Pulmonary Critical Care APP Position - Nights Only

Position Summary

The Critical Care APP provides comprehensive management of critically ill adult patients within a medical ICU with multiple service lines including thoracic surgery, vascular surgery, general surgery, interventional cardiology. Intensive Care Units at these sites are open units with mandatory intensivist consultation. This role is designed as a performance-based position with accountability for clinical quality, operational efficiency, patient outcomes, interdisciplinary collaboration, and adherence to evidence-based critical care practices.

Primary Responsibilities

• Manage critically ill patients in collaboration with intensivists.
• Perform comprehensive assessments, diagnostic evaluations, and treatment planning.
• Respond to acute clinical deterioration and critical care emergencies.
• Perform credentialed procedures including arterial line placement, central venous catheter insertion, temporary dialysis catheter insertion, intubation assistance, and thoracentesis.
• Document care accurately and complete billing documentation within established timelines.
• Work directly with eICU and on-call physician team during evening shifts.
• Support efficient ICU patient flow and timely completion of admissions, transfers, and discharges.
• Participate in multidisciplinary rounds and coordinate care across nursing, respiratory therapy, pharmacy, and consulting services.
• Contribute to quality initiatives related to sepsis, ventilator management, CLABSI/CAUTI reduction, and evidence-based ICU bundles.
• Participate in performance improvement activities.
• Participate in regionalized scheduling coverage expectations.
• Support of cross-site ICU coverage when operationally required.
• Participation in Sentara PCCM onboarding, simulation, or ultrasound initiatives.
• Maintain required licensure, certifications, and credentialing.
• Complete departmental onboarding and competency requirements.
• Participate in ongoing critical care education, simulation training, and procedural competency assessments.
• Contribute to APP education, onboarding, or mentoring activities as appropriate.
• Emergency Neurologic Life Support and Fundamentals of Critical Care Support within the first year of employment.

Performance Expectations

• Clinical Quality: Consistent adherence to evidence-based critical care protocols and quality measures.
• Documentation Timeliness: Completion of required documentation and billing within departmental standards.
• Procedural Competency: Maintenance of credentialed procedural skills and competency requirements.
• Patient Throughput: Timely management of ICU admissions, transfers, and discharges.
• Team Collaboration: Positive interdisciplinary communication and participation in rounds and care coordination.
• Safety & Compliance: Adherence to hospital policies, credentialing requirements, and patient safety standards.
• Professional Contribution: Participation in quality improvement, education, onboarding, or departmental initiatives.

Key Performance Indicators

• Documentation completion rate
• Ventilator bundle compliance
• Participation in QI projects
• Completion of onboarding education and competency modules within 6 months of employment
• Billing capture accuracy
• Sepsis bundle compliance
• Procedural success and complication rates
• Peer and interdisciplinary feedback