Location: Stony Brook, New York
Open Date: Dec 19, 2022
Deadline: Feb 19, 2023 at 11:59 PM Eastern Time

Description
Purpose: To oversee the development, implementation, and maintenance of all aspects of care for patients with ventricular assist device in collaboration with the CT Surgery Medical Director; to coordinate and manage the patient care for this high-risk patient population throughout the continuum to optimize the patient's clinical, functional, and psychological status; to provide the communication link for coordination of care among the multidisciplinary health care team involved with this patient type; to work with the CT Surgery Medical Director in orchestrating a performance improvement program that focuses on continually improving the outcomes of these patients; to provide leadership and mentorship to the CT Surgery Program and Nursing Department through application of advanced clinical and experiential skills; and to facilitate participation in cardiac/CT surgery-related clinical research trials. Patient care includes care to patients in the following age groups: Adults (19 through 65) and geriatrics (65 years and above), though primary age group will be geriatrics.

Primary Functions- Job duties:

Preoperative care:

• All preoperative assessments.
• Obtain all old records.
• Coordinate all pre-consideration testing, arrange for all consultations.
• Compile all data for VAD consideration and assist with the presentation of the data at weekly VAD meetings.
• Perform home inspections.
• Preoperative preparation/admission prior to surgery (including hemodynamic optimization).
• lntraoperative monitoring.
• Post-operative care while hospitalized.
• Leading multidisciplinary rounding for post-operative VAD patients to decrease the length of stay, potential avoidances of post-implantation complications.
• Perform dressing changes and monitor of the VAD wound.
• Daily maintenance and follow-up of equipment.
• Obtain prior authorizations for medication prior to discharge.
• The coordination of ongoing out-patient medical support required for the rest of these patient's lives (or until transplant).
• Substantial pre and post-operative education for VAD patients and their families.

Outpatient/post-implantation care:

• Provide nursing support in the outpatient VAD clinic.
• Visit lab and note preparation.
• Troubleshoot the daily issues that arise with this patient population (which includes medication issues, symptomatic issues and life issues linked to living with a VAD).
• Interaction with pharmacies and insurance companies to obtain authorization for testing.

General Responsibilities:

• Maintain the significant equipment par levels required for these patients.
• Arrange for a safe home environment for VAD patients by communicating the presence of these patients in the community to the electric company and local firehouses in case of emergency.
• Establish SBM as a VAD resource for Long Island, provide highly specialized services to VAD patients implanted at other hospitals who not infrequently end up in our ER where they need to be assessed, stabilized and then transferred when it is safe to do so, or as evidenced during Hurricane Sandy and the 2013 snowstorm, when several VAD patients came to SBUH to provide a safe environment in case they lost power at home. The coordinator assumes responsibility for these patients until they are transferred to their implanting hospitals or can safely go home.
• Essential member of the team that provides outreach to Community Cardiologists and practitioners to advertise our VAD program.
• Primary educator for EMS services on Long Island for the care of these patients.
• Run an outpatient VAD support group.

Call:

• Takes 24 hour call/7 days a week for these patients, always being available for this group of very high acuity-patients.

Data Analysis and Reporting:

• Responsible for the extensive amount of data collection and entry, required for continuation of the program according to regulatory requirements, into the INTERMACS registry which tracks VAD patients post-operatively.
• Responsible for safety data collection and presentation to the monthly Heart Failure CQI meeting.

Qualifications
REQUIRED QUALIFICATIONS:

• Advance provider, a Nurse Practitioner with a minimum of 3 years of critical care experience or equivalent.
• NPs must have current prescriptive privileges, including DEA certificate.
• Masters degree in Nursing.
• CPR / ACLS / BLS certification.
• Must possess excellent oral, verbal and written communication skills; customer service/ interpersonal skills, problem solving, organizational skills, time management skills and knowledge of relevant hardware and software.
• National Certification as a Nurse Practitioner.
• Graduate of an accredited Nurse Practitioner program.
• 4 days per Week, 10 hours per shift.
• On Call required. May work all shifts and weekends.

PREFERRED QUALIFICATIONS: DNP preferred. Experience caring for VAD patients. Previous teaching experience and involvement in community organizations.

Application Instructions
To apply, visit http://apply.interfolio.com/118511.

All application materials must be submitted online. Please use the Apply Now button to begin your application. For technical support, please visit Interfolio's Support Site (https://support.interfolio.com/) or reach out to their Scholar Service Team at help@interfollio.com or (877) 997-8807.

For questions regarding this position, please contact Beth Manzi at 631-444-2034

Special Notes

Non-Tenure Track position. FLSA Exempt position, not eligible for the overtime provisions of the FLSA.

Anticipated Start Date: As soon as possible.

Campus Description

Long Island's premier academic medical center, Stony Brook Medicine, represents Stony Brook University's entire medical enterprise and integrates all of Stony Brook's health-related initiatives: education, research and patient care. It encompasses Stony Brook University Hospital, Stony Brook Children's Hospital, the five Health Sciences schools - Dental Medicine, Health Technology and Management, Medicine, Nursing and Social Welfare - as well as the major centers and institutes, programs and more than 50 community-based healthcare settings throughout Suffolk County. With 624 beds, Stony Brook University Hospital serves as Suffolk County's only tertiary care center and Regional Trauma Center. Stony Brook Children's, with more than 180 pediatric specialists in 30 specialties, offers the most advanced pediatric specialty care in the region. In the Medical and Research Translation (MART) building, two floors are occupied by Stony Brook University Cancer Centers outpatient services, and four floors are devoted to cancer research. Diversity, equity and inclusion are essential core values at Stony Brook Medicine. We believe we do our best and most impactful work when we leverage our diverse, equitable and inclusive perspectives. We are proud to recruit and hire talented people from a wide variety of backgrounds and experiences.

THE FOLLOWING PARAGRAPH ONLY APPLIES TO POSITIONS THAT MAY COME IN CONTACT WITH PATIENTS OR PATIENT CARE EMPLOYEES.

In response to the New York State Department of Health (DOH) regulation requiring Hospital and Nursing Home personnel to be fully vaccinated against COVID-19, candidates selected for patient care positions or positions that may come in contact with patients or patient care employees, if not already vaccinated, must be fully vaccinated or obtain the first dose of the vaccine within three (3) calendar days of acceptance of conditional job offer and must obtain any subsequent doses in accordance with the DOH vaccine protocol. Candidates who are partially vaccinated, but not yet fully vaccinated, must complete their vaccination series within three (3) calendar days of job offer or in accordance with vaccine manufacture protocol, whichever comes later. The regulation also allows for limited exemptions with reasonable accommodations, consistent with applicable law.

The selected candidate must successfully clear a background investigation.

In accordance with the Title II Crime Awareness and Security Act, a copy of our crime statistics is available upon request . It can also be viewed online at the University Police website at http://www.stonybrook.edu/police.

Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information,veteran status and all other protected classes under federal or state laws.

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