Cardiology Nurse Practitioner (NP) or Physician Assistant (PA)

Advance Practice Provider

Located in Largo in the heart of Prince George's County, our new state-of-the-art regional medical center (UM Capital Region Medical Center) will provide improved access to primary and ambulatory care services, and serve as a tertiary care center for critically ill patients. In addition, our new space will allow us to expand our offerings as a community partner to help improve the health status of Prince George's County residents.

In collaboration with and under the direction of the attending physician and the Department Director, the Advance Practice Provider (APP) provides day to day organizational and clinical direction of the healthcare provider team serving cardiac surgery patients to ensure continuity of patient care by facilitating and coordinating communication between the health care team, patient and patient's family and the coordination of care to ensure quality, cost effectiveness; appropriate length of stay; and patient safety. The APP participates in the development and advancement of evidenced-based best practices and supports formal and informal educational programs for other members of the health care team.

Principal Duties:

Clinical Responsibilities

1. Demonstrates competence in clinical assessment and decision-making including diagnostic reasoning and problem solving.
2. Performs comprehensive history and physical assessment for patients admitted/scheduled to service/practice setting.
3. Orders, obtains and interprets appropriate diagnostic tests.
4. Establishes medical diagnosis based on history, assessment, and diagnostic findings.
5. Designs, orders and documents appropriate treatment plans/plans of care including prescriptions of medications based on a comprehensive review of HPI and diagnostic results.
6. Initiates protocols/clinical pathways, evaluates the plan of care ensuring timely intervention.
7. Performs invasive procedures. Central, Arterial, Hemodialysis, Pulmonary Artery Catheter line, insertion / pulling chest tubes, Thoracentesis, removal of Intra-Aortic Balloon Pump.
8. Collaborates with attending physicians and clinicians regarding admission, discharge and transfer decisions.
9. Presents patients in the Advanced Practice Provider's caseload on rounds.
10. Communicates plan of care with the interdisciplinary team.
11. Incorporates the patient and family in their healthcare plan; communicates plan of care with the patients and family members. Provides patient and family instruction related to the plan of care, disease process, new treatment plans, and medication regimens.
12. Counsels and educates patients and family members in disease process, health maintenance and health promotion activities. Provides primary, secondary, and tertiary preventive care services.
13. Initiates appropriate referrals and specialty consultations or other agency involvement as needed.
14. Facilitates patient flow. Collaborates with the multidisciplinary team including case management ensuring appropriate and timely discharge.
15. Provides specialty consultation.
16. Advocates for patients ensuring patient/family participation in care, knowledge of treatment options, and understanding of patient rights.
17. Considers the holistic needs of patients and orchestrates resources (i.e. Pain service, palliative care).
18. Demonstrates ethical decision-making incorporating other healthcare team members as appropriate.
19. Uses evidenced based interventions and best practice guidelines in planning patient care.
20. Provides safe patient care through compliance with National Patient Safety Goals (NPSG).
21. Serves as a role model and educator for nurses and other healthcare personnel.
22. Collects and completes STS documentation of clinical variables in a complete, accurate and timely manner

Work Experience

• Required: Current Maryland license in good standing as a Nurse Practitioner or Physician Assistant.
• Preferred: National Certification within respective area of responsibility
• Other: NPI, DEA and CDS required

Life Support Certification:

• Basic Life Support-Health Care Provider(BLS-HCP)
• Advanced Cardiac Life Support(ACLS)

Education/Knowledge:

• Attained Level: Advanced Professional
• Preferred: Master's of Science in Nursing

Completed Course Work/Program:

• Completion of an approved Nurse Practitioner or Physician's Assistant program and appropriate certification including approved attestation on file at the appropriate Maryland Board.

Applicable Experience:

• Experience (years): Required: 3-5 years Preferred: More than 5 years.
• Experience (describe required & preferred): 2 years of experience as a Nurse Practitioner or Physician Assistant providing direct care to patients preferably in a surgical program setting.