PRN Critical Care Nurse Practitioner (NP) or Physician Assistant (PA)

Position Duties Include

• This position is PRN and requires both day shift and night shift. Shifts are 7-7.
• Provide in house overnight coverage for ICU patients and new admissions with supporting physician. No on-call requirements.
• Supports the Mission, Vision, and Values of Munson Healthcare.
• Manages complex acute, critical, and chronically-ill adult patients at risk for urgent and emergent conditions, using both physiologically and technologically derived data, to manage physiologic instability and risk for potential life-threatening conditions.
• Obtains medical histories, performs physical exam, and develops assessment and plan.
• Collaborates, as appropriate, with others to diagnose and manage acute and chronic and/or multi-system health problems including, but not limited to: Acute Respiratory Distress Syndrome, pneumonia, Sepsis, Diabetic Ketoacidosis, Stroke (both hemorrhagic and ischemic), Acute Abdomen and Traumas.
• Identifies the presence of comorbidities and the potential for rapid physiologic deterioration or life-threatening instability.
• Collaborates with intraprofessional and interprofessional team to achieve optimal patient outcomes during acute, critical and/or complex chronic illness including daily rounding with the interdisciplinary team.
• Employs interventions, both pharmacologic and nonpharmacologic, to regain and maintain physiological and psychological stability.
• Performs diagnostic and therapeutic interventions including but not limited to: Interpretation of EKG and imaging studies, Laboratory and Radiologic Studies, Respiratory support, Hemodynamic monitoring, Lumbar puncture, Wound debridement and Closure, central line, arterial line, hemodialysis catheters, chest tubes, thoracentesis/paracentesis, and suture removal.
• Implements interventions to support the patient with a rapidly deteriorating physiologic condition based on Advanced Cardiac Life Support and Fundamentals of Critical Care Support.
• Collaborates with the patient, family, and others to provide palliative and end-of-life care options.
• Provide Consult Services in coordination with a partnering (in the case of a Physician Assistant) or supervising (in the case of a Nurse Practitioner) physician.
• Provides care coordination, which includes managing a variety of ancillary services, pre-operative plans, discharge planning, provider referrals and medical devices such as insulin pumps, defibrillators, and pacemakers.
• Maintains patient health records according to established standards and guidelines.
• Provides clinical direction to nursing staff regarding the continued care of patients.
• Performs other duties and responsibilities as assigned.
• Perform daily rounds with multidisciplinary team.
• Consult services and work under a supervising physician.
• EHR Oracle Health

Qualifications

Nurse Practitioner:

• Master of Science in Nursing or Doctor of Nursing Practice degree from an accredited (CCNE) Nursing Program
• Certification as an Acute Care Nurse Practitioner or Family Nurse Practitioner with further acute care education or training
• Current Unencumbered Nursing and Specialty Nurse Practitioner License in the State of Michigan

Physician's Assistant:

• Master of Science in Physician Assistant Studies degree from an accredited (ARC-PA) Program
• Certification as a Physician Assistant by the American Academy of Physician Assistants (AAPA)
• Current Unencumbered Physician Assistant license in the State of Michigan

Provider ICU experience required.