Specialty: Cardiology Pediatric

Contract Length: 3 months ongoing

Schedule: 5x8s – No Call

Work Details:

Support Staff: The CICU is staffed by Critical Care/Cardiology Fellows and Advanced Practice Providers (APPs). All front-line providers report directly to the attending physician.
– Weekdays: 6 front-line providers (FLPs) plus 1 APP resource; 1:6 provider-to-patient ratio.
– Weekends: 3 FLPs cover both units; 1:10 (main) and 1:12 (IMU) provider-to-patient ratios. Notes required for admissions, discharges, and procedures.
– Nights: 3 FLPs with similar ratios; documentation limited to admissions, procedures, and significant events.

Patients Per Day: 20-bed main CICU and a 12-bed Intermediate Care Unit (IMU)

Patient Population/Clinical Scope: Includes a 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

Department Description:
– 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, 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 critical care-trained nurses and held to the same clinical care standards as the main CICU.

Procedural Competencies: 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

Practice Setting: Hospital

Requirements:
– Board Certification: BC, BE — must have Acute Care certification
– License Required: Active Tx License