Cardiovascular Surgery APC Lead Aurora St. Luke’s

• Acts as a mentor and expert resource to advanced practice clinicians (APCs), which includes training, orienting, on-boarding, providing clinical work direction, and ensuring effective, efficient workflow and staffing coverage. Participates in recruitment, interviewing and hiring of employees, staff development, resolution of employee concerns, and employee morale. Participates in or conducts annual merit-based evaluation process. Provides clinical and professional performance feedback to each APC for the practice. Obtains additional feedback regarding clinical and professional performance from other colleagues, including but not limited to, physicians, APCs, RNs, MAs, other support staff.
• Develops and maintains orientation plans, work improvement plans if necessary, clinical competencies, various communication tools, practice protocols and scope of practice documents. Develops and monitors a quality improvement plan with physicians. Collaborates with professional and ancillary staff to ensure the provision of high quality and efficient patient care.
• Acts as liaison for communication between ancillary departments and actively participates in meetings/updates with Coding and Billing, Compliance, Pharmacy, other specialties as related to APC practice. Assists in program development by participation in practice goal setting, new program/service development/deployment, resource allocation, and community outreach in collaboration with physicians and operational leaders. Coordinates education for APCs related to specialty practice changes and updates. Supports excellence in patient care through sharing timely, up-to-date, evidence based research.
• Obtains medical histories, conducts physical examinations and assesses and determines differential diagnosis. Prescribes medication, therapy and treatments accordingly.
• Interprets and evaluates patient data for the purpose of determining management and treatment of patients. Performs minor surgeries and routine procedures. Consults with physician as appropriate. Orders, performs, and interprets diagnostic studies in the field of clinical specialty trained and determined competent by a physician.
• Adjusts patient care plan by reviewing and monitoring treatments and therapy plans. Counsels, instructs and educates patients on physical and mental health including: diet, preventive health measures, health behaviors, self-care skills, disease, treatment options, and normal growth and development.
• Prescribes, recommends and regulates pharmacologic and non-pharmacologic therapies across multiple care settings, including controlled medications that are warranted by patient's diagnosis or changing medical condition.
• Provides care coordination, which includes managing a variety of ancillary services, pre-operative plans, discharge planning, clinician referrals and medical devices such as insulin pumps, defibrillators, and pacemakers.
• Prepares, dictates and signs patient care plans and summaries of patient care. Maintains records according to established standards and guidelines.
• Provides clinical direction to advanced practice clinicians regarding the continued care of patients. Follows through with staff to ensure patient receives recommended care.
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.

• Registered Nurse license issued by the state in which the team member practices, and
• Advanced Practice Nurse Prescriber license issued by the state in which the team member practices, and
• Nurse Practitioner (AANP) certification issued by the American Academy of Nurse Practitioners (AANP), or
• Nurse Practitioner (ANCC) certification issued by the American Nurses Credentialing Center (ANCC), and
• Drug Enforcement Administration (DEA) registration issued by the Drug Enforcement Administration (DEA) Registration, and
• Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 6 months unless department leader has determined it is not required.

• Master's Degree in Nursing.

• Typically requires 3 years of experience in providing and coordinating care for patients with acute, critical and/or chronic health conditions as a nurse practitioner or in a leadership capacity.

• Demonstrated leadership skills including delegation, team building, managing multiple priorities, problem solving, and decision making.
• Maintains practice within either/both an outpatient clinical and inpatient hospital setting performing care coordination to patients with complex, acute, critical and/or chronic health conditions.
• Demonstrated high level of clinical proficiency, and excellent decision-making skills.
• Demonstrated ability to work independently and as an effective member of a health care team.
• Excellent oral and written communication skills. Ability to effectively collaborate with and establish/build relationships with others.
• Proven organizational skills and ability to prioritize effectively.

• Must be able to stand, walk, bend, stoop, and twist continuously throughout the workday.
• Must have functional speech, vision, touch, and hearing.
• Must be able to:
• lift up to 50 lbs from floor to waist.
• lift up to 20 lbs over the head.
• carry up to 40 lbs a reasonable distance.
• Must be able to:
• push/pull with 30 lbs of force.
• perform a sliding transfer of 150 lbs with a second person present.
• Will be exposed to the following hazards: mechanical, electrical, chemical, and radiation as well as blood and body fluids; therefore, protective clothing and equipment (i.e., goggles, lead apron, gloves, gowns, etc.) must be worn as necessary.
• Operates all equipment necessary to perform the job.

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