Advanced Practice Provider (NP/PA) | Department of Florence Pulmonology and Critical Care | MUSC Health Florence, SC

MUSC Health Florence Pulmonology and Critical Care is seeking an Advanced Practice Provider to care for the rapidly growing practice in Florence, SC.  The Nurse Practitioner or Physician Assistant is under the general direction and responsibility of the supervising/collaborating physician.  Assist with direct patient care, practice development, and implementation of policies and procedures to increase the continuity of care of all patients.  Collaborates with members of the team to establish protocols, supervise treatment plan and monitor quality of the clinical practice. The APP will also contribute to providing quality care to critical care patients in the hospital setting under the general direction and responsibility of the supervising/collaborating physician.

Fair Labor Standards Act Status: Salaried

Hours per week: 40

Scheduled Work Hours/Shift: Hybrid Model: 1 week inpatient, 1 week ICU, 1 week outpatient/clinic, 1 week off – alternated weekends

Patient Population focus: Inpatient, Outpatient, Procedural Unit, Infusion Suite, Emergency Department Management/Consultation.

Patient Population Age Range: 13 years-death

Required Minimum Training and Education:
Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible as an AGACNP/ACNP

• AGACNP/ACNP (Adult Gerontology Acute Care NP/Acute Care Nurse Practitioner): Adult pts (13 years to death), acutely ill or injured, potentially unstable, or technologically dependent (vents, drips, monitors, etc.)

Minimum of 1 year as a Physician Assistant or ACNP preferred.

Degree of Supervision: AGACNP/ACNP or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician.

Required Licensure, Certifications, Registrations

• Currently licensed (or eligible) in the state of South Carolina as a Physician Assistant by the South Carolina Board of Medical Examiners or as an AGACNP/ACNP with the SC Board of Nursing.
• Requires certification in Basic Life Support (BLS). If BLS is not current, provider must enroll and have received certificate by start date.
• Required certification in Advanced Cardiovascular Life Support (ACLS). If ACLS is not current, provider must enroll and have received certificate by start date.
• DHEC and DEA license applications must be submitted prior to first day.

Routine Duties

• Collaborate with the client/family to establish physical, mental, cultural and environmental factors that facilitate or impede realistic goals and activities.
• Conduct and document findings on initial, periodic, episodic, and/or annual health histories and physical examinations on patients seen in the clinical setting.
• Determine potential needs for therapeutic changes, diagnostic workups or subspecialty consultation and so order.
• Order and/or interpret appropriate laboratory tests, x-rays and chest imaging, EKG’s, pulmonary function testing and report of other diagnostic studies and procedures.
• Provide follow-up for evaluation of outcomes of x-rays and chest imaging, laboratory tests and diagnostic procedures. Detect and evaluate any significant change in patient’s condition, treating as indicated with current evidence-based practice.
• Review medications for clinical need, simplification and possible drug-drug interactions and adjust as indicated.
• Prescribe, administer and review/evaluate patient’s response to pharmacological and non-pharmacological treatment excluding narcotics and controlled medications.
• Evaluate outpatients and manage acute and chronic illnesses according to the usual scoped of care to include attention to maintenance of stable conditions, preventive health care and screening.
• Formulate diagnostic plans and therapeutic regimen, including possible hospitalizations.
• Make referrals to and collaborate with home health services to provide and maintain continuity of care.
• Plan, provide and evaluate care that promotes wellness and prevents disease/injury and disability.
• Assist patient to maintain or improve their current state of health when disability already exists.
• Assist patients to regain or improve their abilities to cope with states of health and illness.
• Provide education and counseling of the patient and the patient’s family in preventive care, medical conditions and the use of prescribed treatments and drugs. Maintain phone contact with patients, families and home care agencies as indicated.

Emergency Duties

• Treat respiratory distress and/or emergent conditions in the absence of a physician or until a physician arrives.
• Initiate basic life support/First Aid to the extent that training supports following current AHA guidelines. Maintain current BLS certificate.

Works as part of the pulmonary critical care team in the intensive care unit

• Manage patients in the intensive care unit in conjunction with the pulmonary and critical care physicians
• Respond to emergencies such as shock, respiratory failure, and extremes in vital signs
• Perform procedures in the intensive care unit such as central venous catheters, dialysis catheters, arterial lines, thoracentesis, and chest tubes
• Work with the pulmonary critical care physicians and respiratory therapists with airway management to include intubation and management of mechanical ventilation

Works as part of the pulmonary critical care team in the pulmonary clinic

• Co-manage patients across the spectrum of pulmonary disorders including asthma, COPD, sarcoidosis, pulmonary fibrosis, lung cancer etc
• Respond to patient concerns in office and/or in between visits
• Order and follow up on labs, imaging tests, and other testing as indicated
• Order and interpret six-minute walk tests
• Order and interpret office spirometry and pulmonary function testing

MUSC Health, the clinical enterprise of The Medical University of South Carolina (MUSC), is dedicated to the pursuit of Changing What’s Possible in health care. We see more than one million patient encounters annually, and our specialized care teams consistently rank among the best in the country.

• In 2022, for the 8^th consecutive year, U.S. News & World Report named MUSC Health the No. 1 Hospital in South Carolina
• In 2023, MUSC Health was included in the Top 100 on Forbes’ list of America’s Best Large Employers

MUSC Health is dedicated to delivering transformational patient care and leading-edge treatment while training generations of innovative and compassionate health care leaders to serve the people of South Carolina and beyond. At MUSC Health, we empower our providers to transform expertise, learning and discovery into unrivaled patient-centered care, and to demonstrate our values of Compassion, Teamwork, Diversity, Accountability, and Innovation in everything we do.

Our integrated health care system includes a downtown Charleston campus featuring five unique hospitals, nine regional medical centers located throughout the state, affiliations with numerous healthcare partners, more than 300 telehealth sites, and nearly 750 care locations situated in the Lowcountry, Midlands, Pee Dee and Upstate regions of South Carolina.