Note: responsibilities may evolve over time depending on the needs of the service, demand in other critical care services, and outreach roles.
• Providers are expected to rotate between the Medical ICU and the FC3 service.
• Providers may be deployed to other ICUs (Neuro Critical Care and Trauma ICU) based on need
• Admit new patients (e.g., write admission notes, develop initial assessments/plans, place admission orders in EMR)
• Provide frontline coverage for admitted patients (e.g., “cross-cover” / manage patients admitted by other providers, either daytime or nighttime)
• Participate in daily morning and afternoon rounds (e.g., present updated clinical information and problem-based plan of care on multidisciplinary ICU rounds, share tasks with other members of the ICU team such as completion of daily rounding checklist, entering orders in EMR, documenting, etc.)
• Daily management of ICU patients (e.g., evaluate and manage critically ill cardiac and medical patients, write daily progress notes, formulate and implement plans of care, communicate with consultants, update family/caregivers daily, work collaboratively with other members of the multidisciplinary team including physicians in training)
• Facilitate transitions of care to other service lines (e.g., documentation and direct hand-off for discharge from ICU to Acute Care, skilled nursing facility, or cardiology step-down services)
• Participate in family meetings and discussions of goals of care as a member of the critical care team
• Participate with team in critical care outreach activities for patients on Acute Care, Emergency Department, or other ICU services depending on clinical need (e.g., responding to “Code Blue,” Rapid Responses, supporting other ICU services with high clinical loads)
• Clinical work will involve both day and night coverage (see Work Hours below)
• Assist with or perform bedside procedures for hospitalized patients (e.g., central venous catheters, arterial lines, thoracentesis, paracentesis, lumbar puncture, point-of-care ultrasound, pulmonary artery catheter management, etc.) under the direction and supervision of the attending physician
3.
Quality Improvement, Research, and Scholarship
• APPs are expected to be active participants in research, QI projects, regular QI meetings, section meetings, and monthly APP team meetings
o Ideally, participation involves contributing to (or initiating) projects that leverage existing resources and ongoing initiatives that will result in measurable improvements in processes of care and/or scholarly output (e.g., presentation, publication)
o Mentorship is available from faculty and staff
• Attendance and participation in educational conferences, including cardiovascular and critical care grand rounds and multidisciplinary case conferences
– 6 shifts in a 2-week pay period
– Night shift requirements: Yes