NURSE PRACT 2

The APP pre-rounds on patients daily, providing a medical overview and care management plan to attending physicians, and works closely with the CTS, CICU and AHF attending MDs, fellows, and hospitalists to manage both primary and consult MCS and AHF patients. They independently manage hospitalized patients across the AHF, MCS, and other Heart & Vascular service lines, escalating to the attending MD when needed, and monitor and transport MCS patients through procedures and studies as required. Clinical care for Advanced Heart Failure, MCS, Pulmonary Hypertension and Heart Transplant patients is managed and coordinated in close collaboration with the AHF, CTS, and CICU teams. During MCS procedures, the APP assesses and monitors patients per clinical practice guidelines, performs nursing histories and physical exams, and documents follow-up for VAD patients while serving as a clinical resource to nursing and other UCSF staff. They identify signs of acute decompensation or failure, communicate promptly with the physician, and participate in service rounds, patient evaluations, and treatment planning as part of the multidisciplinary team. The APP reviews labs, imaging, and other diagnostics to guide care plans, evaluates complex cases to determine appropriate level of care, and sets discharge parameters in coordination with the broader care team. Coordination of care across the inpatient and outpatietn setting is critical to ensure safe discharges and transfer of communicaiton and care across settings. They also respond to urgent weekend calls for critical symptoms or lab results and remain available to address time-sensitive patient issues outside normal hours.