Additional Job Description:

Job Description

Please note that the responsibility of the APP in this role will be to support not only Thoracic surgery at Wheeling but to also support the other HVI surgical services at Wheeling Hospital - Vascular and Cardiac Surgery. Thank you!

JOB TITLE & CODE: Advanced Practice Professional (APP) - HVI - Cardiothoracic Surgery with OR First Assist - Wheeling Hospital
Thoracic Job Codes: Nurse Practitioner (85002), Physician Assistant (85102)

DEPARTMENT: Heart and Vascular Institute

REPORTS TO: Direct Supervisor/Director of Advanced Practice Professional of the Heart and Vascular Institute

FLSA STATUS: Exempt

MINIMUM QUALIFICATIONS FOR NURSE PRACTITIONER:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Graduate of a CCNE accredited nursing program with master's degree in nursing
2. National Certification by one of the recognized APRN Certification Centers
3. Licensure, or eligibility for licensure, as a professional Registered Nurse and Advanced Practice Registered Nurse in West Virginia.
4. American Heart Association BLS certification required. Additional life support certification at the discretion of the department.
5. Department Specific: Interested APRNs are required to have their RNFA certification upon hire, as this role will require coverage in the Operating Room.
6. Advanced Cardiac Life Support (ACLS) at the discretion of the department.

EXPERIENCE:
1. Eligible new graduates will be considered.

PREFERRED QUALIFICATIONS:

EXPERIENCE:
1. CT Surgery, Acute care or cardiology experience preferred.

MINIMUM QUALIFICATIONS FOR PHYSICIAN ASSISTANT:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor's OR Master's Degree as a Medical/Surgical (as applicable) Physician Assistant required.
2. Graduate of an ARC-PA approved Physician Assistant (PA) training program required.
3. Certification by the National Commission for Certification of Physician Assistants required.
4. Must be licensed or eligible for licensure by the WV Board of Medicine or WV Board of Osteopathic Medicine.
5. American Heart Association BLS certification required. Additional life support certification at the discretion of the department.
6. Advanced Cardiac Life Support (ACLS) at the discretion of the department.

EXPERIENCE:
1. Eligible new graduates will be considered.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Masters level education as Medical/Surgical (as applicable) Physician Assistant preferred.

EXPERIENCE:
1. CT Surgery, Acute care or cardiology experience preferred.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Manages comprehensive and individualized care for cardiothoracic surgery patients and their families in the inpatient phase of hospitalization and immediate post discharge in the ambulatory setting. Serve in the perioperative arena including but not limited to OR First Assist in the operating suite.

2. Completes daily rounds: consults and/or pre-procedure evaluations during weekdays and as applicable, weekends/holidays as determined by specific clinical site and specialty.

3. Completes integrated assessments, documents efficient and precise clinical evaluations/plan in the electronic medical record (EMR)

4. With the collaboration of faculty or by following established clinical Guidelines and Protocols, orders additional labs and/or diagnostic studies or consults as deemed appropriate

5. Performs, interprets and /or communicates results of diagnostic tests following established clinical guidelines and scope of practice in the inpatient and outpatient setting.

6. Communicates to patient's comprehensive care team results of labs / diagnostic studies following established clinical guidelines and scope of practice, regarding abnormal findings in the evaluation of the patient.

7. Develops a comprehensive individualized plan of care for CT Surgery patients, which includes teaching, discharge planning and necessary referral to other members of the health care team as necessary.

8. Identifies unstable or complex patient care situations and facilitates appropriate intervention with appropriate resources, in the clinic and/or hospital setting.

9. Recognizes emergency situations and initiates effective emergency care.

10. Facilitates patient discharge by coordinating appropriate services and tests prior to discharge necessary for outpatient follow-up appointments in the clinic (as applicable).

11. Demonstrates expertise in caring for patients across the age continuum of their educational experience and certification.

12. Possess and/or acquire the appropriate surgical skill set to be able to first assist in all CT surgery operations performed by the service (as applicable).

13. Possess and/or acquire the appropriate surgical skill set to be able to perform open and/or endoscopic harvesting of appropriate conduit during the CT surgery operation. (as applicable)

14 Assists in the collection of outcome measures (as applicable).

15. Demonstrates critical thinking and diagnostic reasoning skills in clinical decision making by the identification, evaluation and management of the individual needs of patients/families.

16. Demonstrates the ability to utilize equipment in a safe manner.

17. Bases decisions made/actions taken on the relevant scientific principles, established standards of care and/or research findings.

18. Utilizes teaching/learning theory and appropriate teaching strategies in the provision of education to nursing staff, hospital staff, students, patients, families, and the community.

19. Promotes an environment that facilitates learning by responding to appropriate patient/family preferences, priorities, and readiness to learn.

20. Updates own knowledge base throughout the year.

21. Completes all identified clinical competencies.

22. Serves as a resource person for staff caring for the CT surgery patient.

23. Participates and initiates inter-disciplinary approaches to patient care, program development and education. Serves as a professional role model.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Heavy/Hard work: Work requires strength and/or stamina, lifting, moving, stooping, reaching, positioning of patients, standing for protracted period of time, walking, moving of patients, materials and equipment weighing 40+ pounds.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Working closely with others.
2. Working around biohazards and infectious diseases.
3. Working protracted, or irregular hours worked and on your feet.
4. Working with electrical hazards associated with patient care equipment.

SKILLS AND ABILITIES:
1. Proficiency with computers.
2. Strong communication skills.

Date Reviewed/Revised: October 3, 2023

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