Hourly Range: $66.81- $77.94

Primary Responsibilities:

Cardiothoracic Surgery & ICU Responsibilities:

• Provide care to critically ill patients in the Cardiothoracic ICU, including those on ECMO, Impella, IABP, and CRRT.

• Serve as first and second assist in cardiothoracic surgical procedures, including:

• Endoscopic vein harvesting using Terumo or Hemopro systems.

• Endoscopic radial artery harvesting.

• Perform bedside procedures:

• Thoracentesis, central/arterial line placement, chest tube insertion/removal.

• Temporary pacing wire removal and other advanced interventions.

• Manage preoperative, perioperative, and postoperative care, including consults and discharge planning.

• Conduct daily rounds, write progress notes, and lead care coordination efforts.

• Collaborate closely with cardiothoracic surgeons, intensivists, anesthesiologists, and nursing teams to ensure high-quality outcomes.

General Inpatient Medical Management:

• Conduct comprehensive patient assessments and physical exams.

• Order and interpret laboratory and imaging tests; develop and adjust treatment plans accordingly.

• Prescribe medications and therapies based on current clinical guidelines.

• Participate in the care of patients on inpatient consult services, including those admitted under Surgery, Medicine, Trauma, Pediatrics, and Ob/Gyn.

• Support emergency and inpatient assessments, triage decisions, and follow-ups.

• Educate patients and families about procedures, recovery expectations, and health management strategies.

Clinical Leadership & Support:

• Serve as a clinical resource and team leader during shifts to ensure efficient workflow and high standards of care.

• Ensure accurate documentation, coding, and billing practices.

• Maintain inventory of medical supplies, prepare patients for procedures, and ensure a safe, organized clinical environment.

Work Schedule:

• 24/7 in-house coverage of Cardiac Surgery Service utilizing 24-hour shifts.

• Flexibility for 8, 10, or 12-hour shifts based on clinical demand.

Required Skills and Qualifications:

• Graduate of an accredited Nurse Practitioner or Physician Assistant program with current board certification.

• Active state NP or PA license and prescriptive authority.

• Minimum of 2 years' experience in a surgical or hospital-based acute care setting (CT Surgery experience strongly preferred).

• Skilled in ICU management and invasive bedside procedures.

• Strong knowledge of anatomy, pathophysiology, pharmacology, and medical-surgical care.

• Excellent clinical judgment, teamwork, and communication skills.

Physical Demands

• Standing - Constantly

• Walking - Constantly

• Sitting - Rarely

• Lifting - Frequently

• Carrying - Frequently

• Pushing - Occasionally

• Pulling - Occasionally

• Climbing - Occasionally

• Balancing - Occasionally

• Stooping - Frequently

• Kneeling - Frequently

• Crouching - Frequently

• Crawling - Occasionally

• Reaching - Frequently

• Handling - Frequently

• Grasping - Frequently

• Feeling - Constantly

• Talking - Constantly

• Hearing - Constantly

• Repetitive Motions - Constantly

• Eye/Hand/Foot Coordination - Constantly

Working Conditions

• Extreme cold - Rarely

• Extreme heat - Rarely

• Humidity - Rarely

• Wet - Rarely

• Noise - Constantly

• Hazards - Frequently

• Temperature Change - Rarely

• Atmospheric Conditions - Rarely

• Vibration - Rarely