APRN PA III Critical CareJob Description SummaryAPRN: Nationally certified licensed healthcare provider who provides primary and/or specialty nursing and/or medical care in a variety of healthcare settings. Functions in collaboration with a physician according to a standard care arrangement and specialty certification.PA: Nationally certified licensed healthcare provider who provides primary and or specialty medical care (the practice of medicine) in a variety of healthcare settings. Functions with the collaboration agreement of a Physician, (as per O.R.C. 4730). Performs complete histories and physicals on patients of all ages to establish and record patient's current health status. Develops a working diagnosis and treatment plan to provide continuing medical care, including daily examinations, writing orders, chart notes, discharging patients and completing discharge summaries. This medical care may be in a variety of clinical settings. PA's are privileged by the Board of Governors. PA's in this role provide advanced care to patients within any setting in which patients have complex, acute, critical and chronic health conditions. Practices in any setting in which patients require complex monitoring and therapies and high intensity medical/surgical interventions and/or continuous vigilance within the range of high-acuity care.Responsibilities:Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data on new and former clinic patients and hospital admissions to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan.Must be able to work with collaborating physician.Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board.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.May prescribe and monitor medications as allowed by prescriptive authority through applicable state Board of Nursing/Medicine and CCF policy.Performs specialized procedures, including bone marrow aspirations, biopsies and harvest, blood draws, designated IV starts, spinal taps, thoracentesis and paracentesis as well as other specific procedures as directed by the physician, following approval by CCF Credentialing Board.Provides information and answers routine questions of patients regarding their disease, including preventive health maintenance topics such as diet, weight, smoking and topics related to medical specialty, with basic recommendations.Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards.Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care.Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.Performs research follow-up studies.Assists in data analysis.Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care.Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.May serve as clinical preceptor for PA/APRN students and other health professionals.May serve as Faculty for onboarding new employees.Demonstrates a high standard of moral and ethical behavior.Demonstrates compassion and professionalism and a commitment to excellent patient care.Routinely takes call and works off shift hours: Weekends/holidays, nights; shifts cover 24 hours, 7 days a week.Special procedure privileging is requiredOther duties as assigned.Education:APRN: EDUCATION: Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role.Graduate of an accredited ARPN training program.PA: EDUCATION: Graduate of an A.R.C.-approved Physician Assistant Program.Master's degree in Physician Assistant Studies and/or applicable state license 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).Licensed by the State Medical Board OF OHIO.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 plexity of Work:APRN/PA: Excellent analytical and decision making skills are required.Strong written and verbal communication skills.Ability to work as a member of a multi-disciplinary team.Demonstrated competency and the ability to perform advanced assessment and diagnosis.Demonstrated ability to utilize the electronic medical record.Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.Must be able to work in a stressful environment and take appropriate action.Depending on practice, surgical fields may require surgical experience.Work Experience:APRN: Two years clinical advanced practice nursing experience preferred.PA: Two years relative clinical experience preferred.Physical Requirements:APRN/PA: Typical physical demands include the ability to walk and stand for long periods of time.Manual and finger dexterity and eye/hand coordination to perform physical examinations.Requires 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.About UsCleveland Clinic's vision is to become the best place for care and the best place to work in healthcare.We are committed to providing a safe, stable, and financially fulfilling work environment. Even in these uncertain times, Cleveland Clinic is ambitiously investing in growth. Being a physician-led organization means doing what is best for the patients, every day.Cleveland Clinic has been recognized by the American Medical Association's 2022 Joy in Medicine? Health System Recognition Program.Cleveland Clinic is one of the world's largest and busiest health centers.Patients come to Cleveland Clinic from all over the world. We offer advanced treatment for all illnesses and disorders of the body. We enjoy a strong reputation for outstanding quality care. U.S News & World Report has named us the No. 4 hospital in the nation. Cleveland Clinic's heart program has ranked No. 1 in the nation since 1995.Nine Cleveland Clinic specialties are ranked in the Top 10. Cleveland Clinic earned the highest ranking of any Ohio hospital.Other specialties noted for national excellence include ENT and pediatrics. Cleveland Clinic Children's offers highly specialized pediatric care in a family-centered atmosphere. It has been ranked the best children's hospital in Ohio addition,Cleveland Clinic has been recognized as the No. 2 hospital in the world byNewsweek'sWorld's Best Hospitals 2022 list.Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. U.S. News & World Report consistently names Cleveland Clinic as one of the nation's best hospitals in its annual ?America's Best Hospitals? survey. Among Cleveland Clinic's 72,500 employees worldwide are more than 5,050 salaried physicians and researchers, and 17,800 registered nurses and advanced practice providers, representing 140 medical specialties and subspecialties. Cleveland Clinic is a 6,500-bed health system that includes a 173-acre main campus near downtown Cleveland, 21 hospitals, more than 220 outpatient facilities, including locations in northeast Ohio; southeast Florida; Las Vegas, Nevada; Toronto, Canada; Abu Dhabi, UAE; and London, England. In 2021, there were 10.2 million total outpatient visits, 304,000 hospital admissions and observations, and 259,000 surgical cases throughout Cleveland Clinic's health system. Patients came for treatment from every state and 185 countries.Cleveland Clinic was named a top hospital and health system by Diversity Inc. in 2022. Companies on this list score well in talent pipeline, talent development, leadership commitment, and supplier diversity.Cleveland Clinic values a culture where caregivers integratediversity and inclusionthroughout the enterprise. We respect and appreciate our similarities and differences; they enable us to better serve our patients, one another, and our global communities.Cleveland Clinic is pleased to be an equal employment/affirmative action employer: Women/Minorities/Veterans/Individuals with Disabilities.Smoke/drug free formation for CandidatesCandidates will only be asked to provide personal documents once an offer of employment has been made and accepted. Recruitment scams are becoming increasingly common online, with false advertisements and requests for payment or personal details claiming to come from reputable organizations. Please be assured that our physician recruiters will never ask for payment from candidates at any stage of the recruitment or offer process.DisclaimerCleveland Clinic Health System administers an influenza prevention program as well as a COVID-19 vaccine program. You will be required to comply with both programs, which will include obtaining an influenza vaccination, COVID-19 vaccination, or an exemption.
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