Adult Cardiac- APRN- AHF/VAD/Transplant-UofL Jewish Heart Hospital

Adult Cardiac Advanced Practice Provider- UofL Jewish Heart Hospital 

Advanced practice provider (APP) will work in collaboration with the AHF/VAD/Transplant provider teams. The APP will provide comprehensive care to the AHF/VAD/Transplant patients in the step-down units and intensive care units.  Practice includes daily rounding/progress notes on inpatients.

Daily inpatient and outpatient management of patients, which encompasses evaluation and assessment of patients, development, implementation and reassessment of treatment plan, care-coordination, follow-up, and completion of thorough discharge summaries.  The APP will supervise and mentor registered nurses in the management of all AHF/VAD/Transplant patients.  The APP, in collaboration with the physician(s) and multi-disciplinary healthcare team is responsible for participation in cardiovascular service line committees, education of appropriate staff on protocols, patient education and disease management.  

Shift:  4 ten hour shifts a week

Job requirements:

APRN: Graduate of accredited program with Master of Science in Nursing. Board Certification Required. Acute Care Certification focus preferred, but not required. 

PA: Graduate of a physician assistant program accredited by the Accreditation Review Commission on Education for Physician Assistants or its predecessor or successor agencies and has passed the certifying examination administered by the National Commission on Certification of Physician Assistants or its predecessor or successor agencies.

Required Licensure: APRN and RN in state of Kentucky

Physician Assistant in state of Kentucky

*Other certifications: ACLS/BLS certified-Can obtain upon employment. DEA-obtain upon employment

Essential Functions:

APP will provide care to patients in step-down units and other units of the hospital. Population of patients managed/cared for include, but not limited to those with acute decompensated heart failure, percutaneous temporary ventricular assist support devices, LVADs, and heart transplants.

• Performs comprehensive History & Physical, Consults, In-patient daily progress notes on patients in ICU and step-down units in conjunction with collaborating physician(s). Assessment and management of inotropes, central venous lines. Management of anti-arrhythmic medications, anti-coagulation and titration of inotropic medications.                                                                                                                                          
• Assesses the physical and psychosocial status of clients by means of interview, health history, physical examination, and diagnostic studies.
• Ability to handle multiple priorities and work in a fast-paced environment.
• Recognizes deviations from normal in the physical assessment. Works in collaboration with a physician in formulating treatment plans for health problems and follow-up.
• Writes prescriptions for medication, blood tests, routine diagnostic and follow-up studies and therapeutic measures.
• Requests consultation from physicians and other healthcare professionals to ensure appropriate and quality patient care.
• Interprets and evaluates findings of studies/tests.
• Relays appropriate information regarding patient care to the collaborating physician.
• Evaluates the quality of care provided and recommends changes for improvement.
• Initiates appropriate actions to facilitate the implementation of therapeutic plans that are consistent with the continuing healthcare needs of the patient.
• Work with and direct a multidisciplinary critical care team including nursing staff, social workers, respiratory therapists, nutritionists, physical/occupation/speech therapists, and pharmacists to provide patient-focused care
• Works both collaboratively and independently.
• Communicate with caring and respectful behaviors with patients, families, and other involved members of the healthcare team about all treatment decisions and patient prognosis
• Shares clinical expertise with professional and supportive personnel. Facilitate the learning of residents, students, and other health care professionals
• Initiate discussions involving ethical issues and patients' wishes in making treatment decisions, using advance directives, health care proxies, the Hospital Bioethics Committee
• Documents and reports care in an accurate, timely manner.

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With more than 14,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. As a UofL Physicians provider, you have access to the physicians and clinical staff throughout the organization. This advantage gives you access to more than 1,000 providers, many of whom are world-renowned experts with extensive experience and training. These specialists are partners in your patient's care. 

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