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Commonwealth Medical Services

Cardiac Surgery Nurse Practitioner / Physician Assistant (NP/PA) - South Dakota

rapid city, SD

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Job description

Cardiac Surgery Nurse Practitioner / Physician Assistant (NP/PA)

Position Summary

The Cardiac Surgery Nurse Practitioner or Physician Assistant provides comprehensive clinical care to patients undergoing cardiac surgical procedures. Working collaboratively with cardiac surgeons and the multidisciplinary care team, this role supports patients throughout the perioperative continuum, including preoperative evaluation, postoperative management, and ongoing inpatient care, with a focus on patient safety, quality outcomes, and continuity of care.

Essential Duties and Responsibilities

Provide preoperative evaluation and optimization for patients undergoing cardiac surgery

Manage postoperative cardiac surgery patients in the ICU and step-down units

Perform daily assessments, write orders, and develop care plans in collaboration with cardiac surgeons

Monitor hemodynamics and manage postoperative issues including arrhythmias, fluid balance, and pain control

Manage invasive devices such as central lines, arterial lines, chest tubes, pacing wires, and surgical drains

Assist in the operating room as appropriate, including first-assist duties or endoscopic vein harvesting, consistent with training and privileges

Identify, evaluate, and manage postoperative complications

Coordinate care transitions including discharge planning and outpatient follow-up

Communicate effectively with patients, families, nursing staff, and consulting services

Maintain accurate, timely clinical documentation in the electronic medical record

Participate in quality improvement, patient safety, and outcomes initiatives

Comply with all regulatory, accreditation, and professional standards

Qualifications Graduate of an accredited Nurse Practitioner or Physician Assistant program

Current NP or PA certification and state licensure

Eligibility for hospital credentialing and privileging

DEA registration or eligibility

Prior experience or specialized training in cardiac surgery, cardiothoracic surgery, or critical care preferred

Skills and Competencies Strong clinical assessment and critical care skills

Knowledge of cardiac surgical procedures and postoperative management

Ability to manage complex, high-acuity patients

Excellent communication, teamwork, and organizational skills

Ability to function effectively in fast-paced, high-stress environments

Commitment to evidence-based practice and patient-centered care

Work Environment Cardiac operating rooms, cardiovascular intensive care units, step-down units, and inpatient hospital settings

Schedule may include shifts, nights, weekends, holidays, and on-call coverage depending on program needs

Physical Requirements Ability to stand and walk for extended periods

Manual dexterity for procedural and bedside clinical tasks

Visual and auditory acuity sufficient for patient monitoring and assessment

Worksite address

rapid city, SD, 57700, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

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