PA/ARNP Hospitalist-Cardiothoracic Surgery(50% Time)

The department of Cardiothoracic Surgery is seeking a 50%-time PA/ARNP in the Division of Cardiothoracic Surgery. This position will focus on the care of hospitalized and ambulatory patients, manage length of stay, improve resource utilization, and decrease costs to patients and the institution while providing personalized care to the cardiothoracic surgery patients within the Department of Surgery and UI Heart and Vascular Center. To be part of a team that cares for the cardiac and thoracic patient population across the continuum of care, pre-procedure, intraoperative and post-operative management.  This position requires weekend, holiday and night call coverage responsibilities as clinically indicated.

CHARACTERISTIC DUTIES AND RESPONSIBLITIES:

Clinical

·         Provide comprehensive medical and surgical management of patients residing within the cardiothoracic surgery service, as well as patients that are managed collaboratively with other services such Anesthesia, Cardiology, and Critical Care.

·         Facilitate timely admissions, discharges and transfers.

·         Obtain complete health and medical histories form the patient and family.

·         Perform comprehensive physical exams on patients.

·         Exhibit current and comprehensive knowledge of vascular, cardiac and thoracic diseases.

·         Assess and facilitate referrals and consultation per patient needs.

·         Demonstrate accountability for evaluation of clinical practice including adherence to organizational, state, and national practice standards and codes.

·         Perform medical diagnosis, therapeutic procedures, and prescribes medications as clinically indicated for patient care.

·         Order and evaluate lab, x-ray, EKG, echo, and other tests as clinically indicated.

·         Provide anticipatory guidance and counseling to patients and families receiving vascular/thoracic/cardiac surgery.

·         Document patient assessment and plan of care in the electronic medical record and generate appropriate health reports for outgoing correspondence.

·         Attend rounds/bed huddles in the ICUs and step down units.

·         Function as first assist in the OR with invasive procedures including but not limited to endovascular vein harvesting, and central line placement.

·         Insert and remove chest tubes, discontinues epicardial wires and documents procedures in the electronic medical record.

·         Manage intra-aortic balloon pumps and discontinue as clinically indicated.

·         Perform Extracorporeal Life Support Device management and device interrogation.

Consultation

·         Serve in a consultative and resource capacity to other divisions, departments and health care professionals as needed for management of cardiac, vascular and thoracic patients.

·         Provide expert knowledge and model behavioral skills that appropriately impact clinical practice and patient outcomes.

Education

·         Provide education and serve as a resource for nursing staff, medical and advanced practice provider students, and residents in area of clinical expertise.

·         Participate in the development, utilization and evaluation of resources to meet patient/family educational needs.

·         Contribute to professional sharing of expertise and knowledge with others.

·         Participate in thoracic, cardiac and vascular surgery conferences and presentations.

·         Maintain necessary continuing medical/nursing education requirements for licensure.

Administration

·         Contribute toward the achievement of divisional and departmental goals.

·         Perform other projects or tasks designated by supervisor.

Research/QA/QI

·         Participate in the development and implementation of divisional and departmental QA/QI/research programs.

·         Participate in consent and protocols for clinical trials/research projects in conjunction with other disciplines.

·         Complete and update clinical data collection, assist with the maintenance of Society of Thoracic Surgery registry and other databases.

·         Participate in thoracic, cardiac and vascular surgery research projects.

Professional Responsibilities

·         Participate in clinically relevant activities and attend UIHC APP council meetings and other conferences to enhance clinical and professional expertise.

·         Maintain national and state licensing and certification requirements.

·         Maintain current compliances (University, UI Health Care, Departmental etc.) as required.

POSITION EXPECTATIONS/UNIVERSAL COMPETENCIES

Positive Impact/Achieving Results

 Ability to utilize existing resources and learning to achieve or exceed desired outcomes of current and future organizational goals/needs.  Able to demonstrate ethical behavior in diverse situations while producing results.

Service Excellence/Customer Focus

Ability to meet or exceed customer service needs and expectations and provide excellent service in a direct or indirect manner.  Ability to effectively transmit and interpret information through appropriate communication with internal and external customers.

Collaboration and Embracing Diversity

Positively interact with a variety of individuals and groups in a constructive and civil manner while appreciating the unique contribution of individuals from varied cultures, nationalities, genders, ages, etc.

SUPERVISION RECEIVED

Clinical practice oversight received from the assigned collaborating physician.  Functional and administrative oversight received from the APP lead.