NP/PA Cardiothoracic Surgery –MCS, Heart & Lung Transplant APP

APP: NP/PA CT Surgery -MCS, Heart & Lung Transplant

Stanford, CA 94305
Income Potential:
Call for Details
Signing Bonus:
Loan Forgiveness:
Job Number:
Posted Date:
Recruiter's Name:
Philip Weber
Contact Number:
(800) 876-0500
Merritt Hawkins

Job Description & Requirements
Start Date:
Available Shifts:
.750 FTE
Job Type:

Job Description

A. Coordinates the management of Adult Heart & Lung Transplant and Mechanical Circulatory Support Device (MCS) patients. Responsibility begins at the time of first encounter of patient, transplant/implant and continues throughout the hospital stay, including post-op visits. The NP/PA may also see pre-operative and post-operative patients in the clinic setting. Tasks include (but are not limited to) the assessment and management of:
1. Physical examination, hemodynamic parameters, lab values, diagnostic tests (x-ray, echo, etc.), device parameters.
2. Medical and surgical complications, rejection, medication side effects, long term complications
3. Immunosuppression and prophylaxis and assures that protocols are followed

B. Demonstrates knowledge of and identifies:
1. Transplant/MCS associated complications and has knowledge of interventions to treat the complications
2. Immunosuppressant's, prophylactic agents, and other medications common for heart transplant recipients
3. Initiates appropriate interventions and orders appropriate diagnostic tests 
4. Identifies educational and psychosocial needs of the patient/family/caregiver after transplant 

C. Assists in coordinating aspects of outpatient care for transplant and MCS recipients, including post-operative management, outpatient follow-up, scheduling of procedures, and discharge planning. May participates in coverage of inpatient service.
D. Primary shift will be Monday-Friday, 12 hour days. Shift subject to change based on program needs.
E. Responsible for working weekends (shared/split between APP team). Weekend shifts subject to change based on program
F. Willingness to develop professional education programs/seminars regarding Heart & Lung Transplantation for the staff and medical specialty units of SHC.
· Provides outreach education to meet the needs of referring physicians, patient support groups and lay community throughout Northern and Central California.
G. Exposure Risk to Blood-Borne Pathogens
· Category 1: Tasks regularly involve exposure to blood, body fluids or tissues. The potential for spills or splashes of blood, body fluids or tissues exists in job-related tasks.
H. Physical Demands and Work Environment
· The work involves considerable physical exertion such as frequent lifting of patients and equipment, bending and stooping, and walking. The work environment involves moderate risks or discomforts which require special safety precautions, e.g., working with risk of exposure to contagious disease, radiation or infection, or working with emotionally disturbed patients. Precautions are routine for nearly all situations. The employee may be required to use protective clothing or gear.
· Must be able to push/pull a cart loaded with patient charts to the clinic building.
I. Requires an individual who is able to function at off-hours for on-call duties, and continue to report to work the following day.

4. Outpatient / Clinic:
Review clinic charts, pre clinic, and order any additional test and studies needed to properly evaluate patient in clinic. 
· See Clinic patients; Obtain complete history and performs comprehensive physical exam with assessment of normal and abnormal findings on new and return patients post op patients.
· Write a full H&P on patient to be signed by the end of clinic day.
· Performs and/or requests and evaluates diagnostic studies, follow up on any needed studies post clinic; update note and team as needed.
· Preform all risk scores on patients and trial paperwork as needed for studies.
· Communication with patient, family and cardiology regarding bridging anticoagulation when needed.
· Communication, teaching and follow up with any questions with patient and family. Provides and coordinates patient teaching and counseling.
· Ability to evaluate and treat post op surgical debridement and wound care in clinic
· Administers, orders and/or prescribes medications as needed in Epic.
· Obtains informed consent (blood and procedure).
· Initiates arrangements or helps facilitate hospital admissions, transfers and discharges.
· Maintains communication between attending physicians, Lead, co-workers and staff to facilitate patient care and the plan of surgery for the patient.
· Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds
· Facilitates the coordination of inpatient and outpatient care and services
· Orders, interprets and follow up on any echo's, CTA, caths, scans as needed for attending/patient.
· Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary
· Provides and coordinates patient teaching and counseling.

Acute Patient Disorders:
Management of common acute disorders in Heart transplant/MCS recipients, including but not limited to rejection, viral infection, bacterial infection, medication side effects, device malfunction, acute organ failure, etc.
Chronic Patient Disorders:
Assessment and management of chronic disorders in Heart transplant/MCS candidates and recipients, including routine anticipated problems for specific chronic Heart disease, and diabetes mellitus.
Disease Management (Primary Care Conditions):
Common acute conditions, such as nausea, diarrhea, constipation, weight loss, dizziness, fever, skin problems secondary to medications or immunosuppression (e.g., rash,), sexual dysfunction, urinary dysfunction, change in vision, change in hearing, etc., or chronic stable conditions including diabetes, thyroid dysfunction, hypertension, depression, malnutrition, family dysfunction, review of established medication regimens, bowel regimens, etc
A. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed under the supervision of a physician who is responsible for the patients cared for by that NP/PA.
B. The NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician.


Nurse Practitioner
Education: Master's or Doctorate Degree in Nursing from an accredited college or university is, required.
License/Certification: BLS - Basic Life Support, required.
License/Certification: CA Registered Nurse (RN), required.
License/Certification: Certification as a Nurse Practitioner by a nationally recognized nursing organization (e.g., American Academy of Nurse Practitioners-AANP, American Nurses Credentialing Center-ANCC, or any successor organizations), required.
License/Certification: DEA - DEA Number from the US Drug Enforcement Administration, required.
License/Certification: CA NP - Nurse Practitioner, required.
License/Certification: NPF - NP Furnishing Number, required. 

Physician Assistant
Education: Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.
License/Certification: Current licensure as a Physician Assistant in the State of California is required.
License/Certification: BLS - Basic Life Support, required.
License/Certification: DEA - DEA Number from the US Drug Enforcement Administration, required.
License/Certification: Must be board certified from the National Commission on Certification of Physician Assistants (NCCPA) at the time of hire and maintain certification during employment at SHC.

Minimum of three years active clinical nursing and one-year experience as an
AdvancedPractice Provider.
One-year transplant experience preferred.
Active membership in the North American Transplant Coordinator Organization (NATCO) preferred

About The Company

Merritt Hawkins, an AMN Healthcare company, is a permanent physician placement service that fills more physician jobs than any other firm. In addition to being the nation’s leader in physician employment search and consulting services, Merritt Hawkins also recruits and places select allied health professionals. AMN Healthcare is an EEO/AA/Disability/Protected Veteran Employer.  We encourage minority and female applicants to apply.