APP - Neurosurgery (Outpatient)

The Advanced Practice Professional (APP) provides high-quality,patient-centered care as a member of the interdisciplinaryhealthcare team. Working collaboratively with physicians, nurses,and other healthcare professionals, the APP assesses, diagnoses,treats, and manages patients within their scope of practice andarea of specialty. The APP is responsible for deliveringevidence-based care, promoting positive patient outcomes,maintaining professional and regulatory standards, and supportingthe clinical, educational, and operational goals of the departmentand organization.

Additional Job Description:

POSITION DESCRIPTION

JOB TITLE &CODE:

ADVANCED PRACTICE PROFESSIONALS – AmbulatoryNeurosurgery

Nurse Practitioner (85001) or Physician Assistant(85101)

DEPARTMENT:

Department of Neurosurgery

REPORTS TO:

Administrator, Faculty Supervisor/Department Director, Chairmanof Neurosurgery

FLSA STATUS:

Exempt

POSITION SUMMARY :

The Advanced Practice Professional(APP) has coordination and clinical skills required for thecomprehensive management of outpatient/ambulatory neurosurgerypatients, (including biological, social, and psychologicalassessments). The APP coordinates involvement of medical specialtyteams necessary to develop a comprehensive plan for the patient andreviews the plan of care with the other members of the clinicalteam, participates in directing that care, performsdiagnostic/therapeutic procedures and coordinates ongoingmanagement of neurosurgical patients. The APP participates in theeducation of residents and medical/nursing students.

Provide healthcare services consistent with state law and therequirements of the professional licensing or certificationauthority and/or hospital privileges, where applicable. Suchservice 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’sDegree in Nursing
• 2.National Certification by one of the recognized APRNCertification Centers
• 3.Licensure or eligibility for licensure, as a professionalRegistered Nurse and Advanced Practice Registered Nurse in WestVirginia.
• 4.American Heart Association BLS Certification required withadditional Advanced Life Support training at the discretion ofthe department.

EXPERIENCE:

• 1.Neurosurgery or acute care experience preferred.
• 2.Eligible new graduates will be considered.

PREFERRED QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

• 1.APRNs requesting to be privileged as OR First Assists inperi-operative services will be required to complete an ANORapproved RNFA Certificate program and obtain a passing grade.

MINIMUM QUALIFICATIONS FOR PHYSICIAN ASSISTANT :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

• 1.Bachelor’s Degree as Physician Assistant or Master’s Degree asPhysician Assistant required.
• 2.Graduate of an ARC-PA approved Physician Assistant (PA) trainingprogram required.
• 3.Certification by the National Commission for Certification ofPhysician Assistants required.
• 4.Must be licensed or eligible for licensure by the WV Board ofMedicine or WV Board of Osteopathic Medicine.
• 5.American Heart Association BLS Certification required withadditional Advanced Life Support training at the discretion ofthe department.

EXPERIENCE:

• 1.Neurosurgery or acute care experience preferred.
• 2.Eligible new graduates will be considered.

PREFERRED QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

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

CORE DUTIES AND RESPONSIBILITIES: The statements describedhere are intended to describe the general nature of work beingperformed by people assigned to this position. They are notintended to be constructed as an all-inclusive list of allresponsibilities and duties. Other duties may be assigned.

• 1.Manages comprehensive and individualized care for neurosurgerypatients and their families in the ambulatory setting.
• 2.Completes acute assessments, pre-procedure and compiles surgicalevaluations and ongoing follow-up in the ambulatory setting.
• 3.Completes integrated and comprehensive evaluations andtreatment/surgical plans.
• 4.With the collaboration of neurosurgery faculty or by followingestablished clinical Guidelines and Protocols, orders additionaltests or consults as deemed appropriate.
• 5.Performs and communicates results of diagnostic tests followingestablished clinical guidelines and scope of practice.
• 6.Consults and communicates with clinic and hospital staffregarding abnormal findings in the evaluations of patients.
• 7.Performs succinct comprehensive clinical evaluations anddocuments findings in medical record.
• 8.Facilitates patient management by coordinating appropriateservices and tests prior to admission and necessary for outpatientfollow-up appointments in the clinic (as applicable).
• 9.Develops a comprehensive individualized plan of care forneurosurgery patients, which includes teaching, dispositionplanning follow-up and necessary referral to other members of thehealth care team, as necessary.
• 10.Demonstrates expertise in caring for patients across the agecontinuum of their educational experience and certification.
• 11.Identifies unstable or complex neurosurgery patient caresituations and facilitates appropriate intervention in the clinicand/or hospital setting.
• 12.Recognizes emergency situations and initiates effectiveemergency care.
• 13.Evaluates neurosurgery patients and serves as a coordinator forfollow up procedures and tests in the ambulatory setting (asapplicable). Provides acute and ongoing care of the neurosurgerypatient in the ambulatory setting.
• 14.Assists in the collection of outcome measures (asapplicable).
• 15.Demonstrates critical thinking and diagnostic reasoning skillsin clinical decision making by the identification, evaluation, andmanagement of the individual needs of patients/families.
• 16.Demonstrates the ability to utilize equipment in a safemanner.
• 17.Bases decisions made/actions taken on the relevant scientificprinciples, established standards of care and/or researchfindings.
• 18.Utilizes teaching/learning theory and appropriate teachingstrategies in the provision of education to nursing staff, hospitalstaff, students, patients, families, and the community.
• 19.Promotes an environment that facilitates learning by respondingto appropriate patient/family preferences, priorities, andreadiness to learn.
• 20.Updates own knowledge base throughout the year.
• 21.Completes all identified clinical competencies.
• 22.Serves as a resource person for staff caring for theneurosurgery patient.
• 23.Provides educational programs to professional andparaprofessional personnel in area of expertise.
• 24.Participates in community programs, distribution of literature,as appropriate in area of expertise.
• 25.Documents the plan of care, interventions, and evaluations in aclear and concise manner for every patient visit in the patient’smedical record following approved hospital/UHA policies andcompliance standards for documentation.
• 26.Collaborates with other leaders and staff to effectively achievepatient outcome-based improvements in care.
• 27.Provides leadership in the development and implantation ofchanges in the neurosurgery practice that positively impact patientoutcomes.
• 28.Works collaboratively with medical and nursing staff tofacilitate creative problem solving and provide professionalsupport.
• 29.Participates and initiates inter-disciplinary approaches topatient care, program development and education. Serves as aprofessional role model.
• 30.Promotes and practices innovation of the expanded role in thedelivery of care to neurosurgery patients and families throughoutthe inpatient hospitalization, and the ambulatory setting.
• 31.Participates and provides leadership for committees and taskforces.
• 32.Documents hours and submits billing reports, asappropriate.
• 33.Reviews and interprets neurosurgery data from sources such aspatient registries, clinical and financial reports, length of stay,access to care, and cost per case reports and recommends/implementschanges, as necessary.
• 34.Participates in clinical trials and research studies with thePrincipal Investigator.
• 35.Assists neurosurgery Faculty, Administrators and Directors inthe collection of outcome measures.
• 36.Other duties/projects as assigned.

PHYSICAL REQUIREMENTS: The physical demands described hereare representative of those that must be met by an employee tosuccessfully perform the essential functions of this job.Reasonable accommodations may be made to enable individuals withdisabilities 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 equipmentweighting 40+ pounds.

WORKING ENVIRONMENT: The work environment characteristicsdescribed hereare representative of those an employee encounterswhile performing the essential functions of this job. Reasonableaccommodations may be made to enable individuals with disabilitiesto 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:

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

UHA University Health Associates

Cost Center:

8115 UHA Neuro Neurosurgery Charleston

Address:

4605 Maccorkle Ave SW

South Charleston

West Virginia

Equal Opportunity Employer

University Health Associates and its subsidiaries (collectively"UHA") is an equal opportunity employer and complies with allapplicable federal, state, and local fair employment practiceslaws. UHA strictly prohibits and does not tolerate discriminationagainst employees, applicants, or any other covered persons becauseof race, color, religion, creed, national origin or ancestry,ethnicity, sex (including gender, pregnancy, sexual orientation,and gender identity), age, physical or mental disability,citizenship, past, current, or prospective service in the uniformedservices, genetic information, or any other characteristicprotected under applicable federal, state, or local law. All UHAemployees, other workers, and representatives are prohibited fromengaging in unlawful discrimination. This policy applies to allterms and conditions of employment, including, but not limited to,hiring, training, promotion, discipline, compensation, benefits,and termination of employment.