Neuro ICU APP needed in Louisiana

Job description

Start Date: 4/13/2026
Contract length: 6 months
Shift: 7p-7a
7 days per week
12-16 shifts per month

• Neuro ICU - 24 hour APP in house coverage with neurointensivist support (formal daily rounding; phone availability overnight); comprehensive adult ICU patient management (closed unit) with primary neurologic diagnoses.
• Facilitate patient admission, treatment and discharge. Compose medical records to be cosigned by medical staff (H&P, consult notes, progress notes, discharge summary). Conduct rounds on patients. Direct care as specified by approval protocols; initiate appropriate referrals and consults. Provide patient education, perform debridement and care for superficial wounds. Perform minor superficial surgical procedures. Perform incision and drainage of superficial abscesses. Perform dressing changes. Take wound cultures. Remove packing. Remove drains at direction of surgeons. Remove sutures at direction of surgeon. Insert and remove nasogastric tubes. Perform urinary bladder catheterization. Perform venous punctures. Perform routine immunization. Provide critical care to patients, including mechanical ventilator management, noninvasive ventilation management, calibration and operation of hemodynamic monitoring systems, management of critical care analgesia and sedation. Perform critical care procedures on patients to include bag mask ventilation, laryngeal mask insertion. Familiarity with the majority of the following: Neurologic examination, Neurologic localization, Neuroimaging, Electroencephalography, Ischemic stroke revascularization, Ischemic stroke secondary prevention, Intracerebral hemorrhage, Subarachnoid hemorrhage, Traumatic brain injury, Intracranial pressure, Status epilepticus, Neuromuscular respiratory failure, Breathing and ventilation in critical care, Acid base and sodium, Fever and infection, Antithrombotic and reversal, Cardiac arrest, Detecting Brain death.
• CVC insertion, arterial line insertion, lumbar puncture; Implement SAH, ICH, and AIS pathways. Document core stroke measures, namely last known well for all, Hunt and Hess for SAH, ICH Score for ICH, NIHSS for AIS. Manage high-morbidity Neurosurgery post-operatively, including craniotomy, craniectomy, cranioplasty, transsphenoidal resection, spine decompression/stabilization, carotid/intracranial stenting, and aneurysm clipping/coiling. Detect neurocritical emergencies on CT head. Interpret CXR and ECG accurately. Complete timely, updated, and accurate notes including Medication Reconciliation, Family History, and Social History.
• BC in Adult Geriatric or Acute care required
• LA license required
• CSR, DEA, ENLS, ACLS, BLS required
• One year experience required

• 6 months with the option to extend
• Night shift coverage needed
• 12-16 shifts per month