Nocturnal Inpatient Surgical Nurse Practitioner or Physician Assistant

Cardiothoracic & Vascular Surgery Floor Coverage

Position Summary:

We are seeking an experienced Nurse Practitioner or Physician Assistant to provide overnight inpatient coverage for Cardiothoracic Surgery and Vascular Surgery services. This role is strictly inpatient floor-based with no operating room, procedural surgery, or call responsibilities.

The APP will manage post-operative and medically complex surgical patients in collaboration with attending surgeons and critical care teams.

Schedule:

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• Night Shift Schedule: 13-hour shifts (6p7a), rotation including weekends and holidays
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• 12-hour night shifts
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• Hours: 6:30 PM 6:30 AM
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Clinical Responsibilities:

Vascular Surgery

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• Inpatient coverage for ICU patients (co-managed with Critical Care) and floor patients
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• Daily patient assessments, care coordination, documentation, and overnight issue management
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Cardiothoracic Surgery

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• Inpatient floor-only coverage
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• No CT Surgery ICU patients
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• Post-operative management, monitoring, and overnight clinical support
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Procedures:

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• Chest tube management
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• Chest tube removal only
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• (No chest tube insertion required)
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Scope of Practice - Important Notes:

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• No operating room responsibilities
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• No surgical procedures
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• No call
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• No ICU coverage for Cardiothoracic Surgery
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Qualifications:

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• Licensed Nurse Practitioner or Physician Assistant
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• Active North Carolina license (required)
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• Active DEA (address change acceptable if currently licensed elsewhere)
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• Prior experience in:\n
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  • Cardiothoracic Surgery
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  • Vascular Surgery
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  • Surgical inpatient or nocturnal hospital coverage
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  • Strong clinical judgment and ability to work independently overnight
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Key Skills & Attributes:

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• Inpatient surgical floor management
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• Post-operative care
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• Interdisciplinary collaboration
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• Strong communication and documentation skills
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• Comfort managing complex surgical patients overnight
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Compensation:

Competitive base salary with comprehensive benefits, relocation assistance, and opportunity for growth within Atrium Healths expanding heart & vascular network.