Advanced Practice Professional (Nurse Practitioner) Medicine Pulmonary Service

About the role

The Medicine Pulmonary service is a team of advanced practice providers (APPs) that provide care to an array of medically complex patient populations at acuity levels including general care, moderate, and ventilator care, with the largest patient population at the moderate/ventilator care level. The service cares for several pulmonary population subsets including patients that are waiting for or have received a pulmonary transplant, adult patients with cystic fibrosis, post-operative interventional pulmonary patients, and serves as the primary inpatient service for adult patients requiring chronic invasive and non-invasive ventilation who are admitted for a variety of medical issues.

Responsibilities

• Duties Will Include But Are Not Limited To:
  • Perform initial assessments of ventilator/moderate care patients and general care patients.
  • Perform detailed history and physical, formulate initial assessment and plan, and present patient cases and any pertinent data to medical staff.
  • Provide continuing care and discharge management of patients on the service.
  • Order, collect, and interpret reports from diagnostic lab testing, radiographic procedures, and other clinical studies.
  • Prescribe medications and enter other orders related to patient care.
  • Perform various diagnostic, therapeutic, and procedural clinical interventions, based on privileges such as management of chest tube removals, tracheostomy removal/change.
  • Manage mechanical ventilation, non-invasive ventilation, heated hi-flow nasal canula for chronic and acute on chronic respiratory failure within unit guidelines.
  • Manage antibiotics and antifungals.
  • Manage hemodynamically stable gastrointestinal bleeding and liver failure patients.
  • Manage renal failure patients requiring dialysis.
  • Manage immunosuppression and opportunistic infections in transplant patients.
  • Manage chest tubes, including decision to place, administering thrombolytics, placement on suction or water seal or clamp, decision to remove chest tube.
  • Run ACLS codes for cardiac arrest.
  • Initiate transplant evaluations for end stage lung and end stage liver patients.
  • Assist attending physicians in orientation of new medical trainees to the service, such as resident physicians or medical students; assist in the training of new advanced practice providers to the service; assist in maintaining continuity of care throughout the hospital stay.
  • Communicate appropriately with attending physicians, consultants, and other members of the patient care team in order to coordinate and provide clinical care.
  • Maintain accurate and thorough documentation regarding patient status, evaluations, and treatments.
  • Streamline the patient transfer process between levels of care, including writing discharge orders and summaries and communicating specific patient needs to internal and external care centers or team members, as well as ambulatory care providers as needed.
  • Participate in quality assurance activities including quality improvement projects, peer evaluations and support research initiatives.
  • Auxiliary responsibilities include assisting in the development of patient-specific, facility-based disease management protocols; performing other related duties as required to assure patient safety and satisfaction; and utilizing new improvements and/or technologies that relate to job assignments.

Requirements

• NP: Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State of Michigan. Graduate of an accredited Nurse Practitioner program. Certification as a Nurse Practitioner recognized by the National Council of State Boards of Nursing (NCSBN). Current specialty certification to practice as an Adult Gerontology Acute Care Nurse Practitioner or Current specialty certification to practice as a FNP, AGPCNP, or ANP ? with 3 years? experience as an APP in general or moderate care inpatient clinical environment with the same acuity and patient population-within the past 4 years. Current DEA registration required. ACLS required (separate AHA approved BLS also required unless ACLS was completed through the UMHS Simulation Center).
• PA: Current license to practice as a Physician Assistant in the State of Michigan. Satisfactory completion of a Physician Assistant program accredited by Accreditation ReviewCommission on Education for the Physician Assistant (ARC-PA) or one of its predecessor agencies, CAHEA or CAAHEP. Certification by the National Commission on Certification for Physician Assistants (NCCPA). State of Michigan Controlled Substance License Required. Current DEA registration required. ACLS required (separate AHA approved BLS also required unless ACLS was completed through the UMHS Simulation Center). Experience rounding on an inpatient service as a credentialled APP caring for acutely ill patients.

Qualifications

• 8 months Advance Practice Experience.
• Clinical experience with mechanical ventilation, non-invasive ventilation, heated hi-flow nasal canula for chronic and acute on chronic respiratory failure.
• Demonstrated ability to coordinate clinical care ideas across multiple patient care services and to communicate as a patient advocate.
• Ability to prioritize assignments and manage a busy work environment.

Skills

• None specified.

Benefits

• Full Time Salary range: $130,630 - $200,734 / year.
• Flexible Health, Dental, and Vision Plans.
• Retail Savings Plans with 2:1 Matching.
• Group Term Life Insurance.
• Long Term Disability Plan.
• Generous Time Off Allowances.
• $2200 Annual Professional Development Funds (0.5 FTE Appointment or above).
• Paid Release Time for Professional Education Activities.
• Paid Maternity and Parental Leave.
• Tuition Support Progam.
• Wellness Plans.

Pay

• Full Time Salary range: $130,630 - $200,734 / year.

Schedule

• Primary 7pm-7am Week and Weekends nights rotating as needed.
• Week and Weekend days.