APP- Cardiac Surgery, Surgical, NE

Primary Responsibilities

• Provide care to critically ill patients in the Cardiothoracic ICU, including those on ECMO, Impella, IABP, and CRRT.
• Serve as first and second assist in cardiothoracic surgical procedures, such as: Endoscopic vein harvesting using Terumo or Hemopro systems. Endoscopic radial artery harvesting.
• Perform bedside procedures: Thoracentesis, central/arterial line placement, chest tube insertion/removal. Temporary pacing wire removal and other advanced interventions.
• Manage preoperative, perioperative, and postoperative care, including consults and discharge planning.
• Conduct daily rounds, write progress notes, and lead care coordination efforts.
• Collaborate closely with cardiothoracic surgeons, intensivists, anesthesiologists, and nursing teams to ensure high-quality outcomes.
• General Inpatient Medical Management: Conduct comprehensive patient assessments and physical exams. Order and interpret laboratory and imaging tests; develop and adjust treatment plans accordingly. Prescribe medications and therapies based on current clinical guidelines. Participate in the care of patients on inpatient consult services, including those admitted under Surgery, Medicine, Trauma, Pediatrics, and Ob/Gyn. Support emergency and inpatient assessments, triage decisions, and follow-ups.
• Educate patients and families about procedures, recovery expectations, and health management strategies.

Required Skills and Qualifications

• Graduate of an accredited Nurse Practitioner or Physician Assistant program with current board certification.
• Active state NP or PA license and prescriptive authority.
• Minimum of 2 years’ experience in a surgical or hospital-based acute care setting (CT Surgery experience strongly preferred).
• Skilled in ICU management and invasive bedside procedures.
• Strong knowledge of anatomy, pathophysiology, pharmacology, and medical-surgical care.
• Excellent clinical judgment, teamwork, and communication skills.

Work Schedule

24/7 in-house coverage of Cardiac Surgery Service utilizing 24-hour shifts. Flexibility for 8, 10, or 12-hour shifts based on clinical demand.