Lead Advanced Practice Provider Orthopedics

POSITION SUMMARY

The Advanced Practice Professional (APP) candidate will continue with the core duties and responsibilities as outlined in the job description as an APP within the department of orthopedics. In addition, this candidate will provide a leadership role within the division of Orthopedics. Coordinates the clinical aspects related to the Orthopedic program including education, advancement of skills and maintenance of the APP scope of practice.

The Advanced Practice Professional (APP) has coordination and clinical skills required for the comprehensive management of orthopedic patients, (including biological, social and psychological assessments). The APP coordinates involvement of medical/surgical specialty teams necessary to develop a comprehensive plan for the patient, and reviews the plan of care with the other members of the clinical team, participates in directing that care, performs diagnostic/therapeutic procedures, peri-operative services, and coordinates discharge planning/follow-up (as applicable). The APP participates in the education of residents and medical/nursing students.

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

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

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. CNOR Certification.
5. BLS Certification required with additional Advanced Life Support training at the discretion of the department.
6. Department Specific: APRNs requesting to be privileged as First Assists in perioperative services will be required to complete an ANOR approved CNOR Certificate program and obtain a passing grade on CNOR certification exam.
7. Advanced Cardiac Life Support (ACLS) at the discretion of the department.

EXPERIENCE:

1. Eligible new graduates will be considered.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Acute care, surgical or orthopedic experience preferred.

MINIMUM QUALIFICATIONS FOR PHYSICIAN ASSISTANT

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor’s Degree as Physician Assistant or Master’s Degree as Physician Assistant required.
2. Graduate of an ARC-PA approved Physician Assistant (PA) training program required.
3. Certification by the National Commission for Certification of Physician Assistants required.
4. Must be licensed or eligible for licensure by the WV Board of Medicine.
5. BLS Certification required with additional Advanced Life Support training at the discretion of the department.
6. Advanced Cardiac Life Support (ACLS) at the discretion of the department.

EXPERIENCE:

1. Eligible new graduates will be considered.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Master’s level degree as Physician Assistant preferred.

EDUCATION:

1. Acute care, surgical or orthopedic experience preferred.

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 orthopedic patients and their families in the ambulatory setting.
2. Completes daily rounds; consults and/or pre-procedure/evaluations (as applicable). With the collaboration of orthopedic faculty or by following established clinical Guidelines and Protocols, orders additional tests or consults as deemed appropriate.
3. Completes integrated assessments. Participates in peri-operative procedures which includes (but is not limited to) first assisting on cases in the operative suite.
4. Performs and communicates results of diagnostic tests following established clinical guidelines and scope of practice.
5. Consults and communicates with clinic and hospital staff regarding abnormal findings in the evaluations of patients.
6. Performs succinct comprehensive clinical evaluations and consultations; documents findings in medical record.
7. Facilitates patient discharge by coordinating appropriate services, tests supportive equipment prior to discharge necessary for outpatient follow-up appointments in the clinic (as applicable).
8. Develops a comprehensive individualized plan of care for orthopedic patients, which includes teaching, perioperative planning, discharge planning and necessary referral to other members of the health care team as necessary.
9. Demonstrates expertise in caring for patients across the age continuum of their educational experience and certification.
10. Identifies unstable or complex orthopedic patient care situations and facilitates appropriate intervention in the clinic and/or hospital setting.
11. Recognizes emergency situations and initiates effective emergency care.
12. Evaluates orthopedic patients and serves as a coordinator for follow up procedures and tests in the ambulatory setting (as applicable).
13. Assists in the collection of outcome measures (as applicable).
14. Demonstrates critical thinking and diagnostic reasoning skills in clinical decision making by the identification, evaluation and management of the individual needs of patients/families.
15. Demonstrates the ability to utilize equipment in a safe manner.
16. Bases decisions made/actions taken on the relevant scientific principles, established standards of care and/or research findings.
17. Utilizes teaching/learning theory and appropriate teaching strategies in the provision of education to nursing staff, hospital staff, students, patients, families and the community.
18. Promotes an environment that facilitates learning by responding to appropriate patient/family preferences, priorities and readiness to learn.
19. Updates own knowledge base throughout the year.
20. Completes all identified clinical competencies.
21. Serves as a resource person for staff caring for the orthopedic patient.
22. Provides educational programs to professional and paraprofessional personnel in area of expertise.
23. Participates in community programs, distribution of literature, as appropriate in area of expertise.
24. 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.
25. Collaborates with other leaders and staff to effectively achieve patient outcome based improvements in care.
26. Provides leadership in the development and implantation of changes in the orthopedic practice that positively impact patient outcomes.
27. Works collaboratively with medical and nursing staff to facilitate creative problem solving and provide professional support.
28. Participates and initiates inter-disciplinary approaches to patient care, program development and education. Serves as a professional role model.
29. Promotes and practices innovation of the expanded role in the delivery of care to orthopedic patients and families in the emergency department throughout inpatient hospitalization, perioperative phase and the ambulatory setting.
30. Participates and provides leadership for committees and task forces.
31. Documents hours and submits billing reports, as appropriate.
32. Reviews and interprets orthopedic 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.
33. Participates in clinical trials and research studies with the Principal Investigator.
34. Assists orthopedic Faculty, Administrators and Directors in the collection of outcome measures.
35. Other duties/projects as assigned.

PHYSICAL REQUIREMENTS

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

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