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Columbia University Clinical Coordinator III - NP in New York, New York

Position Summary

The Ventricular Assisted Device (VAD) Nurse Practitioner or Physician Assistant reports to the Director of the Mechanical Circulatory Support Program within the Division of Cardiothoracic Surgery, the Chief VAD NP, and has accountability to the Section Chief of Adult Cardiac Surgery. The incumbent will work collaboratively with the VAD team consisting of and not limited to, Cardiac Surgeons, Cardiologists, Nurse Practitioners, Surgical Physician Assistants (PA), VAD Quality /Education/Research team and Social Workers to provide quality care and to improve patient outcomes by strengthening continuity of care in all settings for patients, families and staff. It will include working collaboratively with the team in maintaining policies, procedures and clinical protocols. Working with the Surgical /Medical Directors/Quality in reviewing, revising, and maintaining care protocols to facilitate optimal care.

Responsibilities

  • Assists in development, implementation, and evaluation of standards of care and professional practice in collaboration with members of the health care team and in accordance with institutional policies and regulatory agency requirements.

  • Work collaboratively with multidisciplinary team including but not limited to Cardiac Surgeons, Surgical PA team, and Heart Failure/MCS/Transplant Cardiologists to provide optimal inpatient and outpatient care.

  • Maintain appropriate coverage rotation of 24 hour on call outpatient care. Support VAD NP rotation by providing 24 hour on call additional support back-up coverage.

  • The incumbent will perform and document comprehensive surgical, medical and psychosocial health histories, examinations (document pertinent positive and negative findings), and initiate/maintain a problem/medication list.

  • Order and interpret diagnostic studies including but not limited to laboratory and imaging studies, diagnostic impression, and/or form a differential based on the subjective and objective data obtained.

  • Assess, document, and manage patients undergoing mechanical circulatory support, including response to diagnostic treatment, therapeutic interventions, and other needs by providing ongoing inpatient and outpatient care management according to collaborative agreement.

  • Formulate a goal-directed plan that includes health maintenance, anticipatory guidance and appropriate medical and nursing interventions according to the established protocols.

  • Facilitate hospital admissions, transfers, and discharges as well as coordinate appropriate inpatient and outpatient accommodations and home-care.

  • Conduct comprehensive consults on referred heart failure patients, complete insurance clearance tasks, and complete pre-op orders/screening in anticipation of VAD implantation.

  • Provide information on the management and maintenance of Mechanical Circulatory Support Devices, health promotion and disease prevention to patients and families.

  • Participate, review, disseminate, and incorporate research findings into clinical practice.

  • Participate in inpatient coverage.

  • Effectively communicate with shared care sites and subacute rehab centers to reinforce protocols improving the quality of care.

  • Participate in continuing education programs; attend weekly meetings pertaining to Mechanical Circulatory Support Devices (MCSD) and transplant.

  • Engages in and supports research activities related to MCSD.

  • Perform patient record reviews with collaborating physician in a timely fashion but not less than every three months.

  • Coordinates patient care activities, based on established priorities, including teaching, counseling, and discharge planning, and directs/delegates appropriately to members of the health care team.

  • Communicates effectively and professionally with patients, significant others, and members of the health care team about the patient's plan of care.

  • Participates in the design, measurement, and assessment of care related structures, processes, and outcomes to improve the quality of patient care.

  • Work collaboratively with quality team to meet and maintain regulatory (The Joint Commission, etc.) standards including measures for VAD certification and accreditation.

  • Collaborate with the emergency response team within the community to maintain safe and effective protocols, while alerting them of our current VAD patients

  • Act as a liaison between the LVAD team and the community to provide support through social media, support groups, and through any measures deemed applicable

  • Identify areas for improvement and develop a resolution to put into practice within the VAD program

  • Create a safe work environment conducive to learning for students, visitors, patients, and their families

  • Collaborate with LVAD centers through research and discussion to improve standards of care.

  • Demonstrates responsibility and accountability for Nurse Practitioner or Physician Assistant practice within their respective scope of care and the delivery of safe, competent patient care.

  • Participates in maintaining a safe, therapeutic, and consumer-oriented environment.

  • Administrating office policy and procedures within the LVAD Program and/or Division of CT Surgery as needed.

  • Support other functions as assigned.

Minimum Qualifications

Nurse Practitioners: Masters of Nursing

  • Physician Assistants: Advanced Degree from Accredited AMA CAHEA Approved Physician Assistant Program
  1. Advanced Practice Registered Nurse is either masters or doctorate prepared as a Nurse Practitioner, as well as board certified with ANCC. The Nurse Practitioner must have a valid license as a Registered Nurse and as a Nurse Practitioner.

  2. Physician Assistant applicants must have a degree from an accredited, AMA CAHEA approved Physician Assistant Program, as well as be board certified. The Physician Assistant must have a current New York State Physician Assistant License.

  3. Current, or be eligible for, a DEA license for New York State

  4. BLS Certified(ACLS optional. Minimum related experience: Requires bachelor's degree or equivalent in education and experience, plus five years of related experience, Master's preferred Minimum certification requirements: Nursing: RN License and NP License in NYS; ANCC Board CertificationPhysician Assistants: PA license in NYS and Board CertificationBLS Certification; Current or Eligible for NYS DEA License.

Preferred Qualifications

  • Master's preferred

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.

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