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Position Summary:

The Nocturnal Advanced Practice Provider (APP) provides comprehensive overnight coverage for house-wide inpatient surgical and subspecialty services. This role supports cardiac surgery, general surgery, and additional surgical subspecialties by delivering high-quality, patient-centered care, performing invasive procedures, and ensuring continuity of care during nocturnal hours. The APP functions with a high degree of autonomy while collaborating closely with attending surgeons, fellows, residents, and multidisciplinary teams.

Essential Duties and Responsibilities:

Clinical Care-

• Provide overnight cross-coverage for inpatient surgical and subspecialty services.

• Perform comprehensive assessments, including history and physical exams, for new admissions, consults, and acute changes in patient condition.

• Diagnose and manage postoperative and acute surgical complications.

• Initiate and adjust treatment plans in collaboration with supervising physicians.

Procedural Competence-

• Perform invasive bedside procedures including, but not limited to:
• Central venous catheter placement
• Arterial line insertion
• Chest tube placement and management
• Thoracentesis and paracentesis
• Wound exploration and bedside surgical interventions

Specialty Coverage-


• Provide dedicated support for cardiac surgery patients, including:
• Postoperative hemodynamic monitoring
• Management of chest tubes, pacing wires, and anticoagulation
• Support general surgery and subspecialties (e.g., vascular, spine, gyn-onc) with acute care needs and general postoperative management.

Care Coordination-


• Ensure effective handoffs between day and night teams.
• Communicate changes in patient status to attending surgeons and relevant team members.
• Collaborate with nursing staff, respiratory therapists, and other disciplines to optimize patient outcomes.

Documentation & Compliance-


• Maintain accurate, timely, and thorough documentation in the electronic medical record.
• Adhere to institutional protocols, clinical guidelines, and regulatory standards.

Required Qualifications-


• Graduate of an accredited Nurse Practitioner (NP) or Physician Assistant (PA) program.
• Active, unrestricted state licensure as an NP or PA.
• Board certification (ACNP, AGACNP, or PA-C preferred).
• Minimum of 2-3 years of experience in surgical, critical care, or cardiothoracic settings.
• Demonstrated proficiency in invasive bedside procedures.
• Current BLS and ACLS certifications.

Preferred Qualifications-


• Experience in cardiac surgery or cardiothoracic ICU.
• Familiarity with hemodynamic monitoring and ventilator management.
• Experience with high-acuity, fast-paced inpatient environment
Core Competencies
• Advanced clinical decision-making and critical thinking
• Procedural proficiency and technical skill
• Effective communication and teamwork
• Ability to work independently during nocturnal hours
• Emergency management
• Adaptability across multiple surgical specialties

Work Schedule-


• Night shift position (e.g., 7:00 PM - 7:00 AM)
• Rotating weekends and holidays as required

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.