Join Harborview Medical Center as an Advanced Practice Provider - ARNP, Nurse Practitioner; or PA-C, Physician Assistant for Medical Intensive Care Unit / Critical Care Outreach Team
The APP (Advanced Practice Provider), ARNP or PA, will work under the supervision of the Attending Physician on service and work collaboratively with physicians in post-graduate training programs (i.e. residents and fellows in Internal Medicine and Critical Care Medicine)
Critically ill patients with complex medical, surgical or neurological problems. Typical issues may include respiratory failure, ARDS (including extracorporeal life support), sepsis, cardiac arrest and complications of chronic medical conditions.
Harborview is the county hospital for King County in Seattle, WA and serves patients from diverse backgrounds including marginalized populations (e.g. inmates, immigrants, persons experiencing homelessness) and is also the main referral center for advanced medical and surgical care within the WWAMI region.
Responsibilities to include:
(Note: responsibilities may evolve over time depending on the needs of the service, demand in other critical care services and outreach roles)
1. Patient Care:
- Admit new patients (e.g. write admission note, 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 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 ICU patients, write daily progress notes, formulate and implement plans of care, communicate with consultants, update family/caregiver daily, work collaboratively with other members of 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, surgical/anesthesia services for OR cases)
- Participate in family meetings and discussions of goals of care as member of 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, support other ICU services with high clinical loads)
- Potential to work in other ICUs within HMC depending on clinical need (e.g. Neurocritical Care)
- Clinical work will involve both day and night coverage (see work hours below)
- Assist or perform bedside procedures for hospitalized patients (e.g. central venous catheters, arterial lines, thoracentesis, paracentesis, lumbar puncture, point of care ultrasound, etc.) under the direction and supervision of the attending physician.
- Procedures may be referred from Medical ICU patients or patients on other clinical units (e.g. Hospital Medicine, Surgical services)
3. Quality Improvement, Research and Scholarship
- APPs are expected to be active participants in research, QI projects and regular QI meetings
o Ideally participation involves contributing to (or initiating) projects that leverage existing resources and ongoing initiatives that will result in measureable improvements in processes of care and/or scholarly output (e.g. presentation, publication, etc.)
o Mentorship is available from faculty and staff
- Attendance and participation in educational conferences
4. Work Hours
- 12-hour shifts (7am to 7pm)
- 6 shifts in a 2-week pay period
- Night shift requirements: (7pm to 7am) up to 30 shifts a year
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.