Job Overview:
The Advanced Practice Provider in Critical Care is a physician assistant prepared with graduate level nursing education and authorized to practice and prescribe as an advanced practice provider (APP), in collaboration with one or more members of the interdisciplinary healthcare team. Advanced clinical practice in nursing includes the following components: assessment of patient health status, diagnostic testing, diagnoses, development of treatment plans, implementation of treatment plans, follow-up and evaluation of the patient’s response to treatment, accurate documentation of the patient’s status, and patient advocacy. APPs are clinical experts who design, implement and evaluate patient-specific and population-based programs of care and promote care through a variety of methods. APPs must have a collaborating physician(s) in an associated Physician Assistant Supervision Agreement Application. The APP must spend 50% of hours worked utilizing prescriptive authority in their advanced clinical practice role.
Job Requirements:
Graduate of an approved technical, professional, or vocational program with a BA/BS plus 2 years post-graduate evaluation
Basic Life Support for Healthcare Providers (BLS) and ACLS
Prescriptive Authority
NCCPA certification
Passing grade on initial NCCPA board exam and Recertification every 6 years
Demonstrated exceptional interpersonal relations and problem solving
Strong interest in acute patient care in an inpatient setting
State Physician Assistant License, NCCPA certification, BLS, ACLS
Passing grade on initial NCCPA board exam and recertification every 6 years
ENLS, FCCS
Job Responsibilities:
Utilizes, participates in, integrates, and disseminates research, evidence-based practice (EBP), or quality improvement projects to enhance clinical practice and patient outcomes. May serve as primary or co-investigator, or member of the investigative team in conducting nursing or collaborative research, critically evaluating existing practices based on current research findings. Serves as preceptor, role model and mentor to staff nurses and colleagues as well as nursing students and other healthcare professionals to advance the care of patients, promote nursing research, EBP. Provides education to the patient and their family to promote best practices and for health promotion including secondary prevention strategies. Collaborates in the assessment, development, implementation and evaluation of patient and staff educational needs.
At least 50% of position involves direct management of the patient’s and/or family’s care. Independently performs and documents a complete history and physical examination, including psychosocial assessment. Prescribes drugs and therapeutic devices consistent with the formulary under section 4723.50 of the Ohio Revised Code. Assesses for interactive and synergistic effects of multiple pharmacologic and non-pharmacologic interventions. Orders laboratory and radiologic tests and interprets the results. Collaborates with physician(s) to plan to implement a comprehensive plan of care. Discusses patient’s care with family members. Performs duties per the Physician Assistant Supervision Agreement Application
Collaborates and consults with the interdisciplinary healthcare team, the patient and family when diagnosing, prioritizing problems, and implementing interventions. Provides consultation and initiates referrals to other healthcare team members and promotes collaboration among other members of the interdisciplinary healthcare team. Assists interdisciplinary team members, patients, and families in selecting therapies that integrate perspectives of cost and quality of benefits. Collaborates with other disciplines in teaching, consultation, management, and research activities to improve outcomes in nursing practice and enhance the healthcare environment.
Provides effective leadership. Integrates analysis of cost and benefits in care decisions. Designs/Develops innovative solutions for patient care problems that utilize resource efficiency while maintaining or improving quality and advancing best practices. Provides leadership in the development and application of consensus derived protocols or evidence-based practice (EBP) guidelines in the clinical setting. Participates, as opportunities arise, in healthcare-related decision-making at the system, local, state, and national levels with an emphasis on improving patient outcomes. Serves in key roles by participating in/leading committees, councils, and administrative teams.
Ensures nursing practice is conducted in an ethical and legal manner. Abides by the Ohio Scope of Practice as an APP. Provides safe, compassionate, competent, and ethical care. Demonstrates the highest level of accountability for professional practice. Preserves the patient’s dignity. Serves as a patient advocate by promoting advanced directives and adherence to the patient's wishes. Contributes and promotes the discussions of end-of-life decisions and palliative care with the patient, family members, physician and the health care team as appropriate.
Other Job-Related Information:
Working Conditions:
Bending - Consistently
Climbing - Consistently
Concentrating - Consistently
Continuous Learning - Consistently
Hearing: Conversation - Consistently
Hearing: Other Sounds - Consistently
Interpersonal Communication - Consistently
Kneeling - Consistently
Lifting <10 Lbs. - Consistently
Lifting 50+ Lbs. - Consistently
Lifting <50 Lbs. - Consistently
Pulling - Consistently
Pushing - Consistently
Reaching – Consistently
Reading - Consistently
Sitting - Consistently
Standing - Consistently
Stooping - Consistently
Talking - Consistently
Thinking/Reasoning - Consistently
Use of Hands - Consistently
Color Vision - Consistently
Visual Acuity: Far - Consistently
Visual Acuity: Near - Consistently
Walking - Consistently
TriHealth SERVE Standards and ALWAYS Behaviors
At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:
Serve: ALWAYS…
• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas
Excel: ALWAYS…
• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service
Respect: ALWAYS…
• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone’s opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.
Value: ALWAYS…
• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
Engage: ALWAYS…
• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community