ICAR Advanced Practice Provider (NP/PA)

Inova Health; Fairfax (VA); On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Retirement match

Education assistance

Student loan assistance

Mental health support

Paid time off

Parental leave

Flexible schedules

Remote/hybrid options

Job summary

Inova Health seeks a Nurse Practitioner or Physician Assistant to join the ICAR unit. This role features four 10-hour shifts Monday through Friday with no weekends, nights, on-call, or holidays.

The APP will provide pre/post procedural care across EP, interventional cardiology, structural heart, vascular and IR procedures and collaborate with anesthesia for optimal patient management.

Qualifications

• Graduation from an accredited NP or PA program.
• Must be eligible to practice as NP or PA in Virginia.
• Current prescriptive privileges and DEA license required.

Responsibilities

• Provide pre and post procedural patient care for EP, interventional cardiology, structural heart, vascular and IR procedures.
• Assist with discharge/transfer and unit flow.
• Coordinate care with anesthesia and proceduralists in pre procedure, PACU and recovery.
• Place post procedure orders and care management orders for inpatients and outpatients.
• Serve as primary contact for RNs for patient needs and complications, improving coordination and communication for critical events.

Skills

Critical thinking

Communication

Coordination of care

Rapid assessment

BLS/ACLS certified

Education

NP program graduate

PA program graduate

Tools

EPIC

EMR systems

Job description

Job Description

The ICAR unit at Inova Schar Heart and Vascular is looking for an Nurse Practitioner/Physician Assistant (APP) to join their team! Monday – Friday (four 10 hour shifts). No weekends, nights, on-call or holiday requirement.

• Provide/manage pre and post procedural patient care for EP, Interventional cardiology, structural heart, vascular and IR procedures
• Assist with ensuring timely discharge/transfer from ICAR, unit flow and utilization
• Work with anesthesia and proceduralists in pre procedure, PACU and recovery as appropriate to manage patient care
• Placing post procedure orders and care management orders for inpatients and outpatients
• Primary support/contact for RNs for patient needs/complications/care pre and post procedures (reducing need for rapid responses and increased coordination and communication for Code Stroke, MSET responses when necessary). Allows physicians to stay on schedule and perform planned procedures – communicates with physicians as needed. Including/not limited to:
• Chronotropic and vasopressor low dose initiation and management
• Arterial and venous hemostasis
• Hemodynamic management
• Management of arrythmias
• Pain management
• Electrolyte management
• Air way management in PACU
• Review of CXR/rule out pneumothorax
• Assist in coordination of emergent care and transfer to appropriate level of care/team
• Order routine follow-up procedures for IR (nephrotic, biliary or abscess tube exchanges)
• Order follow-up CT scans if necessary
• Help with patients requiring admission from ICAR until handed off to the floor staff
• Patient becomes septic after tube change
• Any complication requiring overnight stay or planned overnight stays if applicable
• Coordination of care with other teams, orders, level of care, etc. providing smooth and safe transition of care for patients
• Working on POCUS for bedside echocardiogram, rule out procedural complications as part of evaluation of events, symptoms

Job Description

The ICAR unit at Inova Schar Heart and Vascular is looking for an Nurse Practitioner/Physician Assistant (APP) to join their team! Monday – Friday (four 10 hour shifts). No weekends, nights, on-call or holiday requirement.

• Provide/manage pre and post procedural patient care for EP, Interventional cardiology, structural heart, vascular and IR procedures
• Assist with ensuring timely discharge/transfer from ICAR, unit flow and utilization
• Work with anesthesia and proceduralists in pre procedure, PACU and recovery as appropriate to manage patient care
• Placing post procedure orders and care management orders for inpatients and outpatients
• Primary support/contact for RNs for patient needs/complications/care pre and post procedures (reducing need for rapid responses and increased coordination and communication for Code Stroke, MSET responses when necessary). Allows physicians to stay on schedule and perform planned procedures – communicates with physicians as needed. Including/not limited to:
• Chronotropic and vasopressor low dose initiation and management
• Arterial and venous hemostasis
• Hemodynamic management
• Management of arrythmias
• Pain management
• Electrolyte management
• Air way management in PACU
• Review of CXR/rule out pneumothorax
• Assist in coordination of emergent care and transfer to appropriate level of care/team
• Order routine follow-up procedures for IR (nephrotic, biliary or abscess tube exchanges)
• Order follow-up CT scans if necessary
• Help with patients requiring admission from ICAR until handed off to the floor staff
• Patient becomes septic after tube change
• Patient’s RHC shows volume overload requiring aggressive IV diuresis
• Any complication requiring overnight stay or planned overnight stays if applicable
• Coordination of care with other teams, orders, level of care, etc. providing smooth and safe transition of care for patients
• Working on POCUS for bedside echocardiogram, rule out procedural complications as part of evaluation of events, symptoms

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
• Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offeringpaid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities.

Minimum Requirements

• Graduation for an accredited NP or PA program. Must be approved to practice as a Nurse Practitioner or Physician Assistant in the state of Virginia. Current prescriptive privileges and DEA license required. BLS and ACLS for Healthcare Provider from AHA required with expiration date greater than 90 days from date of beginning practice.
• Nurse Practitioner: Master’s Degree or Doctorate of Nursing Practice required. License to practice as a Registered Nurse required. Certification in practice from a nationally recognized certifying body required. ACNP, AGACNP certification preferred based on population served.
• Physician Assistant: Graduate from an accredited Physician Assistant program required; Master’s Degree preferred. Certification from the National Commission on Certification of Physician Assistants preferred.
• Demonstrate appropriate critical thinking and interpersonal skills when working in a fasted paced, high acuity work environment. Able to perform a thorough history and physical assessment.
• VA License
• EPIC experience preferred
• Certification - Basic Life Support prior to start; Advanced Cardiovascular Life Support (for Critical Care) upon start; Pediatric Advanced Life Support (for Pediatrics) upon start
• Licensure - Licensed Physician Assistant or Nurse Practitioner; If Nurse Practitioner: RN Compact License(depending on State of primary residence) AND a license (or eligibility for) as a nurse practitioner or physician assistant in the Commonwealth of Virginia AND a "Practice Agreement" signed by sponsoring/ supervising physician(s), AND a written "Scope of Practice/Protocol" signed by the supervising physician, AND "Drug Enforcement Administration License" (if prescribing controlled substances).
• Experience - No prior experience required; APP experience highly preferred.
• Education - For Nurse Practitioners: Bachelor's Degree in Nursing and Master's Degree in Advanced Clinical Practice or graduate of a post-masters certificate program for nurse practitioners, OR certificate from an education program that is accredited by the Council of Nurse Anesthesia Educational Programs/Schools, American College of Nurse Midwives, American Association of Colleges of Nursing of the National League for Nursing; For Physician Assistants: Graduate of an accredited Physician Assistant program

We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 25,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.

Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.