POSITION DESCRIPTION
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POSITION
SUMMARY: The Advanced Practice
Professional (APP) has coordination and clinical skills required for the
comprehensive management of orthopaedic spine service 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: |
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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. |
BLS Certification required with
additional Advanced Life Support training at the discretion of the
department. |
5. |
Department Specific: APRNs requesting
to be privileged as First Assists in peri-operative services will be required
to complete an ANOR approved CNOR Certificate program and obtain a passing
grade on CNOR certification exam. |
6. |
Advanced Cardiac Life Support
(ACLS) at the discretion of the department. |
EXPERIENCE: |
|
1. |
Eligible new graduates will be
considered. |
PREFERRED QUALIFICATIONS: |
|
EXPERIENCE: |
|
1. |
Orthopaedic
or surgical 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 or WV Board
of Osteopathic Medicine. |
6. |
BLS
Certification required with additional Advanced Life Support training at the
discretion of the department. |
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. |
Master’s
level degree as Physician Assistant preferred. |
EXPERIENCE: |
|
1. |
Orthopaedic
or surgical 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
orthopaedic spine service patients and their families in the inpatient phase
of hospitalization, immediately post discharge and in the ambulatory setting. |
2. |
Completes daily rounds; consults and/or
pre-procedure/evaluations (as applicable). |
3. |
Completes integrated assessments. |
4. |
With the collaboration of orthopaedic spine service faculty
or by following established clinical Guidelines and Protocols, orders
additional tests or consults as deemed appropriate. |
5. |
Participates in
peri-operative management of patient which may include, but not limited to, 1st
assisting in the operative suite. |
6. |
Performs and communicates results of diagnostic tests
following established clinical guidelines and scope of practice. |
7. |
Consults and communicates with clinic and hospital staff regarding
abnormal findings in the evaluations of patients. |
8. |
Performs succinct comprehensive clinical evaluations and
documents findings in medical record. |
9. |
Facilitates patient discharge by coordinating appropriate services
and tests prior to discharge necessary for outpatient follow-up appointments
in the clinic (as applicable). |
10. |
Develops a comprehensive individualized plan of care for
orthopaedic spine service patients, which includes teaching, perioperative
planning, discharge planning and necessary referral to other members of the
health care team as necessary. |
11. |
Demonstrates expertise in caring for patients across the
age continuum of their educational experience and certification. |
12. |
Identifies unstable or complex orthopaedic spine service
patient care situations and facilitates appropriate intervention in the
clinic and/or hospital setting. |
13. |
Recognizes emergency situations and initiates effective
emergency care. |
14. |
Evaluates orthopaedic spine service patients and serves as
a coordinator for follow up procedures and tests in the ambulatory setting
(as applicable). |
15. |
Assists in the collection of outcome measures (as
applicable). |
16. |
Demonstrates critical thinking and diagnostic reasoning
skills in clinical decision making by the identification, evaluation and
management of the individual needs of patients/families. |
17. |
Demonstrates the ability to utilize equipment in a safe
manner. |
18. |
Bases decisions made/actions taken on the relevant
scientific principles, established standards of care and/or research
findings. |
19. |
Utilizes teaching/learning theory and appropriate teaching
strategies in the provision of education to nursing staff, hospital staff,
students, patients, families and the community. |
20. |
Promotes an environment that facilitates learning by
responding to appropriate patient/family preferences, priorities and
readiness to learn. |
21. |
Updates own knowledge base throughout the year. |
22. |
Completes all identified clinical competencies. |
23. |
Serves as a resource person for staff caring for the orthopaedic
spine service patient. |
24. |
Provides educational programs to professional and
paraprofessional personnel in area of expertise. |
25. |
Participates in community programs, distribution of
literature, as appropriate in area of expertise. |
26. |
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. |
27. |
Collaborates with other leaders and staff to effectively
achieve patient outcome based improvements in care. |
28. |
Provides leadership in the development and implantation of
changes in the orthopaedic spine service practice that positively impact patient
outcomes. |
29. |
Works collaboratively with medical and nursing staff to
facilitate creative problem solving and provide professional support. |
30. |
Participates and initiates inter-disciplinary approaches to
patient care, program development and education. Serves as a professional role model. |
31. |
Promotes and practices innovation of the expanded role in
the delivery of care to orthopaedic spine service patients and families throughout
inpatient hospitalization, perioperative phase and the ambulatory setting. |
32. |
Participates and provides leadership for committees and
task forces. |
33. |
Documents hours and submits billing reports, as
appropriate. |
34. |
Reviews and interprets orthopaedic spine service 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. |
35. |
Participates in clinical trials and research studies with
the Principal Investigator. |
36. |
Assists orthopaedic spine service Faculty, Administrators
and Directors in the collection of outcome measures. |
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. |
Woking 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. |
Working with electrical hazards associated with patient
care equipment. |
SKILLS AND ABILITIES: |
|
1. |
Proficiency with computers. |
2. |
Strong communication skills. |
Date
Reviewed/Revised: October 2017 |