Advance Practice Provider, Arnold Palmer Cardiac - Intensivists, Downtown Orlando

Advanced Practice Provider, APP, Nurse Practitioner, Physician Assistant, ARNP, NP, PA, PAC

Acts a member of the intensive care team under the supervision of the ICU physician. Responsibilities include providing direct clinical services for critically ill patients according to established protocols and utilizing evidence-based clinical practice standards. Obtains comprehensive and focused history and physician exam on critically ill patients. Responsible for evaluating critically ill complex (multi-organ failure) patients in the ICU and step down units by synthesizing data, physical exam and pertinent medical history to assess clinical scenario and prescribe appropriate interventions and medications. Uses clinical judgment and evidence based medicine to order and schedule appropriate laboratory and radiographic studies. Works with supervising physician to determine and place appropriate specialty consultations. Performs complex procedures, as credentialed, in the diagnosis and treatment of medical and surgical problems. Performs advanced cardiac life support. In a medical emergency, the physician assistant will act on behalf of the supervising medical staff member to maintain life support until a licensed physician arrives to manage the patient. Removes catheters, drains, sutures and staples. Interprets arterial blood gas report and appropriate management of invasive and noninvasive modes of mechanical ventilation. Assesses need for vasoactive medication and places appropriate order sets and titration parameters. Interpretation of invasive and noninvasive hemodynamic monitoring, waveforms and EKG and institutes appropriate interventions. Interprets radiographic tests, including but not limited to CT scan, MRI and X-rays. Operates with the highest degree of independence in provision of patient care services with minimal physician supervision and generally in a highly specialized area. Performs emergent lifesaving procedures in cases such cardiac arrest, respiratory arrest, massive hemorrhage, or similar catastrophe. Performs preliminary daily rounds independently and daily multidisciplinary rounds. Assesses patient for changes in status and capable of instituting appropriate interventions in sub-acute, acute and emergent situations. Notifies attending physician about unusual or unexpected events or problems requiring direct physician consultation. Initiates necessary emergent interventions to stabilize acutely deteriorating patients. Prescribes medication using evidence based medicine, clinical judgment and plan of care as discussed in rounds as agent for supervision physician. Writes and/or dictates concise thorough patient progress notes, consult notes, history and physical notes and clinical resumes. Documents the preparation, procedure, outcome and complications of therapeutic and diagnostic procedures performed. Explains the necessity, preparation, nature and anticipated effects of procedures or tests to patients, patient's family and staff. Provides family-centered care by communicating with family regarding the changing health care status of their family member. Provides family education as needed and works to answer or address family's questions or concerns. Assesses family adaptation, coping skills and need for crisis or other intervention. Utilizes current research and evidence based medicine approach in all clinical practice. Supports IRB approved clinical research/trials through a variety of activities including but not limited to: ordering diagnostic tests, prescreening patients, recording laboratory and diagnostic results, administering therapeutic interventions per trial protocols and documenting outcomes per hospital and trial protocols. Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. Maintains compliance with all Orlando Health policies and procedures. Participates in basic science and clinical research projects. Participates in departmental weekend/ holiday rounding as required.

Qualifications include Nurse Practitioner MN or MSN or DNP or PhD or DNS degree in nursing. Physician Assistant Graduate of accredited physician assistant program. Licensure/Certification Nurse Practitioner APRN license in the state of Florida. After July 1, 2006, licensure applicants are required to have national advanced certification from an approved nursing specialty board. Maintains current BLS certification. Physician Assistant Maintain current physician assistant licensure in State of Florida. Maintain current BLS/healthcare certification. Experience Critical Care experience preferred Pediatrics experience required