Nurse Practitioner/Physician Assistant, ICU Swing

Cape Cod Healthcare Inc; Hyannis (MA); On-site; USD 161,000 - 176,000; Full time

Job summary

Cape Cod Hospital in Hyannis, MA, is seeking a Nurse Practitioner or Physician Assistant to join the ICU swing team. The role focuses on managing a caseload of critically ill patients with 24x7 coverage and collaboration with intensivists, hospitalists, and cardiologists.

The incumbent will participate in rounds, protocol development, and ICU care delivery under supervision. Schedule: Full-Time, Eve/Night shifts, weekends and holidays as required; annual salary range of $160,533 to $176,271 with

Qualifications

• MSN and NP PA licensure in Massachusetts; DEA registration if prescribing.
• ACLS certification and critical care experience are required.
• Proficiency in vascular access catheter placement and ventilator management.
• Excellent communication with patients and staff in a team-based ICU setting.

Responsibilities

• Perform physical exams, document data, order labs and consultations under supervising physician.
• Perform procedures including central/arterial lines, temporary hemodialysis catheters, thoracentesis, intubation, and cardioversion.
• Explain procedures to patients and families; provide critical care consults as needed.
• Coordinate with ICU team and hospitalists for discharge/transfer planning.
• Document care in medical records and bill as appropriate.
• Support surveillance and protocol development for ICU care.

Skills

Critical care experience

Vascular access management

Ventilator management

Communication with patients and staff

Education

MSN - Master of Science in Nursing

CNP - MA licensed

DEA registration

ACLS certification

Critical care advanced practitioner experience

ARC-PA MPAS/PA qualification

Job description

Thepayrange displayed on each job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cape Cod Healthcare's benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. For annual salaries this is based on full-time employment.

Job Description - Nurse Practitioner/Physician Assistant, ICU Swing (260805-50025518)

Job Description

Purpose of Position : The Nurse Practitioner and/or Physician Assistant ICU Swing is a member of the intensive care team and has as his/her primary responsibility is the management of a caseload of critically ill complex (multi-organ) patients in an intensive care setting as well as backup care of the cardiology patients in the ICU as well as backup to the Hospitalists team when needed. A team of effective Critical Care Nurse Practitioners/Physician Assistants will provide 24 x 7 coverage of the ICU service, building a common practice with his/her colleagues and with the supervising ICU physicians. Handoffs in the morning and evening by the Critical Care Practitioners on all patients on the ICU service will provide an opportunity for daily feedback and coordination of the team's practice. Daily multi-disciplinary rounds with the ICU physician on all patients allow the team to develop a unified strategy for protocolized care. The night coverage of the ICU service by the Critical Care Nurse Practitioners will be supported by existing on-site resources as well as a dedicated back-up ICU attending who would be available by phone or to provide hands-on care if necessary. The Critical Care Nurse Practitioner/Physician Assistants will be expected to perform triage responsibilities in the off hours to aid in ICU discharge/transfer planning. The Critical Care Nurse Practitioners/Physician Assistants' daily patient care workflow is under the supervision of the ICU physician or designated back-up physicians. The overall reporting of the CCAP is to the Chief of Critical Care, who will review and support scheduling models, education, and procedural training. In addition, the Critical Care Nurse Practitioners will be expected to contribute to development of ICU protocols and quality initiatives. Critical Care Nurse Practitioners/Physician Assistants will be expected to have excellent communication skills and will develop collaborative relationships with the intensivists, hospitalists, cardiologists, as well as with the ICU consultants. The Critical Care Nurse Practitioner/Physician Assistant contributes to excellence in patient care, research, teaching, consulting, and provides leadership to the organization and nursing profession.

Description

• Performs physical exams, collects and documents data, orders and schedules laboratory studies and professional consultations, makes and confirms diagnoses, prescribes appropriate interventions and medications, and provides direct patient care services under the general supervision of the supervising physician.
• Perform therapeutic or diagnostic procedures based upon patient clinical status to include performance of procedures to include central lines, arterial lines, temporary hemodialysis catheters, paracentesis, thoracentesis , pigtail catheters, intubation, cardioversion, and lumbar puncture .
• Explain the necessity, preparation, nature and anticipated effects of procedure(s) to patients, patient family, staff, and healthcare learners.
• Provide first contact for critical care consultations in select cases outside of the ICU service.
• Assess patient for change in status and institute appropriate interventions , compatible with their training, and initiate necessary emergency interventions to stabilize patient.
• Formulate and implement treatment plan for acute illness management in collaboration with the designated primary supervising physician and/or attending back-up physician(s).
• Document in medical records and appropriate narrative summaries. Bill as a practitioner when appropriate, per ICU service guidelines.
• Provide family-centered care by communicating with the family regarding the hanging health care needs of their family member. Assess family adaptation and coping.
• Back up coverage to the Cardiology team for patients in the ICU.
• When needed, assist the Hospitalists' team with cross-coverage and/or admissions.
• Other duties as assigned.

Qualifications

EDUCATION/EXPERIENCE/TRAINING (NP)

• MSN - Master of Science in Nursing
• CNP - Currently licensed as a Certified Nurse Practitioner in the Commonwealth of Massachusetts
• DEA - US Department of Justice DEA Registration (required if prescribing)
• ACLS - Advanced Cardiac Life Support certification (obtain within 30 days of position start, offered within)
• Successful candidate must have critical care advanced practitioner experience
• Demonstrates the ability to be thoroughly trained to meet organizational standards
• Adept at communication with patients and staff
• Must be proficient in the placement and management of Vascular Access catheters including arterial catheters, and central venous catheters
• Must be able to perform basic Ventilator management

EDUCATION/EXPERIENCE/TRAINING (PA)

• MPAS - Masters from a program accredited by the ARC-PA
• PA - Currently licensed as a Physician's Assistant in the Commonwealth of Massachusetts
• DEA - US Department of Justice DEA Registration (required if prescribing)
• ACLS - Advanced Cardiac Life Support certification (obtain within 30 days of position start, offered within)
• Successful candidate must have critical care advanced practitioner experience
• Demonstrates the ability to be thoroughly trained to meet organizational standards
• Adept at communication with patients and staff
• Must be proficient in the placement and management of Vascular Access catheters including arterial catheters, and central venous catheters
• Must be able to perform basic Ventilator management

Schedule Details : Full-Time, 5-Day Per Week (i.e., Sunday-Thursday), Eve/Night Schedule (Start Time: 6PM), Every Weekend & Occasional Holidays (Please post as NP/PA)

Organization

Cape Cod Hospital

Primary Location

Massachusetts-Hyannis

Department : CCH-PH-Intensivists

Annual/Hourly : Annual - Based on Full Time Employment

Hiring Pay Range : $ 160533 - $ 176271

Thepayrange displayed on each job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cape Cod Healthcare's benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. For annual salaries this is based on full-time employment.