Locums - Neuro-Critical Care APC - New Orleans, LA

Specialty: NP/PA-Neurocritical Care  

Location: New Orleans, LA

Credentialing Timeframe: 30 days

Hospital Details:

• Hospital Bed Size: 446
• Trauma Level: Level I

Reason For Coverage: short staffed need 1/2 time provider

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Dates:   12hr nights 12-14 shifts / month

Flexible scheduling No Call

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Job Details:

• Setting: Inpatient Adult ICU (>18yo) with primary neurologic diagnosis
• Patient Volume: 12 bed ICU Neurocritical care patients/night 
• Support Staff: Nursing, RT, NCC attending, +/- additional APPs
• Skills Required: Facilitate patient admission, treatment and discharge. Compose medical records to be cosigned by medical staff (H&P, consult notes, progress notes, discharge summary). Conduct rounds on patients. Direct care as specified by approval protocols; initiate appropriate referrals and consults. Provide patient education, perform debridement and care for superficial wounds. Perform minor superficial surgical procedures. Perform incision and drainage of superficial abscesses. Perform dressing changes. Take wound cultures. Remove packing. Remove drains at direction of surgeons. Remove sutures at direction of surgeon. Insert and remove nasogastric tubes. Perform urinary bladder catheterization. Perform venous punctures. Perform routine immunization. Provide critical care to patients, including mechanical ventilator management, noninvasive ventilation management, calibration and operation of hemodynamic monitoring systems, management of critical care analgesia and sedation. Perform critical care procedures on patients to include bag mask ventilation, laryngeal mask insertion.
• Skills Preferred: CVC insertion, arterial line insertion, lumbar puncture
• Implement SAH, ICH, and AIS pathways 
• Document core stroke measures, namely last known well for all, Hunt and Hess for SAH, ICH Score for ICH, NIHSS for AIS 
• Manage high-morbidity Neurosurgery post-operatively, including craniotomy, craniectomy, cranioplasty, transphenoidal resection, spine decompression/stabilization, carotid/intracranial stenting, and aneurysm clipping/coiling 
• Detect neurocritical emergencies on CT head 
• Interpret CXR and ECG accurately 
• Complete timely, updated, and accurate notes including Medication Reconciliation, Family History, and Social History  
• Place orders
• Update handoffs
• Follow up studies, labs
• Obtain and provide signouts
• Interpret CXR and ECG accurately
• Complete timely, updated, and accurate notes including Medication Reconciliation, Family History, and Social History
• Hold phone with supervision by day APP/attending supervision
• Address provider, nursing, pharmacy, radiology calls and messages
• Evaluate patient complaints, exam changes, and hemodynamic deteriorations
• Contact attending appropriately with patient developments
• Respond to Code Blue in critical care for NCC patients
• Implement SAH, ICH, and AIS pathways
• Document core stroke measures, namely last known well for all, Hunt and Hess for SAH, ICH Score for ICH, NIHSS for AIS
• Manage high-morbidity Neurosurgery post-operatively, including craniotomy, craniectomy, cranioplasty, transphenoidal resection, spine decompression/stabilization, carotid/intracranial stenting, and aneurysm clipping/coiling
• Detect neurocritical emergencies on CT head
• +ventilator management
• 1-2 shadow shifts before practicing independently
• Special Equipment: Ultrasound, EVD, EEG, ICP bolt, Phillips hemodynamic monitoring, ceribell, pupillometer
• EMR: Epic
• Travel, lodging, and malpractice insurance is covered

About Delta Locum Tenens

Delta Locum Tenens provides qualified physicians and practitioners short- and long-term placement on behalf of healthcare facilities around the nation. In 2023, DLT won Best Of Staffing Talent 10 Year Diamond award and Best Of Staffing Client award for providing superior service to their clients and candidates.