Advanced Practice Provider, Electrophysiology

HealthPartners; Saint Paul (MN); Sur place; USD 120 000 - 150 000; Plein temps

Résumé du poste

HealthPartners in Minnesota is seeking an Advanced Practice Provider for Electrophysiology to support inpatient and outpatient EP services. The APP will lead initial consultations, rounding, discharge planning, and coordinate care with electrophysiologists, with emphasis on device management and rhythm interventions.

The role requires a master's PA/NP, board certification, and MN licensure, with clinical expertise in EP procedures, device interrogation, pacing, and rhythm management.

Qualifications

• Master's level PA or NP program completed.
• Currently licensed as a Physician Assistant or APRN in MN with MN RN license.
• Current APP certification or specialty certification.
• For PA, must be approved by Minnesota Board of Medical Practice for prescription writing privileges.
• Current BLS and ACLS certification.
• Current DEA certification.

Responsabilités

• Coordinate flow of inpatient service: review daily patient lists, prioritize consultations and rounding, and develop a daily work plan.
• Independently develop diagnosis and initiate treatment plan after discussing with electrophysiologists.
• Educate patients and families, provide written instructions, and document plans in the EMR.
• Evaluate interventions and plans to ensure efficacy; sign out patients when cross-covering.
• Interact with other healthcare professionals; coordinate discharge planning with hospitalists and clinics.
• Schedule EP Clinic requirements and see emergent clinic patients as needed.

Connaissances

Team collaboration

Communication

Independent work

EMR navigation

Device interrogation interpretation

Pacing device management

Formation

Master's degree in PA or NP program

Outils

EP lab equipment

EGM interpretation

Device programming systems

Description du poste

CriteriaBased Job Description

Job Title: AdvancedPractice Provider- Electrophysiology

Reports to: SupervisorAPP - Cardiology

Job Code: 807007

Approved by: Directorof Cardiovascular Services

Department: Cardiology- Electrophysiology

Approval Date: May 2022

MINIMUMQUALIFICATIONS:

Education:

Completionof a MASTERS LEVEL Physician Assistant or Nurse Practitioner program.

Experience:

None

Licensure/ Registration/Certification:

• Licensedas a Physician Assistant OR currently licensed as an APRNin the state of MN and current MN RN license

• CurrentAPP certification as Physician Assistant OR current APRNSpecialty Certification

• ForPA, must be approved by Minnesota Board of Medical Practice forprescription writing privileges

• CurrentBLS and ACLS certification

• CurrentDEA certification

Knowledge, Skills andAbilities:

• Abilityto perform as part of a team

• Abilityto communicate effectively both orally and in writing, withpeers, students, and other health care personnel

• Abilityto work dependently and independently

• Abilityto manage multiple simultaneous tasks and prioritizesappropriately

• Abilityto navigate an electronic medical record to obtain informationand document care

• Abilityto perform, interpret, and manage device interrogation findingsand issues

• Independentlyperform elective and emergent cardioversion procedures with andw/o the presence of implantable cardiac devices and/or devicecompany representatives.

• Familiarwith EP lab equipment and EGM interpretation such as micro stim,cardio lab, and 3D mapping programs.

• Temporarypacemaker management and diagnosing/resolution of pacermalfunction. Proficient with temporary pacer removal.

Knowledge, Skills andAbilities:

• Proficientwith advanced rhythm interpretation and management

• Proficientwith antiarrhythmic medication initiation, management,monitoring, and protocols.

• Proficientwith independent critical rhythm management and intervention withmedication and/or cardiac devices.

• Supportin-hospital Internal Medicine teams and Triage services withrhythm identification and interpretation.

• Pointof contact for Regions Heart Center EP Clinic and EP DeviceClinic triage/management of out of hospital patients.

• Pointof contact for HP satellite Device Clinic triage/and patientmanagement for out-of-hospital patients.

• Pre/postEP procedure orders and patient management for both inpatient andoutpatient cases until time of discharge.

• Admission,discharge, and inpatient management of primary EP patients.

• Independentmanagement of direct admissions for in-hospital antiarrhythmicinitiation.

• Assistcardiology CCU and Consult services with cardioversion set-upand/or procedure completion.

• Proficientwith intermediate level of device programming from all majordevice manufacturers used at HP/Regions. Proficient with end oflife/palliative care device therapy and detection programming.

• Proficientwith device interrogation report and EGM interpretation.

PREFERREDQUALIFICATIONS:

Education:

None

Experience:

Experience as anindependently practicing APP for 2 years minimum preferred.

Licensure/ Registration/Certification:

None

Knowledge, Skills andAbilities:

None

POSITIONSUMMARY STATEMENT:

TheElectrophysiology Advanced Practice Provider (APP) is responsiblefor providing both inpatient and outpatient service with apredominate focus on the inpatient setting. In the inpatientsetting, this position works as the primary EP team leader incompleting initial consults, subsequent rounding, patientmanagement, and coordination of discharge planning. Must be ableto work independently with MD collaboration as needed.

In theoutpatient setting, this position will see patients inelectrophysiology clinic for device management, post-operative care,new consults, and complex rhythm management. Additionally supportstriage services for EP Device Clinic, EP Clinic, and Heart Center.Inpatient, outpatient, and clinic duties may overlap simultaneously.Performs other duties as assigned and/or required by the EP MD.

MAJORJOB DUTIES AND TASKS:

1. Coordinates flow ofInpatient Service

30%

1. Reviews daily patientlists.
2. Prioritizesconsultations and rounding schedule according to establishedparameters.
3. Independentlydevelops a work plan for the day.

2. Independently developsdiagnosis and initiates treatment plan prior discussion with staffelectrophysiologists.

40%

1. Assesses andcompletes H&P on new consults.
2. Orders diagnostictesting as indicated.
3. Evaluates treatmentfor assigned patients and communicates information to physicianpartner.
4. Designs follow-upplan for patients to be seen in the clinic when discharged from the hospital.

e.Documents assessment, treatment, evaluation and follow-up plan inthe electronic medical record.

3. Discusses with and instructs patient/family members regarding treatment and follow-up

10%

1. Interactswith patients and family members to involve them in the plan ofcare.
2. Educatespatient/family members regarding diagnosis and treatment anddocuments this in the electronic medical record.
3. Provideswritten instructions when indicated.
4. Prescribesmedications and medical devices as indicated.

4. Evaluates interventionsand plan of care regularly to ensure efficacy.

5%

1. Regularlyreviews results of ordered diagnostics and communicates these to thepartner Electrophysiologist.
2. Signsoutpatients on service to APP partner when cross-covering.

5. Interacts with otherhealthcare professionals.

10%

1. Communicateshospital course and treatment plan to referring primary carephysicians upon discharge.

b.Primary contact for Hospitalist, consulting services, EP Lab,cardiology clinic, device clinic, and outside hospitals for inpatientcare coordination.

6. Heart Center / Clinic

5%

1. ScheduledEP Clinic as required. Sees emergent clinic patients as required.

ORGANIZATIONALEXPECTATIONS:

Values

All team members areexpected to demonstrate our values:

Excellence:We strive for the best results and always look for ways to improve.

Compassion:We care and show empathy and respect for each person.

Partnership:We are strongest when we work together and with those we serve.

Integrity:We are open and honest, and we keep our commitments.

We are committed to livingour values. That means our patients and families can expect certainthings from each of us:

They can expect us to betheir partner and treat them with dignity and respect. Theycanexpect us to listen carefully and give good, timely information. Theycan expect us to do our best to provide affordable, coordinated, highquality care and services that are easy to find and simple to use.They can expect safe, clean spaces. And they can expect that we willdo our very best to earn their trust by being open and honest, andkeeping our word.

AdditionalExpectations:

• Complieswith safety instructions, observe safe work practices, providesinput on safety issues and promotes a safe work environment.
• Maintainsregular and timely attendance
• Protectsconfidentiality
• Demonstratesparticipation in and support of the organization's CorporateIntegrity Program by participating in compliance-related educationand training and complying with the organization's policies andprocedures.
• Timelycompletion of all mandatory education and organizationalrequirements (i.e. licensure/certification, Employee Health andWellness requirements, annual training, etc.)

POPULATIONSPECIFIC COMPETENCIES:

X Yes

No

Doesthis employee have direct patient contact?

If “Yes,” departments will need to determine the appropriatecompetencies in their areas for their specific patient populations.

Identifiesexpected outcomes for a plan individualized to the patient orsituation specific to the needs of the population served.

Communicateseffectively with patients, families and team members.

Integratespractices that supports patient safety, acknowledges variations inpopulations served.

Anticipatesthe needs of the population served as well as the uniquecharacteristics of the communities served.

Anticipatesthe needs of the population in providing cultural responsive care anddevelops an individualized plan for patients and families.

LEADERSHIPRESPONSIBILITIES:

• Noformal leadership responsibilities

PHYSICALREQUIREMENTS:

Workenvironment includes the inpatient nursing units and the clinicsetting. Stands 6-8 hours and walks 2-4 hours daily while performingduties. May view a computer screen for up to 5 hours a day. Maylift, push or pull equipment up to 50 lbs. Must be able to transportself throughout the hospital. Must be able to perform tasksrequiring fine motor skills and hand/eye coordination.

ENVIRONMENTALCONDITIONS:

OfficeEnvironment : May be exposed to printer/copier cartridges, noextreme conditions.

InpatientEnvironment : May be exposed to hazardous substances, harmfulphysical agents, and infectious agents that exist in the patient carearea in the performance of duties.

EQUIPMENT:

OfficeEnvironment : Computer, fax, printer, copy machine and otheroffice machines.

PatientCare Unit : Needles, syringes, vital sign monitors andhemodynamic lines.