential functions. |
|
1. |
Working closely with others. |
2. |
Working around biohazards and infectious diseases. |
3. |
Working protracted or irregular hours worked and on your
feet. |
4. |
Working with electrical hazards associated with patient
care equipment. |
SKILLS
AND ABILITIES: |
|
1. |
Proficiency with computers. |
2. |
Strong communication skills. |
Date Reviewed/Revised: March 2021 |