MUSCP - ICU Advanced Practice Provider (APP - NP/PA) - Department of Medicine:

ICU Advanced Practice Provider (APP)

Job Description Summary:

The ICU Advanced Practice Provider (APP) is a valued member of the intensive care team who has coordination and clinical skills required for the comprehensive management of critical care medicine patients. Through relationships in an interprofessional culture that supports all members of the healthcare team, the APP will demonstrate specialized skills in the care of patients and families undergoing operative and other invasive procedures. The APP coordinates involvement of medical/surgical specialty teams, practicing in a collaborative environment necessary to develop a comprehensive plan for the patient. Reviews the plan of care with the other members of the clinical team, participates in directing that care. The provider will work with the team to ensure adherence to protocol requirements and regulatory guidelines contributing to excellence in patient care, research, teaching, and leadership to the organization and profession. They will perform diagnostic/therapeutic procedures; peri-procedural services, and coordinate discharge planning to next level of care (as applicable). Entity:

University Medical Associates (UMA) Only Employees and Financials Worker Type:

Employee Worker Sub-Type:

Regular Cost Center:

CC003540 COM DOM PULM Critical Care (MICU) Coverage CC Pay Rate Type:

Salary Pay Grade:

Health-33 Scheduled Weekly Hours:

40 Work Shift:

Full Time Shift Work hours per week vary

Scheduled Work Hours/Shift:

13 (13 hour shifts) in a month with >50% of shifts including weekend coverage Additional weekday shifts can be set by APP, if preferred (ie. every Friday, Saturday, Sunday) but is not required. APP may share some night coverage responsibility with other team members. Patient Population Focus:

Intensive Care Unit (ICU) Patient Population Age Range:

13 years-death Required Minimum Training and Experience:

Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN as noted below. Physician Assistant

or

APRN AGPNP/ANP

(Adult Gerontology Primary Care NP or Adult NP): Adult pts (13 years to death), stable chronic disease state management or primary care setting.

FNP

(Family NP): (birth to death) Stable chronic disease state management, primary care across the lifespan.

Preferred Training:

Physician Assistant

or

APRN AGACNP/ACNP

(Adult Gerontology Acute Care NP/Acute Care Nurse Practitioner): Adult pts (13 years to death), acutely ill or injured, potentially unstable, or technologically dependent (vents, drips, monitors, etc.)

Preferred Experience:

2+ years NP experience or PA-C experience is preferred. Acute Care training preferred. Degree of Supervision:

Advanced Practice Registered Nurse or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician. Required Licensure, Certifications, Registrations:

All certifications must be current and complete prior to start date: Basic Life Support (BLS). Advanced Cardiovascular Life Support (ACLS) If applicable, DHEC and DEA license applications must be started prior to first day. Job Duties:

Provides direct care to patients through the following activities: Takes comprehensive history and performs physical examinations

Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline

Performs the following therapeutic procedures in accordance with procedural privileges, skill and proficiency as approved by the Clinical Division Chief Arterial line placement

Central line placement

Pulmonary artery catheter placement

Chest tube removal

Temporary epicardial pacing wires removal

Epidural catheter removal

External pacemaker application

Direct current cardioversion

Lumbar puncture

Bronchoscopy

Intubation

Paracentesis

Thoracentesis

Interosseous access

Initiates referrals to other health care providers, and/or consults with the attending physician or the collaborating physician

Documents and bills for direct care provided

Utilizes current research and evidence-based decision-making in all clinical practice

Performs and participates in quality/performance improvement activities and clinical research

Participates in and supports accreditation, compliance, and regulatory activities of the organization

Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education

Potential to precept students at MUSC enrolled as an advanced practice provider student; and facilitates the learning of other new team members

APRN or PA must maintain licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law

Physical Requirements:

Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces. Additional Job Description:

Master's degree in Nursing from an accredited school of nursing and two years clinical experience required, at least one year of which must have been in a specialty area of care. Certification as a Nurse Practitioner specific to the area of employment required unless a new graduate. New graduates must be certification eligible upon employment, and obtain certification within six months of employment. Requires licensure as a Registered Nurse and hold official recognition as a Nurse Practitioner from the South Carolina Board of Nursing. Current American Heart Association (AHA) Basic Life Support (BLS) certification or American Red Cross BLS for Healthcare Providers certification is required.