Adult Cardiac Surgery APP - UofL Health - Jewish Hospital

The APP will work in collaboration with the Adult Cardiac Surgery provider teams and provide comprehensive care to adult cardiac surgery patients in the step-down units. The chosen candidate will collaborate with the CVICU provider teams in the evaluation of patients in the CVICU. 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 adult cardiac surgery 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.

The APP will provide care to patients in step-down units and other units of the hospital. Population of patients managed/cared for includes, but is not limited to, those s/p coronary artery bypass grafting, valve replacements, aortic dissection repair, acute decompensated heart failure, percutaneous temporary ventricular assist support devices, LVADs, and heart transplants.

• Clinical Assessment and Management: Performs comprehensive histories, physical exams, and daily progress notes for ICU and step-down patients. Manages critical care therapies, including inotropes, central venous lines, antiarrhythmics, and anti-coagulation.
• Care Planning and Collaboration: Partners with collaborating physicians to formulate treatment plans, write prescriptions, order/interpret diagnostic tests, and manage patient discharges.
• Team Leadership and Continuity: Directs a multidisciplinary critical care team to ensure high-quality, continuous patient care. Mentors and facilitates the learning of residents, students, and professional staff.
• Communication and Advocacy: Communicates respectfully with patients and families regarding prognosis, care decisions, ethical issues, and advance directives.
• Professional Development and Research: Promotes evidence-based practice through clinical research and maintains professional certifications through continuing education.

The schedule is for a flex position and may include weekend rounds, day or night coverage. Some holiday coverage is required.

• APRN: Graduate of accredited program with Master of Science in Nursing. Board Certification Required. Acute Care Certification focus preferred but not required. Required Licensure: APRN and RN in state of Kentucky
• 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. Physician Assistant in state of Kentucky
• ACLS/BLS certification and DEA can be obtained upon employment.