Critical Care Nurse Practitioner NP or Physician Assistant PA PRN

Overview

The Critical Care APP is a member of the Pulmonary Medicine team with the primary responsibility of managing patients with acute, critical, and chronic illness and disease in the intensive care setting. The Critical Care APP has a specialized skill set and knowledge about caring for critically complex patients, i.e., Neuro, Medical and Surgical. In this position, the APP will work under direction of the Manager, Pulmonary & Critical Care and collaboratively with a matrix reporting relationship to the Pulmonary Clinical Director.

The APP will also work collaboratively with all Critical Care Physicians, the Neurocritical Care Director, and Surgical Services Clinical Director.

• Competitive market-based compensation
• Full benefits, paid holidays, and generous paid time off
• CME Allowance
• Professional Liability
• Sign On Bonus
• Retirement savings plan with employer match and personal consulting
• Wellness plans, an employee assistance program and employee discounts

• This position is PRN and requires both day shift and night shift. Shifts are 7-7.
• Provide in house overnight coverage for ICU patients and new admissions with supporting physician. No on-call requirements.
• Supports the Mission, Vision, and Values of Munson Healthcare.
• Manages complex acute, critical, and chronically-ill adult patients at risk for urgent and emergent conditions, using both physiologically and technologically derived data, to manage physiologic instability and risk for potential life-threatening conditions.
• Obtains medical histories, performs physical exam, and develops assessment and plan.
• Collaborates, as appropriate, with others to diagnose and manage acute and chronic and/or multi-system health problems including, but not limited to:
  Acute Respiratory Distress Syndrome, pneumonia, Sepsis, Diabetic Keto acidosis, Stroke (both hemorrhagic and ischemic), Acute Abdomen and Traumas.
• Identifies the presence of comorbidities and the potential for rapid physiologic deterioration or life-threatening instability.
• Collaborates with intraprofessional and interprofessional team to achieve optimal patient outcomes during acute, critical and/or complex chronic illness including daily rounding with the interdisciplinary team.
• Employs interventions, both pharmacologic and non-pharmacologic, to regain and maintain physiological and psychological stability.
• Performs diagnostic and therapeutic interventions including but not limited to:
  Interpretation of EKG and imaging studies, Laboratory and Radiologic Studies, Respiratory support, Hemodynamic monitoring, Lumbar puncture, Wound debridement and Closure, central line, arterial line, hemodialysis catheters, chest tubes, thoracentesis/paracentesis, and suture removal.
• Implements interventions to support the patient with a rapidly deteriorating physiologic condition based on Advanced Cardiac Life Support and Fundamentals of Critical Care Support.
• Collaborates with the patient, family, and others to provide palliative and end-of-life care options.
• Provide Consult Services in coordination with a partnering (in the case of a Physician Assistant) or supervising (in the case of a Nurse Practitioner) physician.
• Provides care coordination, which includes managing a variety of ancillary services, pre-operative plans, discharge planning, provider referrals and medical devices such as insulin pumps, defibrillators, and pacemakers.
• Maintains patient health records according to established standards and guidelines.
• Provides clinical direction to nursing staff regarding the continued care of patients.
• Performs other duties and responsibilities as assigned.
• Perform daily rounds with multidisciplinary team.
• Consult services and work under a supervising physician.

• Oracle Health

• We’re northern Michigan’s largest healthcare system and we are deeply rooted in the communities we serve. That means that our patients are often our family, friends and neighbors – and it’s special to be able to care for them. And as one of the top healthcare systems to work for in Michigan by Forbes (America’s Best Employers by State 2022), we’re committed to your ongoing growth and development.
• A…