The Adult Congenital Heart Disease (ACHD) service has seen exceptional growth over the last decade. It is one of the first five nationally accredited ACHD programs in the U.S. Advanced Practice Providers (APPs ARNPs and PAs) are integral and essential to the comprehensive outpatient care of this growing patient population. APPs collaborate with ACHD physicians, surgeons, nurses and clinic staff in providing the highest level of caring for this patient population.
Currently the ACHD APPs independently see patients in the outpatient clinical setting and seek input and consultation from patient primary ACHD cardiologist and/or surgeon as needed. It is envisioned that these roles may expand to include inpatient ACHD consultation in the future.
The APPs support a model of care delivery that prioritizes rapid access and patient care needs. APPs share the responsibility in caring for patients with ACHD with their physician and surgeon colleagues, and do not carry specific patient panels. APPs are supported in their practice by a team of ACHD RNs, patient care coordinators and medical assistants. As APPs support the entire patient cohort, the APP will collaborate with the ACHD RN, assigned to the patient, in orchestrating and following up the plan of care.
The purpose of this document is to delineate the roles, responsibilities, and expectations of the ACHD APPs.
The APP has the following responsibilities and expectations:
- Patient Care
- Gather pertinent clinical information and develop, implement, and evaluate patient management plans.
- Accurately and logically present clinical data and communicate pertinent information in a timely manner.
- Use advanced health assessment skills to differentiate between normal, variations of normal and abnormal findings.
- Appropriately order, interpret and follow up on diagnostic studies.
- Provide individualized patient and family centered education and care.
The APP will provide the above care services in a manner that optimizes access to care using standard clinic templates * consistent with UW Medicine policy **.
- Communication and Collaborative Practice
- Communicate in a professional and respectful manner with all members of the health care team.
- Communicate pertinent clinical information in a timely manner
- Advocate and work to improve access, quality and cost effective care as evidence by patient safety, satisfaction and productivity metrics.
- Promote and enhance communication with patients, staff, family members, and the interprofessional team
- Foster a healthy work environment resolves conflict tactfully, using appropriate channels for escalation of unresolved issues, and demonstrate professionalism in day to day activities.
- Provide education and mentorship to colleagues, fellows, residents and nurses.
- Utilize effective communication skills including negotiating, consensus building, and partnering to optimize collaboration.
- Practice and promote communication using TeamSTEPPS elements (including daily huddles with MAs and RNs)
- Professional Practice
- Demonstrate accountability for professional practice and recognizes the ethical, legal and cultural parameters of advanced practice serving a diverse patient population.
- Participate/support ACHD research and quality initiatives.
- Translate research and other forms of evidence to improve practice and outcomes.
- Attend Monthly ACHD Conference, quarterly Cardiology faculty meetings and monthly Cardiology APP meetings
- Participate in Continuing Education ACHD activities including attending and networking at international and national conferences.
University faculty engage in teaching, research and service.
Please mail, fax or email your cover letter and CV to: Kelly Waters, Cardiology, Box 356422, University of Washington, 1959 NE Pacific St., Seattle WA 98195-6422, Phone: (206) 616-1040, Fax: 206-616-4847, and email: email@example.com
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