Acute Care Advanced Practice Provider - Critical Care Surgical House Officer
Company: University Hospitals
Posted on: January 12, 2022
Elyria Medical Center
Position Summary/Essential Duties: (Critical-Care)
Provides 24/7, 365 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
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
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
Developing collegial working relationships with the service line
Maintains current certifications required of all hospital APP's
(BLS, ACLS, CME, DEA).
Establishes and performs quality assurance evaluations per hospital
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.
Other duties as assigned.
Completion of an Acute Care Nurse Practitioner program approved by
the ANCC or AANP.
Completion of a physician assistant educational program approved by
the Accreditation Review Commission on Education for the physician
assistant or a predecessor organization recognized by the State
Medical Board of Ohio. Certification by National Commission on
Certification of Physician Assistants (NCCPA) required.
Required Credentials, License and/or Certifications:
Must hold current license as a Registered Nurse in the State of
Ohio, national board certification as an ANCP (ANCC or AANP), a
Certificate of Authority by the Ohio Board of Nursing as a
certified Nurse Practitioner Board of Nursing
A valid certificate to practice as a Physician Assistant issued by
the State Medical Board of Ohio
Valid prescriptive authority as issued by the Ohio Board of Nursing
or State Medical Board of Ohio.
Must have DEA license or be eligible to apply for DEA number and
Must have a valid BLS and ACLS card upon hire.
Certification for ATLS audit, PALS, and NIHSS required within six
Experience & Knowledge:
Minimum of 2 years of experience in hospital medicine/surgery,
ACNP board certification, required.
Keywords: University Hospitals, Elyria , Acute Care Advanced Practice Provider - Critical Care Surgical House Officer, Healthcare , Elyria, Ohio
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