APP- Cardiac Surgery, Surgical- Per Diem

Hourly range: $66.81- $77.94

Primary Responsibilities: 

Cardiothoracic Surgery & ICU Responsibilities: 

• Provide care to critically ill patients in the Cardiothoracic ICU, including those on ECMO, Impella, IABP, and CRRT. 

• Serve as first and second assist in cardiothoracic surgical procedures, including: 

• Endoscopic vein harvesting using Terumo or Hemopro systems. 

• Endoscopic radial artery harvesting. 

• Perform bedside procedures: 

• Thoracentesis, central/arterial line placement, chest tube insertion/removal. 

• Temporary pacing wire removal and other advanced interventions. 

• Manage preoperative, perioperative, and postoperative care, including consults and discharge planning. 

• Conduct daily rounds, write progress notes, and lead care coordination efforts. 

• Collaborate closely with cardiothoracic surgeons, intensivists, anesthesiologists, and nursing teams to ensure high-quality outcomes. 

General Inpatient Medical Management: 

• Conduct comprehensive patient assessments and physical exams. 

• Order and interpret laboratory and imaging tests; develop and adjust treatment plans accordingly. 

• Prescribe medications and therapies based on current clinical guidelines. 

• Participate in the care of patients on inpatient consult services, including those admitted under Surgery, Medicine, Trauma, Pediatrics, and Ob/Gyn. 

• Support emergency and inpatient assessments, triage decisions, and follow-ups. 

• Educate patients and families about procedures, recovery expectations, and health management strategies. 

Clinical Leadership & Support: 

• Serve as a clinical resource and team leader during shifts to ensure efficient workflow and high standards of care. 

• Ensure accurate documentation, coding, and billing practices. 

• Maintain inventory of medical supplies, prepare patients for procedures, and ensure a safe, organized clinical environment. 

Work Schedule: 

• 24/7 in-house coverage of Cardiac Surgery Service utilizing 24-hour shifts. 

• Flexibility for 8, 10, or 12-hour shifts based on clinical demand. 

Required Skills and Qualifications: 

• Graduate of an accredited PA program with current NCCPA certification. 

• Active state PA license and prescriptive authority. 

• Minimum of 2 years’ experience in a surgical or hospital-based acute care setting (CT Surgery experience strongly preferred). 

• Skilled in ICU management and invasive bedside procedures. 

• Strong knowledge of anatomy, pathophysiology, pharmacology, and medical-surgical care. 

• Excellent clinical judgment, teamwork, and communication skills. 

Physical Demands 

• Standing - Constantly  

• Walking - Constantly  

• Sitting - Rarely  

• Lifting - Frequently  

• Carrying - Frequently  

• Pushing - Occasionally  

• Pulling - Occasionally  

• Climbing - Occasionally  

• Balancing - Occasionally  

• Stooping - Frequently  

• Kneeling - Frequently  

• Crouching - Frequently  

• Crawling - Occasionally  

• Reaching - Frequently  

• Handling - Frequently  

• Grasping - Frequently  

• Feeling - Constantly  

• Talking - Constantly  

• Hearing - Constantly  

• Repetitive Motions - Constantly  

• Eye/Hand/Foot Coordination - Constantly  

 
Working Conditions 

• Extreme cold - Rarely 

• Extreme heat - Rarely 

• Humidity - Rarely 

• Wet - Rarely 

• Noise - Constantly 

• Hazards - Frequently 

• Temperature Change - Rarely 

• Atmospheric Conditions - Rarely 

• Vibration – Rarely