Under the general supervision of a physician, the Cardiac Surgery Nurse Practitioner delivers comprehensive, patient-centered care across the continuum of cardiac surgical services. This role provides inpatient and outpatient clinical management, first-assist support in the operating room, perioperative and critical care management, and collaboration with multidisciplinary teams to optimize patient outcomes. The NP plays a key role in maintaining quality standards, supporting Society of Thoracic Surgeons (STS) and New York State cardiac surgery registry requirements, and ensuring exceptional patient care throughout the surgical journey.

STATUS: Full-Time

LOCATION: Rochester General Hospital

DEPARTMENT: Cardiac Surgery

SCHEDULE: Rotating 10-hour Day Shifts; Weeknight & Weekend Call; Holiday Rotation

ATTRIBUTES

• Compassionate, patient-centered approach with exceptional interpersonal and communication skills

• Strong critical thinking, clinical judgment, and decision-making abilities

• Ability to work independently and collaboratively in a fast-paced, high-acuity environment

• Strong documentation and organizational skills

• Commitment to quality improvement and evidence-based practice

• Willingness to develop advanced cardiac surgery skills, including first assist and endoscopic conduit harvesting

• Supportive learning environment with advanced procedural and critical care training opportunities

• RNFA required

RESPONSIBILITIES

• Operative First Assist. Serve as first assist for open and minimally invasive cardiac surgery procedures. Maintain and advance surgical skills, including endoscopic saphenous vein and radial artery harvesting. Participate in 24/7 operating room coverage through a shared call schedule while developing the skills necessary for independent operative support.

• Critical Care Management. Collaborate with cardiac surgeons and intensivists to provide comprehensive care for critically ill cardiac surgery patients. Participate in ICU rounds, develop postoperative management plans, facilitate transitions of care from the ICU to step-down units, and ensure high-quality provider handoffs.

• Perioperative Patient Care. Perform inpatient consultations, comprehensive history and physical examinations, STS risk assessments, admissions, daily rounding, discharge planning, and postoperative management for cardiac surgery patients. Serve as first-call provider for non-critical cardiac surgery patients and coordinate care with the multidisciplinary team.

• Outpatient Management. Evaluate patients during pre-admission testing, conduct postoperative follow-up visits, manage patient communications through phone and electronic medical record messaging, evaluate surgical wounds, coordinate ongoing wound care, and facilitate transitions to cardiology and primary care providers.

• Quality & Clinical Documentation. Support Society of Thoracic Surgeons (STS) and New York State cardiac surgery quality initiatives through accurate, complete clinical documentation and participation in quality improvement efforts, including morbidity and mortality conferences, registry compliance, patient safety initiatives, and collaboration with Clinical Documentation Integrity teams.

• Patient Satisfaction. Build trusting relationships with patients and families through compassionate communication, education, counseling, and shared decision-making. Deliver exceptional patient experiences throughout the preoperative, operative, and postoperative continuum of care.

• Medication & Clinical Management. Prescribe medications, order diagnostic testing, perform procedures within scope of practice, and respond appropriately to changes in patient condition while collaborating closely with cardiac surgeons and the multidisciplinary care team.

• Documentation. Complete accurate, timely, and comprehensive documentation of patient encounters, procedures, assessments, treatment plans, progress notes, discharge summaries, and quality metrics in accordance with organizational, regulatory, and STS documentation standards.

• Call Coverage. Participate in a shared call schedule that includes approximately one weeknight of call per week, one weekend every five weeks, and a minimum of one observed hospital holiday annually to ensure continuous support of the cardiac surgery service.