Nurse Practitioner/Physician Assistant (Pulmonary And Critical Care)
Medical College of Wisconsin
POSITION IDENTIFICATION
Job Title: Nurse Practitioner or Physician Assistant
Department: Medicine
Division: Pulmonary Critical Care
Location: Froedtert Hospital, Medical Intensive Care Unit
Workweek: Variable hours to cover Monday-Friday; Future schedule may require weekend and holiday
SUPERVISORY RELATIONSHIPS
Supervising/Collaborating Physician: Rose Franco, MD
Administrator: Jennifer Oium
Supervises: None
POSITION PURPOSE
Advanced Practice Nurse
Provide critical care services within defined scope of practice in collaboration with a licensed physician and in accordance with MCW/FMLH/CHW policies and procedures.
Physician Assistant
Provide critical care services within defined scope of practice under the supervision of a licensed physician and in accordance with MCW/FMLH/CHW policies and procedures.
Department Position Purpose:
Works with pulmonary and critical care faculty in collaboration with a multidisciplinary health care team including members of the teaching service.
Position requires a strong clinical competence and critical decision-making and confidence in ability to assess, diagnose, and treat critically ill patients and manage all aspects of care from admission to transfer from the critical care service.
CORE RESPONSIBILITIES
1. Performs comprehensive histories and physical exams, 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 on disease 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. Participates in daily teaching rounds, and presents daily patient information.
2. In collaboration with the intensivist, provides initial and ongoing patient assessment, diagnosis, and treatment of critically ill patients. Completes daily patient documentation, writes appropriate orders, and provides education to patients and families. Communicates with consulting services, and integrates recommendations into the plan of care. Provides accurate hand-offs to covering providers and during transfer to other services.
3. Performs procedures as indicated. Including, but not limited to: central venous lines, arterial lines, thoracentesis, and paracentesis.
4. Facilitates and communicates with patient, family and staff to promote continuity of care. Participates in family meetings.
5. Collaborates and communicates with the multidisciplinary team and teaching service.
MINIMUM POSITION QUALIFICATIONS
Education Requirements
Advanced Practice Nurse
Master's Degree (appropriate education and experience may be substituted on equivalent basis)
Physician Assistant
Bachelor's Degree or higher in Physician Assistant Studies
Experience
• Zero years of experienced required
• Prior critical care experience is desirable.
Certifications/Licenses
(Must be current and maintained)
Advanced Practice Nurse
• Wisconsin RN license
• Wisconsin Advance Practice Nurse Prescriber License
• Certification as Advance Practice Nurse
Department Specific Certifications/Licenses
• ACLS
• FCCS Course Completion within first 6 months.
• Certification as Acute Care Nurse Practitioner is preferred. Will consider a family or adult certification with relevant experience.
Physician Assistant
• Wisconsin PA license
• Certification by NCCPA
Department Specific Certifications/Licenses
• ACLS
• FCCS Course Completion within first 6 months.
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, 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.
BACKGROUND CHECKS
Employment in this position is contingent upon successfully passing
Background, criminal history and caregiver misconduct check in accordance with the Wisconsin Caregiver Background Check Law.
PHYSICAL DEMANDS
Manual Dexterity: Work requires accuracy and moderate speed.
Physical Effort: Work requires considerable variety of fairly steady active physical exertion with some and/or continuous standing or walking.
Working Conditions: May include exposure to conditions requiring the use of personal protective equipment.
Hazards: Exposure to hazards that may result in short-term work-related absences. Exposure to blood-borne pathogens and hazardous materials.
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The above statements are intended to describe the general nature and level of work being performed by most people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, and requirements. Scheduling flexibility is required to accommodate changing business needs.
• Equal Opportunity Employer Minorities/Women/Veterans/Disabled
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