Advanced Practice Provider - Critical Care
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ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: ICU Advanced Practice Provider (APP) REPORTS TO POSITION: ICU Medical Director DEPARTMENT: Critical Care DATE LAST REVIEWED: November, 2025 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: St. Charles Bend operates a 24-bed multi-disciplinary care unit as part of level II trauma hospital with 24/7 trauma coverage and full-time neurosurgical and cardiac surgical coverage. The prospective candidate should be comfortable providing care for general medical, neurologic and neurosurgical patients, cardiac and cardiac surgical patients and surgical sub-specialty patients. The Bend ICU is staffed 24/7 with a board-certified critical care physician. Every patient in the ICU has a physician responsible for their care and has access to variety of specialized physicians for consult on a patient's condition. POSITION OVERVIEW: The Advanced Practice Providers (APPs) work as part of the Critical Care team. They work under the direction and supervision of the attending intensivist and facilitate care of ICU patients from admission to discharge, in collaboration with the attending physician. The APP will discuss and update the Intensivist on duty with significant changes in the patient's condition, new test results, and will attend Team rounds daily. New admissions will be discussed collaboratively with the Intensivist to develop a Plan of Care. This is NOT an independent practice model for APPs and at all times a patient's plan of care and actual care should reflect the informed judgment of the Attending Intensivist. Each APP should have a strong foundation in evidenced based practice and ensuring an environment of safe, quality care. They should also demonstrate an advanced level of medical knowledge, clinical/technical competence, solid clinical decision making, critical thinking skills, professional communication skills, timely and complete documentation, and are responsible for personal and professional development with competency validation. APPs provide quality patient and family centered care as a member of the health care team in accordance with SCHS mission, philosophy, policies, and procedures; They provide specialty medical care within defined scope of practice under the supervision of a licensed physician, are responsible for daily patient flow in the ICU setting, and use critical skills to make appropriate patient health assessments and that should align with the physician's plan of care. APPs do not directly manage any other caregivers. Work schedule: APP will work at least one hundred fifty-six (156) shifts per reconciliation year for a full-time exempt employee and will be prorated for any FTE that is established below a full-time status. Provider Practice Location: Provider will render the Professional Services at such SCHS Facilities as may be directed by St. Charles Health System, and at such other facilities and locations as may be established by SCHS from time to time. It is anticipated that the primary work locations will be as follows: Practice Locations: St. Charles ICU - 2500 NE Neff RD Bend, OR ESSENTIAL FUNCTIONS AND DUTIES: (May perform additional duties of similar complexity within SCHS as required or assigned) Clinical Expectations: Round on every patient in ICU with the ICU care team (ICU physician, pharmacy, RNs, dietitian, etc) Document a comprehensive list of changes to each day's plan of care Update hospital course progression/daily and significant events in the "Care Coordination Note" Keep "Problem List" updated (only have current problems in active problem list) Ensure labs/imaging ordered for that day or the future (i.e. next morning's labs) when appropriate Place orders while on rounds (i.e. medications, labs, imaging, communication orders) Consult specialists Be able to answer critical and non-critical patient questions from RN/RT/staff and place orders when necessary Teach staff and families about treatment plans Facilitate family meetings and goals of care, in collaboration with the attending physician Participate in multidisciplinary rounds Take Histories and Review of Systems from ICU patients/families, performs physical exams Review outside records, completes full H&P's, orders appropriate diagnostic studies and coordinates among providers. Write H&Ps, Consults, progress notes, discharge summaries on ICU patients Sign death certificates Evaluate each emergency department consults for admission and place admission orders with each admission to ICU, in collaboration with attending physician Perform procedures (i.e. central lines, arterial lines, etc) that are consistent with medical staff privileges and individual capabilities Discharge patients from ICU while providing discharge orders, summary, medications and prescriptions, proper follow up Tran
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