Nurse Practitioner, Physician Assistant -Cardiothoracic Surgery III

Cleveland Clinic Martin North Hospital has an exciting opportunity for a Physician Assistant or Nurse Practitioner to join our team.

Responsibilities include:

• Comprehensive evaluation, treatment, and documentation of all cardiothoracic surgery patients in the Pre-operative, intraoperative and postoperative periods as well as follow-up after discharge to ensure there is continuity of care in patient management.
• Rounding in the ICU and on the telemetry floor. Patient evaluation and treatment after team discussion with supervising physician, as well as clear and concise documentation in the electronic medical records, placing orders on patients, and following up on order completion. This will include daily progress notes, consult notes, discharge summaries and patient education.
• Must display integrity, professionalism, and ability to function in acute and emergent settings, while maintaining a respectful attitude and teamwork mentality.
• Continuously seek opportunities for clinical and professional advancement in the field by gaining new skills and maintaining pertinent certifications.
• Operating Room: Perform conduit harvesting for Coronary Artery Bypass Grafting (Endoscopic and open vein and radial artery), first assist during Cardiac and thoracic cases. Cases include CABG, Valve repair and replacements, Aortic aneurysm replacements, aortic dissections. Thoracic cases using Davinci Robotic Surgical Systems for lobectomies and other minimally invasive surgeries, VATS surgeries, and open thoracic cases as needed. 
• Office Responsibilities: See patients for clinic visits, small office procedures, returning phone calls and providing education and clarification to the patients and their family members using all the tools available.

Schedule: 12 hour shifts 7am – 7pm/ Variable Schedule.  Call is evenly distributed among the entire team (Expected 1:3)

Preferred Experience: 3 years of CT surgery experience is preferred, but not required. Newly licensed PAs and NPs will be considered, especially with cardiothoracic clinical rotations.

Additional 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 to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan.  Works in collaboration with the health care team.
• Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
• Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
• May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies.
• Educates patients and answers questions 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.
• 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.
• Supports professional development of the health care team.
• Promotes translation of evidence-based practices, guidelines, and research.
• May conduct research studies.  May assists in data collection and analysis.
• May serve as clinical preceptor for students. May onboard new caregivers.
• Other duties as assigned.