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SSM Health Cardiac Surgery Nurse Practitioner/Physician Assistant - Saint Louis University Hospital in Saint Louis, Missouri

Divison:

  • T his position involves 6am-7pm rotating 12 hour shifts. Weekends are required and will rotate 1:4 to 1:6 pending staffing needs. Nights may be necessary for LVAD program to successfully operate.

  • R equirements of proficiency in EVH and CVOR.

  • First assist experience (>2 years) in CVOR specifically cardiac surgery

  • Endoscopic vein harvest; preferable to also have radial artery harvest

  • ICU management in CVICU

  • Assist device management: IABP, Impella, ECMO, eventual LVAD preferred.

  • ICU Procedures: arterial line placement, thoracentesis, chest tube removal, pacing wire removal, suturing, central line placement

  • This team is focused on the care and management of a very critical and tenuous patient. This team also is flexible and works together well in order to support the entire team and spread responsibilities .

  • Conducts patient interviews and documents patient histories, psychosocial histories, health status and medical problems or potential problems.

  • Under the direction of a physician, performs physical examinations and specialized diagnostic and/or therapeutic procedures including cast application and removal, wound suturing and dressing changes.

  • Assists physician in diagnosing medical problems, developing care plans, and prescribing treatment.

  • Orders, schedules and/or performs laboratory tests and diagnostic procedures such as urinalyses, pregnancy and blood tests, and x-rays.

  • Communicates necessity, preparation, nature and anticipated effects of scheduled procedures to patient.

  • In collaboration with physician, arranges for consultations with or referrals to other medical professional or community services.

  • Educates patient on health habits, self-examinations, behavior management, need for follow-up assessments/treatments, at home medical care, medication and other issues related to medical or health problems.

  • Participates in professional activities and organizations to maintain knowledge of current trends, practices, and developments.

  • Maintains and updates current, accurate patient records including medical assessment, interventions, and evaluations.

  • Collects and interprets diagnostic data to implement appropriate care patient care plans.

  • Prepares statistical reports and analyses of research projects and investigational protocols; reports on progress, adverse trends and appropriate conclusions and recommendations.

  • Performs related responsibilities as required.

  • MINIMUM QUALIFICATIONS:

  • Completion of an accredited Nurse Practitioner or Physician Assistant program.

  • Currently licensed as an advanced practice nurse in the state of Missouri by the Missouri Board of Nursing and certified as a Nurse Practitioner by the American Nurses Credentialing Center (ANCC) or equivalent body.

  • Licensed as appropriate in the state of Missouri.

  • May require at least one year of direct experience in one or more high acuity clinical specialties.

  • ACLS, BLS and Healthcare Provider certifications required.

PRIMARY RESPONSIBILITIES

  • T his position involves 6am-7pm rotating 12 hour shifts. Weekends are required and will rotate 1:4 to 1:6 pending staffing needs. Nights may be necessary for LVAD program to successfully operate.

  • R equirements of proficiency in EVH and CVOR.

  • First assist experience (>2 years) in CVOR specifically cardiac surgery

  • Endoscopic vein harvest; preferable to also have radial artery harvest

  • ICU management in CVICU

  • Assist device management: IABP, Impella, ECMO, eventual LVAD preferred.

  • ICU Procedures: arterial line placement, thoracentesis, chest tube removal, pacing wire removal, suturing, central line placement

  • This team is focused on the care and management of a very critical and tenuous patient. This team also is flexible and works together well in order to support the entire team and spread responsibilities .

  • Conducts patient interviews and documents patient histories, psychosocial histories, health status and medical problems or potential problems.

  • Under the direction of a physician, performs physical examinations and specialized diagnostic and/or therapeutic procedures including cast application and removal, wound suturing and dressing changes.

  • Assists physician in diagnosing medical problems, developing care plans, and prescribing treatment.

  • Orders, schedules and/or performs laboratory tests and diagnostic procedures such as urinalyses, pregnancy and blood tests, and x-rays.

  • Communicates necessity, preparation, nature and anticipated effects of scheduled procedures to patient.

  • Initiates and provides medical interventions in response to acute changes in patient conditions.

  • Provides educational services to nursing and ancillary departments and serves as an educational consultant on clinical practice issues.

  • Applies evidence based practices to achieve multidisciplinary collaboration to facilitate continuity of care.

  • Contributes to the satisfaction of the medical staff by collaborating with physicians to deliver best care.

  • Recognizes and utilizes opportunities to act as a change agent by introducing nursing practice innovations.

  • Evaluates nursing practices associated with specialty area, defines needs/problems with patient care and makes constructive suggestions that creates a positive patient outcome.

  • Works in a constant state of alertness and safe manner.

  • Performs other duties as assigned.

EDUCATION

  • Master's degree from nationally accredited Nurse Practitioner program or nationally accredited PA program.

EXPERIENCE

  • No less than two years experience

PHYSICAL REQUIREMENTS

  • Constant use of speech to share information through oral communication.

  • Constant standing and walking.

  • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.

  • Frequent sitting, reaching and keyboard use/data entry.

  • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.

  • Frequent use of smell to detect/recognize odors.

  • Frequent use of hearing to receive oral communication, distinguish body sounds and/or hear alarms, malfunctioning machinery, etc.

  • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.

  • Occasional lifting/moving of patients.

  • Occasional bending, stooping, kneeling, squatting, twisting, gripping and repetitive foot/leg and hand/arm movements.

  • Occasional driving.

  • Rare crawling and running.

SSM Health is committed to equal employment opportunity based on race, color, religion, national origin, gender, sexual orientation, gender identity, pregnancy, age, physical or mental disability, veteran status, and all other statuses protected by law.

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