ADV CV-CARDIAC SURGICAL-CRIT CARE APRN/PA - SB CARDIOLOGY & VAS

Advanced Cardiac # Vascular APRN

Education: Licensed by the Arkansas State Board of Nursing as an Advanced Practice Nurse. Certification by a national certifying body with prescriptive privileges. BLS and ACLS certification required.

Experience: Two years of experience as an RN with at least one year in the ICU Cardiac # Vascular setting where post-operative hearts are recovered.

Physical: This is a safety sensitive position. Please see the St. Bernards Substance Abuse Policy for further information. Normal hospital environment. Exposure to biological hazards. Frequent exposure to unpleasant odors. Close eye work. Hearing of normal and soft tones. Distinguish smells. Distinguish temperatures by touch and proximity. May be exposed to airborne and infectious materials. Required to stand, walk, sit, push and pull, use fingers to handle, or feel objects, tools or controls. Reach with hands and arms. Lifting and carrying up to 50 pounds.

Job Summary

The Advanced Cardiac # Vascular APRN provides direct patient care services for complex critically ill adult patients in the ICU-CV setting in collaboration with and under the supervision of the indicated surgeon, EP, CV Anesthesiologist or Cardiologist. The APN performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, and provides direct patient care services. The APRN contributes to excellence in patient care. The APRN collaborates with the Intensivist and the Intensivist Program members to ensure coordination of care. The CV APRN will collaborate with the medical intensivist, and other medical sub-specialties when indicated to ensure the CV patients clinical needs are met. The CV APRN has advanced training to act as the provider for the Advanced Heart Surgery patients in the absence of the heart surgeon or the CV Anesthesiologist. The CV APRN must be knowledgeable regarding the current ACC/SCAI guidelines for Cardiogenic Shock Care as well as the STS Guidelines for open heart and valve surgery. The CV APRN will participate in the unscheduled, urgent ECMO, Advanced Heart Surgery, and LVAD meetings regardless of their work assignment. The CV APRN will be expected to properly perform quality respiratory intubation, extubation, insertion and removal of central lines, arterial lines, venous and arterial sheaths. The CV APRN is to act as a role model for RN staff, ensuring that the rationale for care is provided such that the RN develops a knowledge base specific to Advanced Heart Surgery Patients. Requires competencies in line placement and management consistent with hospital privileges.