Michigan ICU/Hospitalist APP

o Specialty:

• Hospitalist APP with ICU capabilities
• West Branch utilizes an open ICU model, and this APP will need to manage ICU patients
• Will not consider new grads

o Location:

• West Branch, MI
• 86 licensed beds; 10 ICU beds

o In-patient, Out-Patient or Both:

• In-patient
• 3-7 admits per night
• 15-20 patients to round on
• ICU acuity is low

o Schedule:

• Three days of orientation needed prior to first day on the floor
• Monday - Sunday, 7p-7a
• 7 on/ 7 off

o Cases/Procedures:

• Indirect Laryngoscopy Intubation
• Insertion and Management of Central Venous Catheters
• Insertion and Management of Arterial Catheters
• Moderate Sedation
• Lumbar Puncture
• Endotracheal Intubation and Extubation
• Ventilator Management Including Readiness for And Administering Respirator Weaning/Oxygen Therapy and Extubation. Assessing Need for Intubation
• Insertion of Arterial Lines, Central Venous Lines Either Percutaneously or By Cut Down
• Chest Tube Insertion
• Tracheostomy care including tube change
• Arterial Line Insertion and Removal (Radial and Femoral)
• CVC Line Placement
• External Pacing Including Adjusting Temporary Epicardial, Transvenous Or Transcutaneous Pacemaker as necessary management of Tension Pneumothorax in Emergent Situation

o Supervising Physician:

• Yes
• On-call physician; available within 20 minutes

o EMR and Dictation Tools:

• EPIC/Dragon

o Required experience, training, and certifications:

• ACLS
• BLS
• All certifications must be from the American Heart Association

o Case Logs:

• 50 cases in 12 months

o Credentialing Timeframe:

• Typically 30 days, but applications are prioritized according to start date