Critical Care/ICU Nurse Practitioner

Schedule • Shift hours: 9:00 PM 7:00 AM (10-hour night shifts) • 4 shifts per week, Monday through Friday mornings (typically Monday night through Thursday night, providing overnight coverage that concludes Friday morning; exact rotation coordinated with the team to maintain weekday continuity) • No scheduled weekend shifts unless agreed upon for coverage needs. TRAVEL: Yes - covered SUMMARY: Night Cardiac Surgery APP functions as an autonomous, hospital-based provider on the CT Surgery service. Working under the supervision of the attending cardiac surgeon, the APP provides continuous, high-acuity management of adult cardiac surgery patients during overnight hours. This role ensures seamless 24/7 coverage for post-operative care, urgent evaluations, and rapid response to clinical deterioration in the Cardiac Surgery ICU (CVICU), step-down unit (CVSD), and telemetry floors. PATIENT POPULATION • Primary: Adult post-operative cardiac surgery patients (CABG, valve repair/replacement, aortic aneurysm/dissection repair, adult congenital repairs, Impella/IABP support, rare ECMO). • Secondary: Pre-operative urgent/emergent cardiac surgery admissions or consultations occurring overnight. RESPONSIBILITIES: Patient Management: Admissions, overnight rounding, and ongoing management (hemodynamics, vents, drips, anticoagulation, etc.) Diagnostics & Orders: Order/interpret labs, imaging, EKGs; adjust care plans Critical Care: Lead/respond to codes and rapid responses; manage complications (bleeding, tamponade, arrhythmias, stroke, AKI, sepsis) Procedures: Lines, chest tubes, thoracentesis, pacing wires, IABP troubleshooting, wound/drain care (per privileging) Care Coordination: Handoffs (SBAR), collaborate with multidisciplinary teams, occasional discharges/transfers EXPECTATIONS High clinical autonomy with appropriate escalation to attending Timely, accurate documentation Strong communication and teamwork Full availability during shifts (on-site) Adherence to quality/safety standards (STS, AHA/ACC) Maintain BLS/ACLS and board certification (ACNP or PA; CT surgery/critical care experience preferred) REQUIREMENTS 3+ years CT surgery or critical care experience preferred Full privileging required 1 2 week orientation (mix of day/night shifts)

Created: 2026-05-01