Nurse Practitioner Or Physician Assistant

Medical College of Wisconsin

POSITION PURPOSE

Advanced Practice Nurse

Provides primary or specialty health care services within defined scope of practice in collaboration with a licensed physician and in accordance with MCW/FMLH/CHW policies and procedures.

Department Position Purpose

The Advanced Practice Provider (APP) works as part of a multidisciplinary health care team. The APP functions as an intensivist within the 3NT intensive care unit and manages all aspects of the assigned patient's intensive care stay from admission to transfer. The APP has a strong foundation in evidenced based practice and ensures an environment of safe quality care. The APP demonstrates an advanced level of medical knowledge, clinical/technical competence, solid clinical decision making and critical thinking skills, professional communication skills, timely and compliant documentation, and is responsible for personal and professional development and competency validation.

Physician Assistant

Provides primary or specialty medical care within defined scope of practice under the supervision of a licensed physician and in accordance with MCW/FMLH/CHW policies and procedures.

CORE RESPONSIBILITIES

1. Performs comprehensive histories and physical exams and identifies normal and abnormal findings, including physical, cognitive and psychosocial status.

2. Orders and interprets laboratory and diagnostic tests.

3. Develops pharmaceutical and non-pharmaceutical treatment plans.

4. Monitors effectiveness of plan of care.

5. Educates patients and families on injuries and treatment plans.

6. Performs procedures as trained and appropriately credentialed.

7. Documents within the Electronic Medical Record (EMR) and completes other necessary documents.

8. Collaborates and/or consults with physicians and other health care providers as appropriate.

9. Educates, counsels, and assists patients and families regarding current health problems, health maintenance activities and preventive behaviors.

Department Specific Responsibilities

1. Attends daily rounds with the Attending Intensivist Physician team, presents 24 hour patient report.

2. Collaborates with interdisciplinary health care teams in diagnosis and treatment of critically ill, multisystem failure patients.

3. Writes accurate and timely progress notes, procedure notes, and admission and transfer orders.

4. Performs advanced procedures consistent with privileges and competency validation, including but not limited to minor suturing, complex wound management, line and tube placements and removal, ultrasound guided evaluations/procedures and ventilator management

5. Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient continuum of care. Participates in family meetings.

6. Acts as liaison for communication of care plans and discharge destinations from ICU to floor teams.

MINIMUM POSITION QUALIFICATIONS

Education Requirements

Advanced Practice Nurse

MasterÃ¢â‚¬â„¢s Degree (appropriate education and experience may be substituted on equivalent basis)

Physician Assistant

Will consider a Bachelor's Degree in Physician Assistant Studies if candidate has prior experience in this environment.

Master's Degree in Physician Assistant Studies.

Experience

Minimum of 2 years as an NP/PA with acute care or critical care experience.
Previous experience in critical care medicine, with cardiac, transplant or heart failure population at a Level I or Level II Trauma Center preferred.

Certifications/Licenses

(Must be current and maintained) Department Specific Certifications/Licenses

Advanced Practice Nurse Wisconsin RN license Wisconsin Advance Practice Nurse Prescriber License Certification as Advance Practice Nurse	ACLS For NP applicants only-Certification as an Acute Care or Critical Care Nurse Practitioner. Will consider Certification as an Adult or Family Nurse Practitioner if applicant has current ICU experience with this patient population.
Physician Assistant Wisconsin PA license Certification by NCCPA

CORE COMPETENCIES

Medical Knowledge

Makes appropriate decisions based on education, analysis, wisdom, experience, and judgment.
Uses methods that effectively solve difficult problems, explores available resources for answers, and identifies obscure problems.

Patient Care

Uses time effectively and efficiently. Prioritizes. Completes work by required deadlines. Manages and coordinates a wide range of activities.
Focuses on essentials. Identifies and manages critical needs, and appropriately postpones or delegates less critical activities. Creates focus, identifies impediments to goals for care.

Interpersonal and Communication Skills

Is approachable. Listens. Displays sensitivity, patience, diplomacy and tact in relationships. Builds rapport.
Relates appropriately to a variety of people in all positions. Creates effective team relationships. Diffuses high stress situations.
Writes clearly and succinctly in a variety of communication settings. Creates effective documents and messages.

Practice-based Learning and Improvement

Applies current research and evidence based practice guidelines to own practice.
Identifies personal strengths and areas for improvement. Seeks feedback. Gains insight from mistakes. Is open to constructive criticism and is not defensive. Is receptive to discussing areas for improvement.

Systems-based Practice

Demonstrates functional and technical knowledge and skills to perform the work at the highest level of accomplishment.
Incorporates other resources in system to provide optimal health care.

Professionalism

Adheres to ethical principles. Is widely trusted, direct and truthful. Maintains patient confidentiality. Keeps confidences. Owns mistakes. Does not misrepresent self for personal gain.

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