Advanced Practice Provider - Cardiothoracic Surgery

About this role

ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION

TITLE:                                                  St. Charles APP – Cardiothoracic Surgery REPORTS TO POSITION:                 St. Charles Chief Medical Officer (or designee) DEPARTMENT:                                  St. Charles Heart & Lung Specialists DATE LAST REVIEWED:                   August 30, 2019

OUR VISION:                Creating America’s healthiest community, together OUR MISSION:             In the spirit of love and compassion, better health, better care, better value OUR VALUES:              Accountability, Caring and Teamwork

DEPARTMENTAL SUMMARY: The St. Charles Heart & Lung Specialists clinic contains the subspecialties of Non-invasive Cardiology, Interventional Cardiology, Electrophysiology, Cardiothoracic Surgery and Structural Heart.  Together, these specialists deliver a complete patient centered program of care for patients with cardiac conditions. The program delivers care in the outpatient setting throughout Central Oregon and inpatient hospital care at the St. Charles Bend campus.

POSITION OVERVIEW: Cardiothoracic Surgery APP is responsible for providing medical, surgical, and postoperative management for Cardiothoracic Surgery patients referred to the clinic and within the hospital setting.  Cardiothoracic surgery APP will work in collaboration with other medical specialties to assess and manages patients following established standards and practices.

Work schedule: Full time Advanced Practice provider shall complete a minimum of 156 clinical shifts per year.  This will be a blend of hospital rounding, surgical assisting and scheduled clinic visits including charting of patients and other necessary duties.    A shift consists of a combination of the following: • Hospital CT service rounding, consult and discharge coordination • OR/procedural assisting • Outpatient clinic • urgent/emergent surgical case responsibility and call

Call expectation:   APP will participate in the cardiothoracic surgery APP call rotation, which is assigned based upon the schedule rotation. Cardiothoracic APP call is first line overnight support off site for patients admitted to the Cardiothoracic Surgery service, outpatient after hour’s calls and urgent/emergent surgical assisting when activated within the facility’s onsite response time.

Work location: Physician’s primary clinic work location is St. Charles Bend Hospital with clinic in the Bend Heart & Lung Center.

ESSENTIAL FUNCTIONS AND DUTIES: (May perform additional duties of similar complexity within SCHS as required or assigned)

Clinical Expectations: • Examines, diagnoses, and provides a broad scope of cardiac and thoracic surgical treatments • Assists during cardiac surgery including coronary artery bypass grafting, aortic, mitral, tricuspid valve repair/or replacement, aortic aneurysm repair, as well as additional cardiac procedures as needed • Assists during thoracic surgery including but not limited to diagnostic and therapeutic thoracic procedures: lobectomy, wedge resection, decortication, as well as additional lung and thoracic surgical procedures as needed. • Performs patient examinations, obtains and records pertinent medical history, subjective, and objective findings.  • Orders and reviews appropriate laboratory, imaging, and other diagnostic procedures.  • Utilize the STS risk calculators as a part of surgical assessment for patients and will be familiar with new studies, emerging technology and medications beneficial to the patients being treated. • Administers and prescribes medications in compliance with state law and practice guidelines.  • Orders appropriate medical and surgical procedures in accordance with State law and practice guidelines. • Instructs patient and family regarding medications and treatments. • Educates patients regarding health, illness prevention, and healing.  Recommends community resources to meet patient and family needs. • Maintains and reviews patient records, charts, and other pertinent information, documenting clearly and concisely. • Triages patient telephone calls, providing consultation as needed. • Communicates effectively with colleagues, patients, physicians, and administration. • Maintains quality of clinical practice by selecting appropriate avenues for professional growth. • May perform additional duties of similar complexity within the organization, as required or assigned.         

Administrative Expectations:    • Document all patient care within the Electronic Medical Record (EMR) and complete all necessary tasks in compliance with health system policies and regulatory agencies to ensure timely and accurate billing.  • Be familiar with the SCHS organization structure. • Participate in SCMG physicians meetings and assist in policy formation for SCMG and Physician’s practice. • Keep medical knowledge and skills current through regular CME activity.  Must attest to having adequate (CME) to meet maintenance of board certification and compliance with MSO rules and continuing privileges without restriction. • Keep all licenses and appropriate certifications current and unrestricted. • Maintain active privileges at St. Charles Health System hospitals sufficient to permit performance of job duties.

Behavioral Expectations:    • Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver. • Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality.  • Delivers first-rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient and accurate, and courteous. • Educates, counsels, and assists patients and families regarding current health problems, health maintenance activities and preventive behaviors. • Provide a therapeutic presence in service to others by purposefully resp

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