Adv Pract Prof - General Surgery

Advance Practice Professional

The Advance Practice Professional (APP) is an individual with clinical/surgical expertise. The APP completes comprehensive patient health evaluations (including biological, social and psychological assessments) in collaboration with the appropriate clinical/faculty team. The APP assesses, and coordinates the educational and psychosocial needs of the surgery patient and caretakers. The APP develops and reviews the plan of care with the other members of the clinical team, participates in directing that care, and coordinates discharge planning (as applicable) and appropriate post hospital follow up. The APP participates in the education of residents and medical/nursing students and performs diagnostic procedures and therapeutic procedures. The APP participates in all aspects of the global management of the surgical patient throughout the system.

Provide healthcare services consistent with state law and the requirements of the professional licensing or certification authority and/or hospital privileges, where applicable. Such service may include, but are not limited to.

Minimum Qualifications for Nurse Practitioner:

1. Graduate of a CCNE accredited nursing program with Master's Degree in Nursing

2. National Certification by one of the recognized APRN Certification Centers

3. Licensure; or eligibility for licensure, as a professional Registered Nurse and Advanced Practice Registered Nurse in West Virginia.

4. Department Specific: APRNs requesting to be privileged as First Assists are required to complete RNFA certification.

5. BLS Certification required with additional Advanced Life Support training at the discretion of the department.

Experience:

1. Acute care, surgical, critical care, or trauma experience preferred.

2. Eligible new graduates will be considered.

Preferred Qualifications:

1. ACNP or FNPs considered.

Core Duties and Responsibilities:

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Manages comprehensive and individualized care for surgical patients and their families in the inpatient phase of hospitalization (as applicable) and immediate post discharge in the ambulatory setting.

2. Completes daily rounds; consults and/or pre-procedure/surgical evaluations.

3. Completes integrated assessments.

4. With the collaboration of surgical trauma faculty or by following established clinical Guidelines and Protocols, orders additional tests or consults as deemed appropriate.

5. Performs and communicates results of diagnostic tests following established clinical guidelines and scope of practice.

6. Consults and communicates with clinic and hospital staff regarding abnormal findings in the evaluations of patients.

7. Performs succinct comprehensive clinical evaluations and documents findings in medical record.

8. Facilitates patient discharge by coordinating appropriate services and tests prior to discharge necessary for outpatient follow-up appointments in the clinic (as applicable).

9. Performs necessary procedures following established clinical guidelines and protocols for vascular surgery and scope of practice (SOP).

10. Manages comprehensive and individualized care through the inpatient and immediate post-discharge phase of the patient's hospitalization experience and in the outpatient setting (as applicable).

11. Develops a comprehensive individualized plan of care for surgical patients, which includes teaching, discharge planning and necessary referral to other members of the health care team as necessary.

12. Demonstrates expertise in caring for patients across the age continuum of their educational experience and certification.

13. Participates in physician rounds and consultations (as applicable).

14. Identifies unstable or complex surgical patient care situations and facilitates appropriate intervention in the clinic and/or hospital setting.

15. Facilitates patient discharge by coordinating appropriate services and tests prior to scheduled outpatient follow up appointments (as applicable).

16. While in the clinic setting, assists in the collection of outcome measures (as applicable).

17. Recognizes emergency situations and initiates effective emergency care.

18. Evaluates the effectiveness of the surgery patient/family teaching and collaborates with the nursing and clinical staff in the completion of education plan.

19. Assists in the collection of outcome measures (as applicable).

20. Demonstrates critical thinking and diagnostic reasoning skills in clinical decision making by the identification, evaluation and management of the individual needs of patients/families.

21. Demonstrates the ability to utilize equipment in a safe manner.

22. Bases decisions made/actions taken on the relevant scientific principles, established standards of care and/or research findings.

23. Utilizes teaching/learning theory and appropriate teaching strategies in the provision of education to nursing staff, hospital staff, students, patients, families and the community.

24. Promotes an environment that facilitates learning by responding to appropriate patient/family preferences, priorities and readiness to learn.

25. Updates own knowledge base throughout the year.

26. Completes all identified clinical competencies.

27. Serves as a resource person for staff caring for the surgical patient.

28. Provides educational programs to professional and paraprofessional personnel in area of expertise.

29. Mentors nursing personnel in all levels of clinical practice.

30. Participates in community programs, distribution of literature, as appropriate in area of expertise.

31. Communicates effectively with patients/families, physicians and ancillary services at all levels to assure coordinated efficient patient care.

32. Documents the plan of care, interventions and evaluations in a clear and concise manner for every patient visit in the patient's medical record following approved hospital/UHA policies and compliance standards for documentation.

33. Documents all interventions in the patient's medical record following approved hospital/UHA policies and compliance standards for documentation.

34. Collaborates with other leaders and staff to effectively achieve patient outcome based improvements in care.

35. Provides leadership in the development and implantation of changes in the surgical practice that positively impact patient outcomes.

36. Works collaboratively with medical and nursing staff to facilitate creative problem solving and provide professional support.

37. Participates and initiates inter-disciplinary approaches to patient care, program development and education. Serves as a professional role model.

38. Promotes and practices innovation of the expanded role in the delivery of care to surgical patients and families throughout the inpatient hospitalization, and the ambulatory setting.

39. Participates and provides leadership for committees and task forces.

40. Documents hours and submits billing reports, as appropriate.

41. Participates in the WVUM/UHA Performance Improvement Plan.

42. Applies information from Performance Improvement activities, changing practice as necessary, to improve care provided to patients.

43. Reviews and interprets surgical data from sources such as patient registries, clinical and financial reports, length of stay, access to care, and cost per case reports and recommends/implements changes as necessary.

44. Participates in clinical trials and research studies with the Principal Investigator.

45. Assists surgery Faculty, Administrators and Directors in the collection of outcome measures.

46. Other duties/projects as assigned.

Physical Requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Heavy/Hard Work: Work requires strength and/or stamina, lifting, moving, stooping, reaching, positioning of patients, standing, walking, and carrying of patients, materials and equipment weighting 40+ pounds.

Working Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Working closely with others.

2. Protracted or irregular hours.

3. Working around biohazards.

4. Working around infectious diseases.

5. Working with or near the deceased.

6. Working with hands in water.

7. Electrical hazards associated with patient care equipment.

Skills and Abilities:

1. Proficiency with computers.

2. Strong communication skills.

Scheduled Weekly Hours: 40

Shift: Varied (United States of America