Critical Care/ICU Nurse Practitioner

Schedule

• Shift hours: 9:00 PM 7:00 AM (10-hour night shifts)

• 4 shifts per week, Monday through Friday mornings (typically Monday night through Thursday night, providing overnight coverage that concludes Friday morning; exact rotation coordinated with the team to maintain weekday continuity)

• No scheduled weekend shifts unless agreed upon for coverage needs.

TRAVEL: Yes - covered

SUMMARY:
Night Cardiac Surgery APP functions as an autonomous, hospital-based provider on the CT Surgery service. Working under the supervision of the attending cardiac surgeon, the APP provides continuous, high-acuity management of adult cardiac surgery patients during overnight hours. This role ensures seamless 24/7 coverage for post-operative care, urgent evaluations, and rapid response to clinical deterioration in the Cardiac Surgery ICU (CVICU), step-down unit (CVSD), and telemetry floors.

PATIENT POPULATION
• Primary: Adult post-operative cardiac surgery patients (CABG, valve repair/replacement, aortic aneurysm/dissection repair, adult congenital repairs, Impella/IABP support, rare ECMO).
• Secondary: Pre-operative urgent/emergent cardiac surgery admissions or consultations occurring overnight.

RESPONSIBILITIES:
Patient Management: Admissions, overnight rounding, and ongoing management (hemodynamics, vents, drips, anticoagulation, etc.)
Diagnostics & Orders: Order/interpret labs, imaging, EKGs; adjust care plans
Critical Care: Lead/respond to codes and rapid responses; manage complications (bleeding, tamponade, arrhythmias, stroke, AKI, sepsis)
Procedures: Lines, chest tubes, thoracentesis, pacing wires, IABP troubleshooting, wound/drain care (per privileging)
Care Coordination: Handoffs (SBAR), collaborate with multidisciplinary teams, occasional discharges/transfers

EXPECTATIONS
High clinical autonomy with appropriate escalation to attending
Timely, accurate documentation
Strong communication and teamwork
Full availability during shifts (on-site)
Adherence to quality/safety standards (STS, AHA/ACC)
Maintain BLS/ACLS and board certification (ACNP or PA; CT surgery/critical care experience preferred)

REQUIREMENTS
3+ years CT surgery or critical care experience preferred
Full privileging required
1 2 week orientation (mix of day/night shifts)