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Job TitleCoordinator APRN PA- Critical Care Transport (Interdepartmental Only)

                        

LocationCleveland

                    

FacilityCleveland Clinic Main Campus

                     

DepartmentCritical Care Transport-Medical Operations

                      

Job CodeT31182

                     

ShiftDay/Evening/Night/Weekend

                       

Schedule6:30am-6:30pm

                       

Job Summary

                         

Job Details

Cleveland Clinic’s Critical Care Transport Team is currently seeking an experienced Nurse Practitioner (Acute Care Certified) for an APRN PA Coordinator position with the team.  This coordinator will function as an APRN/PA in collaboration with the APRN PA leadership and physician. This position will be structured as 50% clinical and 50% administrative.  Typical administrative duties will include (but are not limited to): HR functions, direct supervision of all advanced practice providers within the department, scheduling support, and quality projects. The schedule will include day/night/weekend/holiday rotations as well as call. Minimum of 1 year of APP experience with the Critical Care Transport Team is required, with previous supervisory experience preferred. New graduates will not be considered for this position.

Overnight and international travel requiredTravel to each base required (CCF main campus, Burke Lakefront Airport, Wadsworth Airport, CCF Administration Building Beachwood)

EXPERIENCE:

Due to the highly autonomous nature of this role, the ideal candidate will be a highly motivated medical professional with a minimum of 5 years of Critical Care ICU or Emergency Department experience as an RN or ACNP/AG ACNP at a large tertiary/quaternary facility. Critical Care ICU experience preferred.

OVERVIEW OF ROLE & JOB RESPONSIBILITIES:

The ACNP is the provider caring for the patient on all rotor wing and fixed wing transports. They are responsible for the assessment, diagnosis, treatment and interventions necessary for the patient while working in the team environment with the Registered Nurse or Paramedic. 

Assessing, stabilizing, and managing critically ill and injured patients during interfacility or scene transports, prior to and during transport.Assess health status by obtaining relevant health and medical history.Performs a physical exam based upon the age and patient history as per the Standard Care Arrangements with the collaborating physician.Documents findings in medical record immediately post mission.Orders, interprets and evaluates laboratory test and other diagnostic studies to assess patient's clinical problems and health care needs. Collaborates with nursing, medical and other healthcare team members regularly to ensure safe and quality patient care.May prescribe and monitor medications as allowed by prescriptive authority through Ohio Board of Nursing, CCF Policies, and CCF Institute Guidelines.Placement of arterial lines, central lines, advanced airway management, ventilator management, and tube thoracostomy.Assuring appropriate triage and resource utilization.Medical control for nursing staff on the mobile intensive care unit.

*eHospital – The NP functions as the provider through distance health tools for patients in ICUs and extended care facilities.

Oversees the Advanced Practice Registered Nurse/Physician Assistant function at the institution of practice. May assist administration with scheduling, and review of APRN/PA duties and responsible for ensuring appropriate utilization of APRN/PA's throughout the organization. Functions as an APRN/PA in collaboration with a Physician.

Job Responsibilities:

Oversees APRN/PA's practice within the department/hospital/institute.With the supervision of the Administration, assists with the hiring, orientation, reviewing, scheduling, supervising and training of APRN/PA's.Schedules and assigns Advanced Practice Registered Nurses/Physician Assistants to maintain appropriate staffing and coverage.Develops and implements competencies for Advanced Practice Registered Nurses/Physician Assistants (with assistance from the APRN/PA Directors).Attends assigned meetings.Communicates any new or updated information from Administration.Conducts thorough medical histories, performs complete physical examinations based upon the age and patient history as per the Standard Care Arrangement with a collaborating physician.Identifies significant health and medical risk factors.Orders, interprets and evaluates laboratory test and other diagnostic studies to assess patient's clinical problems and health care needs.Develops a diagnosis by analyzing and synthesizing collected data.In collaboration with the physician, develops a treatment plan along with the patient and significant others.Performs diagnostic or therapeutic interventions consistent with certification, law and Cleveland Clinic privileges.Prescribes and monitors medications as allowed by prescriptive authority through the applicable state Board of Nursing and CCF policy.Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards.Performs routine procedures such as injections, immunizations, suturing and wound care, managing simple conditions produced by infection or trauma, assisting in the management of more complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in response to life-threatening situations, as privileged by CCF Credentialing Board.Performs specialized procedures as per delineation of privilege.Other duties as assigned.

Education:

PA:  Graduate of an A.R.C.-approved Physician Assistant Program.Master's degree in Physician Assistant Studies and/or applicable state licensure through the State Medical Board for certificate to practice.APRN: Effective 05/01/2014: MSN required upon hire or within 5 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role.Applicable state licensed through the State Medical Board for certificate to practice.

Certifications:

APRN: Currently licensed as a Registered Nurse and Advanced Practice Registered Nurse in applicable state.National certification as Advanced Practice Registered Nurse by nationally accredited organization recognized by state Board of Nursing, current licensure by applicable state Board of Nursing, (including certificate to prescribe if applicable).Basic Life Support (BLS) through the American Heart Association (AHA) required.Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.PA: Current certification as a Physician Assistant through the NCCPA (or successor).Must have Prescriptive authority or eligible to apply for licensure to prescribe from the State Medical Board within the first 6 months of hiring.Must have a Physician Supervision Agreement (listed on State Medical Board website) and/or signed addendum to Physician Supervision Agreement.Must be privileged by CCF's Credentialing Board.If candidate has held a license to prescribe within another jurisdiction and needs to obtain a Master's degree in order to apply for CT prescribe from applicable state, the candidate will be subject for review for eligibility for hiring within our system. Basic Life Support (BLS) through the American Heart Association (AHA) required.Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA) may be required based upon work setting.Any registered nurse or advanced practice nurse must obtain a cancer specific certification or demonstrate ongoing qualifying education within the timeframe of the facilities accreditation cycle, if they work in  medical oncology, radiation oncology,  cancer center or cancer clinic and/or administer chemotherapy within an accredited Cleveland Clinic facility.

Competencies (Complexity of Work):

Must have excellent interpersonal and communication skills.Demonstrated competency and the ability to perform advanced assessment, diagnosis, treatment plan development, and invasive procedures as per clinical privileges.Ability to interact effectively with all members of the Institute/department/hospital and other Cleveland Clinic employees at all levels.Strong planning and organizational skills.Working knowledge of computers and data base programs.

Work Experience:

Minimum one year clinical experience with previous supervisory experience preferred.Demonstrates superior knowledge and expertise in the area of specialization.

Physical Requirements:

Ability to stand for long periods of time.Requires extensive walking, sitting and stair climbing.Manual and finger dexterity and eye/hand coordination to perform physical examinations.Requires normal or corrected vision and hearing to a normal range.Occasionally lifts and carries items weighing up to 50 pounds.May require exposure to communicable diseases and/or body fluids

Personal Protective Equipment:

Follows standard precautions using personal protective equipment as required.

                       

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

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