Advanced Practice Provider – Cardiac Cath Lab

Rapid City, SD Full time R9426


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Job Category

Clinical Care


MHHVI Cardiology

Scheduled Weekly Hours



Employee Type


Job Summary

• Plans, coordinates, organizes and manages the daily operations of the Structural Heart Program. Actively engaged with program development and the care of patients with valvular heart disease including patients undergoing TAVR, MitraClip and Watchman implantation.
• Conducts comprehensive health assessments, demonstrating a high level of autonomy and expert skill in the diagnosis and treatment of complex responses of individual, families, and communities to actual or potential health problems. Formulates clinical decisions to manage acute and chronic illnesses and promote wellness.
• Integrates education, research and management, leadership and consultation into clinical role and functions in collegial relationships with nursing peers, physicians, professionals and others who influence the health care environment. Provides health care in accordance with standards of practice as delineated by state practice guidelines and national board certification organizations.

Job Description

Major Responsibilities:

  • Provides diagnostic and assessment services. Secures a health history from patient and/or family, records findings, and evaluates them. Performs a complete in-depth physical examination. Orders/performs pertinent diagnostic tests based on age and history.

  • Analyzes data collected to determine health status and identify differential diagnoses based on history, physical exam, and clinical findings.
    Partners with physicians regarding proposed plan of care. Formulates this plan of care with the patient.
  • Manages therapeutic regime as outlined by established protocols for patients with acute illnesses. (Protocols are guidelines concerning patient care that are established between the physician and nurse practitioner. The guidelines outline subjective and objective findings, treatment plan and follow-up). Reassesses and modifies plan as necessary to achieve medical and health goals. Confers with physician for clinical direction as outlined by protocols.
  • Documents patient care outcomes to determine effectiveness of plan of care. Communicates outcomes with physician.
  • Signed delineation of privileges at hire between APP and collaborating physicians. Must renew delineation of privileges each credentialing cycle including:
    • scope of departmental practice
    • treatment of emergencies
    • physician consultation
    • writing orders/prescriptions
  • Prescribes medications from Schedules II-VI. The form of prescription may be written or verbal via telephone order. Written prescriptions may be initiated by the nurse practitioner after obtaining proper registration numbers from the South Dakota Department of Public Health and Drug Enforcement Agency.
  • Provides patient education. Acts as coordinator for admitting and discharging assigned patients. Works collaboratively with other health agencies and families of patients in the transition from admission to discharge. Confers with other health care providers including consultations and referrals to prepare a comprehensive patient care plan.
  • Within established protocols, under the supervision of the physician, nurse practitioners may assist with procedures in the operating room and with endoscopic procedures.
  • Enhances professional growth and development through participation in educational programs, current literature, in-service meeting and workshops.
  • Participates in department driven practices including on call scheduling, rotating weekends, etc.
  • Complies with established departmental policies, procedures, and objectives.
  • Attends variety of meetings, conferences, and seminars as required or directed.
  • Demonstrates use of quality improvement in daily operations.
  • Complies with all health and safety regulations and requirements.
  • Respects diverse views and approaches, and contributes in maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.

Additional Requirements

Acute Care Nurse Practitioners:

  • Graduate of an approved Acute Care Nurse Practitioner program (ACNP) and has passed the ACNP board certification.
  • Under the supervision of designated collaborating physicians, conduct comprehensive health assessments, analyze date and formulate clinical decisions to manage acute and chronic illnesses.
  • Responds to sick calls of patients and treats them according to the acuity of illness.
  • Participates in department driven practices including on call scheduling, rotating weekends, etc.


Physical Requirements:
Light work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

10 Monument Health Rapid City Hospital, Inc.

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Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.