Advanced Practice Registered Nurses / Physician Assistants
Inpatient Spine NP/PA Role
JOB SUMMARY & Description: The nurse practitioner (NP)/ physician assistant (PA) within the acute care hospital setting works in collaboration with the orthopedic and neurosurgical spine team. The NP/PA is an integral member of a multidisciplinary health care team. The NP/PA functions primarily as a spine hospitalist in an inpatient setting, managing the care of acute and complex surgical spine patients. The NP/PA is on a service aligned team managing the patient care from admission to discharge. The NP/PA has a strong foundation in evidenced based practice/education and provides an environment of safe quality care. The NP/PA demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation.
Part-time Dayshift Position 6a-6:30p (weekends required)
Preferred not required: NP/PA with 1year hospitalist experience and/or spine experience, or a recent NP graduate with RN bedside experience.
Key Functions and Expected Performances:
Assessment of Health Status
Performs and documents in the medical record a complete history and physical examination for acute and complex chronically ill surgical patients. Performs and documents in the medical record a complete summary of hospitalization course.
Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
The NP/PA may serve as the first responder for the spine patient in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
Assesses for risks associated with the care of the acute and complex spine patient including: changes in neuromuscular or sensory exam, weakness/loss sensation, pain control, hemodynamic stability, infection, postoperative complications, medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.
Coordinates daily rounds with the Spine Residents and Attending physician teams, presents daily the patient report, collaborates in plan of care, and follows assigned patient population throughout the day. Coordinates daily with the consulting teams and services to ensure excellent patient care. Coordinates daily huddle with Case Management, Social Work, and Therapy teams (PT/OT) to collaborate plan of care.
Collaborates with Spine Attending and interdisciplinary health care team in making diagnoses of acute and complex spine conditions and chronic conditions.
Manages diagnostic tests through ordering, interpretation, performance, and supervision.
Formulates differential diagnoses by priority.
Diagnoses complications and orders appropriate interventions.
Formulates Plan of Care
Identifies expected outcomes from diagnosis and surgical intervention. Formulates and documents a plan of care to address complex acute and chronic health care needs.
Utilizes evidenced based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.
Implements and modifies plan of care
Prescribes diagnostic strategies and therapeutic interventions both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes.
Manages further diagnostic tests through ordering, interpretation, performance, and supervision.
May perform advanced procedures consistent with privileges and competency validation including minor suturing, complex wound management, line and tube placements and removals.
Communication and Collaboration
Maintains ongoing communication and collaboration with Spine service and interdisciplinary health care team.
Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.
Documents/dictates key components of patient's, transfer, discharge letter, and discharge summary. (procedure notes, acute event note, discharge summaries).
Documentation is timely, meets acute care compliance standards and captures patient acuity .
Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of students, nursing staff on the floor and spine clinic, nurses, graduate and novice nurse practitioners.
Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
Actively participates in Grand Rounds, APN council meetings, faculty and unit meetings, M&M presentations.
Maintains CEUs, and membership in a professional organization.
Job requires: Acute Care NP or PA.
Dayshift Position 6a-6:30p (3 shifts per week).
Two Weekends per month required.
Preferred not required: NP/PA with 1+ year hospitalist experience and/or spine experience, or a recent NP graduate with RN bedside experience.
Current: BLS & ACLS.
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