Job ID: 3244
Type: PA
State: TX
Area: Dallas area
Specialty: PA
Description: Children's Medical Center seeking a Locum Physician Assistant to work in the The Cardiac Intensive Care Unit (CICU)
--13 hour shifts:
--PM shifts only 7p-8a
--Main CICU (20 beds): Reserved for the highest acuity patients requiring intensive monitoring, complex post-operative care, and advanced support therapies such as ECMO, CRRT, and ventricular assist devices.
--IMU (12 beds): Traditionally for lower acuity patients, the IMU is evolving into a higher-acuity step-down setting. Patients may be intubated (on a limited basis), or managed with tracheostomy and ventilator support, ventricular assist devices, and continuous infusions (milrinone, PGE, low dose epi, etc.). The unit is staffed by the same critical care-trained nurses and held to the same clinical care standards as the main CICU.
--The CICU is a nationally recognized center for advanced cardiac care, including pediatric heart failure and transplantation.
--Patient population: wide range of congenital and acquired cardiac conditions specializing in:
- Pre- and post-operative surgical care
- Pediatric heart failure and transplant management
- Advanced mechanical circulatory support (PediMag, CentriMag, HeartMate 3, Impella)
- ECMO and renal replacement therapies (including Aquadex)
- Pulmonary hypertension management
- Electrophysiology: temporary and permanent pacemaker management
--The CICU is staffed by Critical Care and Cardiology Fellows and Advanced Practice Providers (APPs), with no resident coverage. All front-line providers report directly to the attending physician.
--Three Rounding Teams: A, B and C
--Weekdays: 6 providers (Fellow/APPs) plus 1 APP resource; 1:6 provider-to-patient ratio. APPs write daily progress notes.
--Weekends: 3 providers (Fellow/APPs) cover both units; 1:10 (main) and 1:12 (IMU) provider-to-patient ratios. Notes required for admissions, discharges, and procedures only.
--Nights: 3 providers (Fellow/APPs) with similar ratios; documentation limited to admissions, procedures, and significant events.
--APPs are required to independently perform essential bedside procedures including:
- Removal of chest tubes, cardiac lines, pacing wires, and surgical drains
--Additional procedural capabilities are requested but not required:
- Insertion of chest tubes, arterial and central lines, and endotracheal intubation
--Required: Critical Care Certification is required, TX license or able to obtain
Community/Facility info:
Contact: For more information please contact Ben Ferro at [email protected] or call 716-689-6000.