MUSCP - Advanced Practice Provider (APP - NP/PA) - Department of Surgery: Division of CT Surgery- VA

Job Description Summary

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Job Description

Job Summary/ Purpose: The Division of Cardiothoracic Surgery at the Medical University of South Carolina is hiring one Advanced Practice Provider to support our Heart Transplant and Ventricular Assist Device (VAD) surgical services. The ACNP/PA will be an integral part of the multidisciplinary heart failure team including attending cardiac surgeons and heart failure cardiologists, residents, and students. 

Fair Labor Standards Act Status: Salaried/Exempt

Hours per week: 40

Scheduled Work Hours/Shift: Monday-Friday 8 hour days

Patient Population Focus
Inpatient, Outpatient as needed

Patient Population Age Range
18 years-death

Required Minimum Training
Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN as noted below.

• Physician Assistant

or

• APRN License Type/Certification:

  • AGPNP/ANP (Adult Gerontology Primary Care NP or Adult NP): Adult pts (13 years to death), stable chronic disease state management or primary care setting.

Required Minimum Experience: Minimum of 2 years of experience in caring for heart transplant and ventricular assist device surgical patients as an Acute Care Nurse Practitioner or Physician Assistant.

Preferred Training

• Physician Assistant

or

• APRN

  • AGACNP/ACNP (Adult Gerontology Acute Care NP/Acute Care Nurse Practitioner): Adult pts (13 years to death), acutely ill or injured, potentially unstable, or technologically dependent (vents, drips, monitors, etc.)

Degree of Supervision
Advanced Practice Registered Nurse or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician.

Required Licensure, Certifications, Registrations

All certifications must be current and complete prior to start date:

Basic Life Support (BLS).

Advanced Cardiovascular Life Support (ACLS)

DHEC and DEA license applications must be started prior to first day.
 

Job Duties (list job tasks)

Provides direct care to patients through the following activities:

• Takes comprehensive history and performs physical examinations
• Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline

• Performs the following therapeutic procedures in accordance with procedural privileges, skill and proficiency as approved by the Clinical Division Chief

  • Placement of peripheral IVs
  • Wound Care including changing of wound VACs or dressing
  • Nasogastric tube placement
  • Initiates referrals to other health care provides, and/or consults with the attending physician or the collaborating physician
  • Chest tube removal; epicardial wire removal

• Initiates referrals to other health care providers, and/or consults with the attending physician or the collaborating physician
• Documents and bills for direct care provided
• Utilizes current research and evidence-based decision-making in all clinical practice
• Performs and participates in quality/performance improvement activities and clinical research
• Participates in and supports accreditation, compliance, and regulatory activities of the organization
• Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education
• Potential to precept students at MUSC enrolled as an advanced practice provider student; and facilitates the learning of other new team members
• APRN or PA must maintain licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law
• The primary roles of the NP/PAs will focus on inpatient care of heart transplant and VAD patients who are cared for on the cardiac surgical service.  The patient census will mostly be comprised of post-surgical heart transplant and VAD patients, but will also include readmitted transplant/VAD patients with surgical issues. These duties will include inpatient rounding both in the ICU and on the stepdown units, clinical documentation including history and physicals and progress notes, monitoring patient progress, regular communication with attending, resident, and nursing staff, and participation in discharge planning and coordination of post-discharge care.  In addition, attendance at relevant weekly advanced heart failure conferences such as heart transplant selection meeting which will encourage decision-making and initiative in optimizing patient care with physician guidance.  Attending outpatient surgical heart failure clinic 1 day every other week will also be required (twice per month).     

Physical Requirements

Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces. 

Additional Job Description

The Department of Surgery is dedicated to ensuring the voices of our trainees, staff, faculty, and patients are heard; their thoughts are respected and their feelings are valued.  We pride ourselves on creating an inclusive culture dedicated to helping shape the field of surgery to be more diverse. We value our residents, fellows, faculty, and staff of every race, religion, national origin, sexual orientation, gender identity, and disability. Our goal is to continue to expand our diversity within our talented team, which leads to even more inclusive patient-centered care. Please click on the link below to learn more about our diversity efforts.

https://medicine.musc.edu/departments/surgery/diversity-and-inclusion 

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees