Advanced Practice Provider (APP - NP/PA)- Department of Pulmonary Critical Care Nocturnist- MUSC Health Florence, SC

MUSC Health Florence Pulmonology and Critical Care is seeking an Advanced Practice Provider Nocturnist that assesses, plans and provides patient care under the supervision of a physician. Examines patient, performs comprehensive physical examinations, and compiles patient medical data, including health history and results of physical examination. Orders and interprets appropriate laboratory and radiographic tests. Participates in daily patient rounds, writes progress notes, conducts patient education, writes prescriptions, and prepares discharge summaries.

Fair Labor Standards Act Status: Salary

Hours per week: Varies

Scheduled Work Hours/Shift: 7on7off Nocturnal

Patient Population Focus: Inpatient

Patient Population Age Range: 13 years-death

Required Minimum Training and Experience
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
• 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.
• FNP (Family NP): (birth to death) Stable chronic disease state management, primary care across the lifespan.

Required Experience: Minimum of 2 years of ICU experience

Preferred Training and Experience

Preferred Training: Physician Assistant or if APRN License Type/Certification:

• 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.)

Preferred Experience: ICU experience

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)
If applicable, DHEC and DEA license applications must be started prior to first day.

Job Duties:
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
• Performs the following therapeutic procedures in accordance with procedural privileges, skill and proficiency as approved by the Clinical Division Chief. The Nurse Practitioner will assist/perform the following, but NOT limited to:

o Lumbar Puncture
o Central Venous line placement
o Pulmonary Artery Catheterization
o Arterial line placement
o Endotracheal Intubation
o Chest Tube placement
o Bronchoscopy
o Thoracentesis
o Paracentesis
o Perform suturing/stapling, and removal of catheters/tubes/drains as needed.

• Initiates referrals to other health care provides, and/or consults with the attending physician or the collaborating physician
• Potential to first assist in the operating room
• 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
• 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