1. Provides direct clinical services for critically ill adult patients within institutional
guidelines and utilizing evidence-based clinical practice standards under the supervision of the
patient’s physician.
2. Obtains patient health histories and completes physical examinations and documents findings in
accordance with hospital requirements.
3. Orders and interprets appropriate diagnostic and laboratory tests, explaining the necessity,
preparation, nature, and anticipated effects of procedure(s) to patients, patients’ family, staff,
and healthcare learners.
4. Performs approved therapeutic or diagnostic procedures based upon the patient’s clinical status
and documents procedures in accordance with hospital requirements, 5. Performs cardiopulmonary
resuscitation, airway management including bag and mask ventilation, endotracheal intubation,
ordering life-supporting drugs according to established protocols, and defibrillation according to
Advanced Cardiac Life Support standards.
5. Under physician direction and within the credentialing standards of the Hospital, inserts and
manages arterial catheters, dialysis catheters, central venous catheters, pulmonary artery
catheters, chest tubes, thoracenteses, endotracheal tubes, and extraglottic devices.
6. Interfaces with patients using monitoring and instrumentation equipment, and directs
and educates others in performing these functions.
7. Formulates and implements a treatment plan for acute illness management in collaboration with
the attending physician(s) and documents in medical records and appropriate narrative summaries.
8. Assesses patients for changes in status and institutes appropriate interventions, including
initiation of necessary emergency interventions to stabilize the patient.
9. Incorporates clinical research findings in the development and implementation of standards of
care.
10. Supports IRB-approved clinical research/trials through a variety of activities, including but
not limited to: obtaining consent; ordering diagnostic tests; recording laboratory and diagnostic
results; administering therapeutic interventions; and documenting and reporting patient outcomes,
including toxicities or adverse events.
11. Performs and participates in quality/performance improvement activities and clinical research.
12. Serves as a clinical expert and education consultant to nursing, members of the healthcare
team, and the larger community.
13. Identifies educational needs of the family and participates in teaching opportunities.
14. Assesses educational needs, plans, provides, and evaluates educational programs for nursing
staff, interdisciplinary healthcare team, and community.
15. Other duties as assigned.
KNOWLEDGE, SKILLS, ABILITIES
• Ability to participate in creating an environment that implements the mission, vision, and
values of the organization.
• Ability to function independently and as a team member.
• Must be able to establish priorities and a course of action for managing several activities at
once while observing deadlines, and to function and communicate effectively with multidisciplinary
team members.
• Demonstrated a high level of critical thinking.
• Skill and ability to handle multiple priorities and deadlines.
• Demonstrated clinical leadership and experience with coordinating and managing complex and
multifaceted projects.
• Demonstrated a high level of motivation to learn and participate in activities to improve
patient care.
• Must reflect a professional appearance and demeanor and possess excellent customer service
skills.
• Skill and ability in electronic medical records applications.
• Skill and ability to communicate effectively both in writing and verbally with team members and
patients.
• Ability to understand legal issues that influence the practice of the APPs.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule
form.
Disclaimer
The above information is intended to describe the general nature and level of work being performed
by people assigned to this job. It is not intended to be an exhaustive list of responsibilities,
duties, and skills required of personnel so classified.
ADDENDUM
Medical/Surgical Critical Care:
• Competence in Airway management, including endotracheal intubation, placement of extraglottic
devices, and safe use of RSI medications.
• Completion of a Difficult Airway Course.
• ACLS certification.
• Interpret ABGs, CXRs, ultrasounds, and CT of chest.
• Perform daily rounds.
• New consults, admissions, discharges, advanced care planning /discussing end of life care
/POLST.
• Attends multidisciplinary rounds.
• Attends and participates in at least one hospital committee.
• Attends and participates in the Critical Care Center of Excellence.
• Attends and participates in journal club and grand rounds.
• Ability to formulate a differential diagnosis, assessment, and plan for each patient.
• Serves in the on-call pool for call-outs.
• Work closely with other consultant groups, RNs, and care coordinators.
• Maintain CME hours and state license/national recertification.
• Participate in the education and onboarding of new hires and fellows
• Check emails regularly and respond promptly when necessary.
• Attends all staff meetings each year.
• Maintains procedural skills with the Additional Duties form on file with the state.