Neuro ICU APP Needed in LA

Job description

Location: Metairie, LA

Start: April/May/June

13-week assignment with the option to extend

Schedule: 3x12s, no call, 2 day shifters and 2 nocturnist, with the possibility to be flexible, 4 weekend days a month, 7a-7pm/7pm-7a


Work Details:
· Support staff: Nursing, RT, NCC attending, +/- additional APPs
· Amount of coverage needed per month: 12 shifts/4 weeks
· Patients per day: 10-20 patients, will not see them all but see based on acuity
· Patient population/age: Adult ICU (>18yo) with primary neurologic diagnosis
· Department description: Neuro ICU - 24 hour APP in house coverage with neurointensivist support (formal daily rounding; phone availability overnight); comprehensive adult ICU patient management (closed unit) with primary neurologic diagnoses
· EMR: EPIC

· Skills required: Facilitate patient admission, treatment and discharge. Compose medical records to be cosigned by medical staff (H&P, consult notes, progress notes, discharge summary). Conduct rounds on patients. Direct care as specified by approval protocols; initiate appropriate referrals and consults. Provide patient education, perform debridement and care for superficial wounds. Perform minor superficial surgical procedures. Perform incision and drainage of superficial abscesses. Perform dressing changes. Take wound cultures. Remove packing. Remove drains at direction of surgeons. Remove sutures at direction of surgeon. Insert and remove nasogastric tubes. Perform urinary bladder catheterization. Perform venous punctures. Perform routine immunization. Provide critical care to patients, including mechanical ventilator management, noninvasive ventilation management, calibration and operation of hemodynamic monitoring systems, management of critical care analgesia and sedation. Perform critical care procedures on patients to include bag mask ventilation, laryngeal mask insertion. Familiarity with the majority of the following: Neurologic examination, Neurologic localization, Neuroimaging, Electroencephalography, Ischemic stroke revascularization, Ischemic stroke secondary prevention, Intracerebral hemorrhage, Subarachnoid hemorrhage, Traumatic brain injury, Intracranial pressure, Status epilepticus, Neuromuscular respiratory failure, Breathing and ventilation in critical care, Acid base and sodium, Fever and infection, Antithrombotics and reversal, Cardiac arrest, Detecting Brain death

· Skills preferred/Special Procedures: CVC insertion, arterial line insertion, lumbar puncture; Implement SAH, ICH, and AIS pathways. Document core stroke measures, namely last known well for all, Hunt and Hess for SAH, ICH Score for ICH, NIHSS for AIS. Manage high-morbidity Neurosurgery post-operatively, including craniotomy, craniectomy, cranioplasty, transphenoidal resection, spine decompression/stabilization, carotid/intracranial stenting, and aneurysm clipping/coiling. Detect neurocritical emergencies on CT head. Interpret CXR and ECG accurately. Complete timely, updated, and accurate notes including Medication Reconciliation, Family History, and Social History.

Practice Setting:
• Hospital

Requirements:
· Board Certification: Yes, Adult Geriatric or Acute Care
· License required: Yes, State of Louisiana
· DEA: Yes
· CSR: Yes
· Certifications required: ENLS, BLS, ACLS
· Minimum experience required: 2-3 years

Credentialing Timeframe: 60 days

FYI- If you know of any friends or colleagues interested in this opportunity, I can pay a referral bonus.

I look forward to speaking with you!


Keeya Milner
Recruiting Associate
Sign up or sign in for contact information
P: Sign up or sign in for contact information Ext: 11222
5930 Cornerstone Court West, Suite 300
San Diego, CA 92121
Based in Atlanta, GA (EST)

• 3 months going
• No Call
• Travel and malpractice included