Advanced Practice Provider - Cardiothoracic Surgery - Full Time - Call Required

Position Status:

Full time

Shift:

Variable 12 hour shift (United States of America)

Hours per week:

40

Job Information

Exemption Status: Exempt

A Brief Overview

Works closely with surgeons in providing patient care in both a hospital and office clinic setting. This position assists CVT surgeons in providing patient consultation and evaluation; assistance with surgical procedures in the operating room and other locations; hospital rounds to include relaying of orders from supervising physicians; coordination of admissions and discharges. This position is also responsible to provide documentation of services provided in compliance with established medical records, medical staff and billing procedures. The delivery of professional nursing care at Stormont-Vail HealthCare is guided by Jean Watson''s Theory of Human Caring and the theory of Shared governance, both of which are congruent with the mission, vision, and values of the organization.

Education Qualifications

• Must be a graduate of an accredited PA/APRN program. Meets educational preparation or other qualifications within specified time frames as determined/outlined by specific department policy.

Experience Qualifications

• Experience in cardiovascular patient care. Preferred

Skills and Abilities

• All APRN incumbents are required to maintain Registered Nurse competencies as designated by Federal and State organizations and as outlined in SVH policy.

Licenses and Certifications

• Registered Nurse - KSBN Must have valid APRN licensure. Be certified as a nurse practitioner by a recognized national certifying body that has established standards for nurse practitioners. Required or
• Physician Assistant (PA) - KSBHA Required
• Advanced Cardiovascular Life Support - ACLS Required within 4 months of hire.
• Additional certification may be required in certain patient care settings or populations. The department director will provide specific information and the time frame in which such certification may be attained at the time of hire/transfer into department.

What you will do

• Perform duties in surgery to include: (supervising surgeon is always present) o Harvesting of vascular conduits o Using and handling instruments o Assisting in providing exposure (retraction, suction) o Handling tissue o Suturing o Providing hemostasis
• Make daily inpatient rounds and record pertinent patient progress in charts.
• Perform postoperative follow-up care inpatient and ambulatory to include: o Remove sutures, staples o Incise and drain superficial skin infections o Debride, suture care for superficial wounds o Change/remove wound dressings o Administer medication upon request of supervising surgeon o Initiate emergency resuscitation and stabilization measures on any patient as required o Change postoperative or neckline dressings o Insertion and/or removal of catheter/tubes to include chest tubes, necklines, arterial lines o Removal of pacing wires
• Write orders in hospital charts for review and counter signature by surgeon. Record pertinent data on patient charts for signature by surgeon. Write standing orders as directed by supervising surgeon.
• Perform histories and physicals. Prescribe medications and intravenous fluids.
• Ensures that care delivered to patients is provided according to the Stormont-Vail HealthCare mission, strategic plans, and all internal/external regulations, policies and procedures. Practices within the Kansas Nurse Practice Act and within the guidelines of management protocols. Supports the established care models of Stormont Vail Regional Health Center. Has prescriptive authority per Kansas Nurse Practice Act and SVHC protocols.
• Initiate consultation and monitor patients for special tests.
• Dictate or write progress notes and discharge summaries. Provide patient education and discharge instructions.
• Provide preliminary assessment and interpretation of various diagnostic studies including laboratory tests, electrocardiograms and radiologic studies.
• Arrange patient admissions and dismissals to include referral of patients to appropriate healthcare facilities, agencies, other resources in the community, or other physicians.
• Communicates with families, employers, institutions and other healthcare providers regarding patient's treatment and status.
• Assumes on-call responsibilities as assigned.
• Incumbents will maintain bedside nursing skills by providing three flexible bedside nursing shifts per month and may be designated to work at the bedside for further shifts. Maintenance of skills work and assignment at bedside will be determined by leadership.

Required for All Jobs

• Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
• Performs other duties as assigned

Patient Facing Options

• Position is Patient Facing

Remote Work Guidelines

• Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
• Stable access to electricity and a minimum of 25mb upload and internet speed.
• Dedicate full attention to the job duties and communication with others during working hours.
• Adhere to break and attendance schedules agreed upon with supervisor.
• Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability

• Hybrid

Scope

• No Supervisory Responsibility
• No Budget Responsibility No Budget Responsibility

Physical Demands

• Balancing: Occasionally 1-3 Hours
• Carrying: Occasionally 1-3 Hours
• Climbing (Ladders): Rarely less than 1 hour
• Climbing (Stairs): Rarely less than 1 hour
• Crawling: Rarely less than 1 hour
• Crouching: Rarely less than 1 hour
• Driving (Automatic): Rarely less than 1 hour
• Driving (Standard): Rarely less than 1 hour
• Eye/Hand/Foot Coordination: Frequently 3-5 Hours
• Feeling: Frequently 3-5 Hours
• Grasping (Fine Motor): Frequently 3-5 Hours
• Grasping (Gross Hand): Frequently 3-5 Hours
• Handling: Frequently 3-5 Hours
• Hearing: Frequently 3-5 Hours
• Kneeling: Occasionally 1-3 Hours
• Lifting: Occasionally 1-3 Hours up to 50 lbs
• Operate Foot Controls: Rarely less than 1 hour
• Pulling: Occasionally 1-3 Hours up to 50 lbs
• Pushing: Occasionally 1-3 Hours up to 50 lbs
• Reaching (Forward): Occasionally 1-3 Hours up to 50 lbs
• Reaching (Overhead): Occasionally 1-3 Hours up to 50 lbs
• Repetitive Motions: Occasionally 1-3 Hours
• Sitting: Occasionally 1-3 Hours
• Standing: Frequently 3-5 Hours
• Stooping: Occasionally 1-3 Hours
• Talking: Occasionally 1-3 Hours
• Walking: Frequently 3-5 Hours

Working Conditions

• Burn: Rarely less than 1 hour
• Chemical: Rarely less than 1 hour
• Combative Patients: Occasionally 1-3 Hours
• Dusts: Rarely less than 1 hour
• Electrical: Rarely less than 1 hour
• Explosive: Rarely less than 1 hour
• Extreme Temperatures: Rarely less than 1 hour
• Infectious Diseases: Occasionally 1-3 Hours
• Mechanical: Rarely less than 1 hour
• Needle Stick: Occasionally 1-3 Hours
• Noise/Sounds: Occasionally 1-3 Hours
• Other Atmospheric Conditions: Rarely less than 1 hour
• Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour
• Radiant Energy: Rarely less than 1 hour
• Risk of Exposure to Blood and Body Fluids: Occasionally 1-3 Hours
• Risk of Exposure to Hazardous Drugs: Occasionally 1-3 Hours
• Hazards (other): Rarely less than 1 hour
• Vibration: Rarely less than 1 hour
• Wet and/or Humid: Rarely less than 1 hour

Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.

Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.