MUSCP - Advanced Practice Provider (APP - NP/PA) - Department of Anesthesia and Perioperative Medicine

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

CC003541 COM ANES Critical Care CC

Pay Rate Type

Salary

Pay Grade

Health-33

Scheduled Weekly Hours

40

Work Shift

Job Description

Job Summary/ Purpose:  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).

Fair Labor Standards Act Status: Salaried/Exempt

Hours per week: Full Time Shift Work– hours per week vary

Scheduled Work Hours/Shift: 13 (13 hour shifts) in a month.

• The majority of shifts include weekend coverage. APP may request off 4 weekend shifts every 3 blocks (12 weeks) or average thereof, to allow for the same total weekend shifts over a year. 
• Additional weekday shifts can be set by APP, if preferred (ie. every Friday, Saturday, Sunday) but is not required. 
• APP will 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.

1. Physician Assistant

or

2. 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 and Experience

Preferred Training:

1. Physician Assistant

or

2. 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 and/or cardiology experience also 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 (list job tasks)

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

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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