Cape Cod Hospital Critical Care Advanced Practitioner in Hyannis, Massachusetts
Critical Care Advanced Practitioner
CCH PH Intensivists
Per Diem Hours, Rot Days, Occ W/E, Occ Hol.
Cape Cod Healthcare is the leading provider of healthcare services for residents and visitors of Cape Cod. With more than 450 physicians, 4,700 employees, and 1,100 volunteers, Cape Cod Healthcare operates two-acute care hospitals, the Cape's leading provider of homecare and hospice services (VNA), a skilled nursing and rehabilitation facility (JML Care Center), an assisted living facility (Heritage at Falmouth), the Cape's only local laboratory service (CCHC Laboratory Services) and numerous health programs. We are currently seeking a dedicated Critical Care Advanced Practitioner to join our team at Cape Cod Hospital. PURPOSE OF POSITION: The Critical Care Advanced Practitioner (CCAP) is a member of the intensive care team and has as his/her primary responsibility the management of a caseload of critically ill complex (multi-organ) patients in an intensive care setting. The CCAP is under the direct supervision of the ICU supervising physician or designated back-up physicians. The CCAP has specialized skill and knowledge related to the unique ICU setting in which she/he practices (e.g. CVICU) and performs physical exams, collects and documents data, conducts approved diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications and provides direct patient care services in a specific ICU or step-down unit. The CCAP contributes to excellence in patient care, research, teaching, consulting, and provides leadership to the organization and nursing profession. PRIMARY DUTIES AND RESPONSIBILITIES: 1. Provide direct clinical services for critically ill adult patients with multi-organ trauma or multi-system failure, according to established protocols and utilizes evidence-based clinical practice standards under the supervision of the ICU supervising physician. 2. Obtain patient health histories and complete physical examinations. Document findings noting pertinent normal and abnormal findings. 3. Order and interpret appropriate diagnostic and laboratory tests. 4. Explain the necessity, preparation, nature and anticipated effects of procedure(s) to patients, patient family, staff, and healthcare learners. 5. Perform approved 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 and lumbar puncture 6. Document patient preparation and response to procedure(s). 7. Formulate and implement treatment plan for acute illness management in collaboration with the designated primary supervising physician and/or attending back-up physician(s) 8. Participate in and lead multidisciplinary rounds. 9. Document in medical records and appropriate narrative summaries. 10. Assess patient for change in status and institute appropriate interventions. Initiate necessary emergency interventions to stabilize patient. 11. Provide family-centered care by communicating with the family regarding the hanging health care needs of their family member. Assess family adaptation, coping skills and the need for crisis or other intervention. 12. Utilize current research and evidence-based decision-making in all clinical practice. 13. Perform and participate in quality performance improvement activities and clinical research. 14. Role model advanced practice profession through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, and problem- solving skills. 15. Demonstrate responsibility for professional practice through active participation in professional organizations and continuing education. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Healthcare's commitment to CARES: compassion, accountability, respect, excellence and service. EDUCATION/EXPERIENCE/TRAINING: · Graduate of an accredited Physician Assistant Program. · Documentation of registration for next NCCPA Board administration or successful completion of NCCPA Board and maintenance of appropriate CME Or · APRN: Graduate of an Acute Care Nurse Practitioner Program. Maintain certification through Clinical Education Units. Licensure, Certification, Registration: · Certification and current license to practice in the Commonwealth of Massachusetts. · DEA number and Mass Department of Public Health Division of Food and Drug Restricted Substances registration number as appropriate. Written prescription privilege protocols signed by all attendings with whom the individual will be working. · 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. · Successful candidate must have critical care advanced practitioner experience.
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