POSITION
DESCRIPTION
|
POSITION
SUMMARY: The Congestive Heart Failure (CHF) Advanced Practice Professional (APP)
is a registered professional nurse practitioner or certified Physician
Assistant who uses specialized skills in the care of Congestive Heart Failure
patients and families. Completes comprehensive patient health evaluations in
collaboration and consultation with the Cardiologists, Specialists and
colleagues. Assesses and coordinates the educational and psychosocial needs
of the patient and family. Reviews the plan of care in collaboration with
Clinical Care Coordinator and Outcomes Manager to ensure comprehensive long-term
care for patients managed by the CHF service. The APP will transition care of patients
from the inpatient setting to the outpatient setting and from the outpatient
to the inpatient setting. The
APP will continue to follow the patient throughout the continuum of care for
this patient population. The provider
will work with the team to ensure adherence to protocol requirements and
regulatory guidelines. Manages the implementation, system administration and
maintenance of patient list to include but not limited to the collection,
analysis, and reporting of patient outcomes data. This provider will ensure
protocol compliance and close monitoring of order sets. In order to provide a
multidisciplinary approach to care the APP will work with the team to share
information and provide education to continually develop the team and to
engage the team in quality patient care.
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: |
|
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 with additional Advanced Life Support training at the
discretion of the department. |
5. |
Advanced
Cardiac Life Support (ACLS) at the discretion of the department. |
EXPERIENCE: |
|
1. |
Eligible new graduates will be
considered. |
PREFERRED
QUALIFICATIONS: |
|
EXPERIENCE: |
|
1. |
Previous congestive heart failure,
cardiology or acute care experience preferred. |
MINIMUM
QUALIFICATIONS FOR PHYSICIAN ASSISTANT: |
|
EDUCATION, CERTIFICATION, AND/OR LICENSURE: |
|
1. |
Bachelor’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 with additional Advanced Life Support training 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: |
|
EXPERIENCE: |
|
1. |
Previous congestive heart failure,
cardiology or acute care 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 CHF
patients and families in the inpatient phase of hospitalization |
2. |
Completes daily rounds and/or pre-procedure
evaluations. |
3. |
Completes integrated assessments |
4. |
With the collaboration of Cardiology/Medicine and the
CHF Unit nursing staff, or by following established CHF clinical Guidelines
and Protocols, orders additional tests or consults. |
5. |
Performs, interprets and communicates results of common
diagnostic tests in the clinic and hospital setting. |
6. |
Consults and communicates with Cardiologist/Medicine,
clinic and hospital staff regarding abnormal findings in the evaluations of
patients |
7. |
Performs history and physical examinations and
documents findings in the Electronic Medical Record (EMR) |
8. |
Facilitates patient discharge by coordinating
appropriate services and tests prior to scheduled outpatient follow-up appointments
in the clinic |
9. |
Manages comprehensive and individualized care through
the inpatient and immediate post-discharge phase of the patient’s
hospitalization experience. |
10. |
Develops a comprehensive individualized plan of care for
patients, which includes teaching, discharge planning and necessary referral
to other members of the health care team |
11. |
Identifies unstable or complex patient care situations
and facilitates appropriate intervention with the Cardiologist in the clinic
and hospital setting |
12. |
Evaluates patients in the outpatient setting in CHF
clinic in conjunction with the Cardiologist. Acts as a coordinator for follow
up procedures and tests in the outpatient setting |
13. |
Demonstrates critical thinking and diagnostic reasoning
skills in clinical decision making by the identification, evaluation and
management of the individual needs of patients/families |
14. |
Recognizes emergency situations and initiates effective
emergency care |
15. |
Bases decisions made/actions taken on relevant
scientific principles, established standards of care and/or research findings |
16. |
Utilizes teaching/learning theory and appropriate teaching
strategies in the provision of education to nursing staff, hospital staff,
patients and families |
17. |
Evaluates the effectiveness of patient/family teaching
and collaborates with the nursing staff in the completion of education plan. |
18. |
Promotes an environment that facilitates learning by
responding to appropriate patient/family preferences, priorities and
readiness to learn |
19. |
Updates own knowledge base throughout the year,
Completes all identified clinical competencies |
20. |
Serves as a resource person for staff caring for the
CHF population |
21. |
Collaborates with other leaders and staff to
effectively achieve needed change |
22. |
Provides leadership in the development and implementation
of changes in practice that positively impact patient outcomes |
23. |
Participates and initiates inter-disciplinary
approaches to patient care, program development and education. Serves as a
professional role model |
24. |
Participates in clinical trials and research studies
with the Principal Investigator |
25. |
Assists Cardiologists/Internists, Director of Adult
Cardiac Nursing and the Administrator of the Heart & Vascular Institute
in the collection of outcome measures |
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. |
Work requires strength and/or stamina, lifting, moving,
stooping, reaching, positioning of patients, standing, walking, carrying of patients |
2. |
Heavy/Hard work: 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. |
Protracted
or irregular hours. |
3. |
Working
around biohazards. |
4. |
Working
around infectious diseases. |
5. |
Working
with or near the deceased. |
6. |
Working
with hands in water. |
7. |
Electrical
hazards associated with patient care equipment. |
SKILLS AND ABILITIES: |
|
1. |
Proficiency
with computers. |
2. |
Strong
communication skills. |
Date Reviewed/Revised: October 2017 |