Advanced Practice Provider, Critical Care Medicine, Orlando Regional Medical Center

Company Overview

Orlando Health Medical Group is a comprehensive physician group serving patients from across the southeastern United States. With more than 200 practices and 1,200 physicians, Orlando Health Medical Group has a strong representation in over 55 specialties, including critical care medicine. Orlando Health is committed to providing benefits that go beyond the expected, with career‑growing free education programs and well‑being services to support you and your family through every stage of life.

Under the supervision of the physician, according to established practice guidelines and utilizing evidence‑based clinical practice standards, the Advanced Practice Provider provides inpatient management, consultations, and co‑management of critically ill patients.

• Possess specialized skill and knowledge unique to the ICU setting in which they practice (Medical, Surgical, Neurosurgical, Cardiovascular, etc).
• Provides direct clinical services for critically ill patients according to established protocols and utilizes evidence‑based clinical practice standards.
• Obtains comprehensive and focused history and physician exam on critically ill patients.
• Responsible for evaluating critically ill complex (multi‑organ failure) patients in the ICU and step‑down units by synthesizing data, physical exam and pertinent medical history to assess clinical scenario and prescribe appropriate interventions and medications.
• Uses clinical judgment and evidence based medicine to order and schedule appropriate laboratory and radiographic studies.
• Works with supervising physician to determine and place appropriate specialty consultations.
• Works in collaboration with supervising and consulting physicians to formulate and implement a plan for management of critically ill patients.
• Performs complex procedures in the diagnosis and treatment of medical and surgical problems (Central venous catheter placement, arterial catheter placement, chest tube placement, lumbar puncture, thoracentesis, paracentesis, endotracheal intubation, therapeutic bronchoscopy – i.e. removal of secretions and BAL).
• Performs advanced cardiac life support. In a medical emergency, the nurse practitioner will act on behalf of the supervising medical staff member to maintain life support until a licensed physician arrives to manage the patient.
• Removes catheters, drains, sutures and staples.
• Interprets arterial blood gas report and appropriate management of invasive and non‑invasive modes of mechanical ventilation.
• Assesses need for vasoactive medication and places appropriate order sets and titration parameters.
• Interprets invasive and non‑invasive hemodynamic monitoring, waveforms and EKG and institutes appropriate interventions.
• Interprets radiographic tests, including but not limited to CT scan, MRI and X‑rays.
• Operates with the highest degree of independence in provision of patient care services with minimal physician supervision and generally in a highly specialized area.
• Performs emergent lifesaving procedures in cases such as cardiac arrest, respiratory arrest, massive hemorrhage, or similar catastrophe.
• Performs preliminary daily rounds independently and daily multidisciplinary rounds (attending physicians, fellows, pharmacist, dietician, respiratory therapist).
• Assesses patient for changes in status and is capable of instituting appropriate interventions in sub‑acute, acute and emergent situations.
• Notifies attending physician about unusual or unexpected events or problems requiring direct physician consultation.
• Initiates necessary emergent interventions to stabilize acutely deteriorating patients.
• Prescribes medication using evidence‑based medicine, clinical judgment and plan of care as discussed in rounds as agent for supervising physician.
• Writes and/or dictates concise thorough patient progress notes, consult notes, history and physical notes and clinical resumes.
• Documents the preparation, procedure, outcome and complications of therapeutic and diagnostic procedures performed.
• Explains the necessity, preparation, nature and anticipated effects of procedures or tests to patients, patient’s family and staff.
• Provides…