ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE:                                               APP - Structural Heart Cardiothoracic Surgery

REPORTS TO POSITION:               St. Charles Clinical Division Director, Heart and Lung

DEPARTMENT:                                 St. Charles Heart & Lung Specialists

DATE LAST REVIEWED:                 August 27, 2024

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: Structural Heart APP is responsible for providing medical, surgical, and postoperative management for Structural Heart patients referred to the clinic and within the hospital setting. Structural Heart 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 complex patient screening and assessment, pre, intra and post procedural care, hospital rounding and discharge, and scheduled clinic visits including charting of patients and other necessary duties.

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

Work location: The primary inpatient clinical work location is St. Charles Bend Hospital with outpatient 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 structural heart treatments
• Assists with pre, intra and post procedural care for structural heart procedures including TAVR, TEER (Mitral and Tricuspid), LAAO, TTVR and TMVR as well as additional cardiac 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 physician?s meetings and assist in policy formation for SCMG and Physician 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 responding to the needs of patients/customers in a caring way.
• This includes introducing oneself and stating your purpose, asking the patient their preferred name, spending time with the patient to determine their care goals, active listening, and using skillful communications (appropriate touch, eye contact, etc.).
• Complies with all applicable laws, regulations, policies and procedures, supporting the health systems corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health system?s investigations and proceedings.

EDUCATION

Required:

• Successful completion of an approved Nurse Practitioner or Physician Assistant course of study and certification as appropriate to the incumbent?s license.
• Complete annual fire/safety, etc. education in-services as required.
• Attend mandatory educational offerings as described in SCHS policies/procedures and/or as required by other regulatory bodies.
• Complete annual CME as required to maintain license and appropriate Board certification.
• Complete in a timely manner assigned Computer Based Learning modules.

LICENSURE/CERTIFICATION/REGISTRATION

Required:

• Unrestricted Physician Assistant and/or Nurse Practitioner licensure in the state of Oregon.
• Physician Assistant requires NCCPA certification. Nurse Practitioner requires AANC, NCC or AANP, AMCB certification. If Physician Assistant, ability to establish and maintain a Practice Agreement with a Supervising Physician through OMB.
• Unrestricted Federal DEA number registered in Oregon.
• Unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.
• Valid driver?s license and the ability to meet SCHS driving requirements.
• Current ACLS certification required.
• Additional certifications may be required based on privileges granted to provider by Medical Staff Services at SCHS Inpatient locations.

EXPERIENCE

Required:

• Experienced in cardiac hospital and outpatient practice environments providing care.
• Experience coordinating complex patient care
• Advanced written and verbal communication skills to effectively interact with a diverse population and professionally represent St. Charles Health System.
• Experience working in a team environment and proven ability to collaborate, manage facilitation and consensus building among health care professionals and agencies to achieve expected results.

Preferred:

• 2-5 years? experience caring for Structural Heart patients.

PERSONAL PROTECTIVE EQUIPMENT

• Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

GENERAL

• Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS.
• Strong team working and collaborative skills.
• Ability to multi-task and work independently.
• Attention to detail.
• Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.
• Intermediate to advanced proficiency with Electronic Medical Record systems.
• Intermediate in Microsoft applications (Word, Excel).

PHYSICAL REQUIREMENTS:

• Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
• Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
• Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.
• Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle.
• Never (0%): Climbing ladder/stepstool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.
• Exposure to Elemental Factors
• Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
• Blood-Borne Pathogen (BBP) Exposure Category
• No Risk for Exposure to BBP

Schedule Weekly Hours:

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