Advanced Practice Provider - General/Trauma Surgery - Full Time with weekend call - Topeka

Position Status:

Shift:

Hours per week:

Job Information
Exemption Status: Exempt

A Brief Overview
The General Surgery and Trauma Advanced Practice Provider (APP) is an APRN or PA who provides advanced patient care based on educational preparation and/or certification to a specific patient population following established standards and practices. Care extends across the continuum including clinic, hospital, operating room, and trauma bay. This position may include day and evening hours, holidays, and weekends. Call may also be required. The APP assumes the management of patients, functioning in both an independent and collaborative role with the surgeons and other members of the health care team. The APP performs select procedures, designs individualized treatment plans, evaluates outcomes, and modifies the treatment plan as needed in accordance with established management protocols and regulating bodies. The APP facilitates the transition of patients between service units and provides/coordinates complex patient and family teaching. The delivery of professional nursing care at Stormont-Vail Health is guided by Jean Watson's Theory of Human Caring and the theory of Shared governance, both of which are congruent with the mission, vision, and values of the organization.

Education Qualifications

• Must be a graduate of an accredited PA/APRN program. Meets educational preparation or other qualifications within specified time frames as determined/outlined by specific department policy.

Experience Qualifications

• Experience with general surgery or trauma patient population. Preferred
• Experience with suturing, I&D, soft tissue lesion excision. Preferred
• Surgical first assist experience. Preferred

Skills and Abilities

• All APRN incumbents are required to maintain Registered Nurse competencies as designated by Federal and State organizations and as outlined in SVH policy. (Required proficiency)
• Demonstrates and maintains expertise in the performance of selected procedures as specified by management protocols. (Required proficiency)
• Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to effectively present information in spoken and written format. (Required proficiency)
• Ability to read, analyze, and interpret common scientific and specialty specific journals (Required proficiency)
• Exhibits professionalism by assisting with educating others and demonstrating leadership in practice. (Required proficiency)

Licenses and Certifications

• Registered Nurse - KSBN Must have valid APRN licensure. Be certified as a nurse practitioner by a recognized national certifying body that has established standards for nurse practitioners. Required or
• Physician Assistant (PA) - KSBHA Required
• Additional certification may be required in certain patient care settings or populations. The department director will provide specific information and the time frame in which such certification may be attained at the time of hire/transfer into department.
• BLS, ACLS, PALS (may be obtained through RQI upon hire)
• ATLS (must be obtained within 6 months of hire)

What you will do

• Work closely with surgeons in providing patient care across the continuum (clinic, inpatient, operating room, trauma bay) by performing consultation, evaluation, and provisional management of the patient with general surgery needs or traumatic injuries.
• Design and evaluate individualized treatment plans, collaborate with the consulting/ancillary services, and coordinate care including admission, transfers, and discharges. Consult with members of the health care team for emergency problems to expedite resolution/disposition.
• Participate in hospital/ICU/trauma rounds (as applicable), review and interpret laboratory/radiologic studies and vital signs. Analyze data to identify health/illness problems, the human responses to actual or potential health/illness problems, variations from the norm in diagnosis, emergent problems, and complications. Intervene as appropriate in collaboration with the general surgery, acute care surgery, and trauma service teams.
• Assist with surgical procedures in the operating room or other designated locations. Tasks include assisting in providing exposure by retraction or suctioning, handling tissue, providing hemostasis, suturing, and using instruments to include laparoscopic camera operation.
• Provide documentation of services provided in compliance with established medical records, medical staff, and billing procedures. This may include history and physical, consultation, progress notes, procedures discharge summaries, or other necessary documentation.
• Exercise initiative, problem solving, decision making. Demonstrate a dedication to lifelong learning and personal growth in knowledge and medical skills.
• New graduate APRN incumbents will maintain bedside nursing skills for the first 24 months and may be designated to work at the bedside. Maintenance of skills work and assignment at bedside will be determined by leadership.
• Provide early identification of discharge needs, coordinating with case management and social services, nursing care team, and ancillary services.
• Develop proficiency in performing thorough history and physical examinations including neurologic and orthopedic trauma examinations with basic interpretation of radiologic findings.
• Maintain prescriptive authority to include scheduled medications according to regulating bodies and SVHC protocols.
• Participate in trauma activations, manage General Surgery or Trauma concerns in the clinic or inpatient units, provide telephone consultation to nursing or members of the health care team.
• Perform expanded role in the clinic setting including consultation, follow-up, post-operative care, suture and staple removal, wound care, and other therapies in accordance with management protocols.
• Ensure that care delivered to patients supports the established care models and is provided according to the Stormont-Vail Health mission, strategic plans, and all internal/external regulations, policies, and procedures. Practice within guidelines of management protocols and according to the regulating bodies.
• Assists in the development of research based clinical care protocols, guidelines, and pathways for General Surgery or Trauma services patients. Facilitates changes in clinical practice based upon document research. Monitors and analyzes outcomes based on research driven practice change. Assists staff nurses in participating in research and incorporating the findings into their practice.

Required for All Jobs

• Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
• Performs other duties as assigned

Patient Facing Options

• Position is Patient Facing

Remote Work Guidelines

• Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
• Stable access to electricity and a minimum of 25mb upload and internet speed.
• Dedicate full attention to the job duties and communication with others during working hours.
• Adhere to break and attendance schedules agreed upon with supervisor.
• Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability

• On-Site; No Remote

Scope

• No Supervisory Responsibility

• No Budget Responsibility No Budget Responsibility

Physical Demands

• Balancing: Occasionally 1-3 Hours
• Carrying: Occasionally 1-3 Hours
• Climbing (Stairs): Rarely less than 1 hour
• Crawling: Rarely less than 1 hour
• Crouching: Rarely less than 1 hour
• Eye/Hand/Foot Coordination: Frequently 3-5 Hours
• Feeling: Frequently 3-5 Hours
• Grasping (Fine Motor): Frequently 3-5 Hours
• Grasping (Gross Hand): Frequently 3-5 Hours
• Handling: Frequently 3-5 Hours
• Hearing: Frequently 3-5 Hours
• Kneeling: Occasionally 1-3 Hours
• Lifting: Occasionally 1-3 Hours up to 50 lbs
• Operate Foot Controls: Rarely less than 1 hour
• Pulling: Occasionally 1-3 Hours up to 50 lbs
• Pushing: Occasionally 1-3 Hours up to 50 lbs
• Reaching (Forward): Frequently 3-5 Hours up to 50 lbs
• Reaching (Overhead): Occasionally 1-3 Hours up to 50 lbs
• Repetitive Motions: Occasionally 1-3 Hours
• Sitting: Occasionally 1-3 Hours
• Standing: Frequently 3-5 Hours
• Stooping: Occasionally 1-3 Hours
• Talking: Occasionally 1-3 Hours
• Walking: Frequently 3-5 Hours

Working Conditions

• Burn: Rarely less than 1 hour
• Chemical: Rarely less than 1 hour
• Combative Patients: Occasionally 1-3 Hours
• Dusts: Rarely less than 1 hour
• Electrical: Rarely less than 1 hour
• Explosive: Rarely less than 1 hour
• Extreme Temperatures: Rarely less than 1 hour
• Infectious Diseases: Occasionally 1-3 Hours
• Mechanical: Rarely less than 1 hour
• Needle Stick: Occasionally 1-3 Hours
• Noise/Sounds: Occasionally 1-3 Hours
• Other Atmospheric Conditions: Rarely less than 1 hour
• Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour
• Radiant Energy: Rarely less than 1 hour
• Risk of Exposure to Blood and Body Fluids: Occasionally 1-3 Hours
• Risk of Exposure to Hazardous Drugs: Occasionally 1-3 Hours
• Hazards (other): Rarely less than 1 hour
• Vibration: Rarely less than 1 hour
• Wet and/or Humid: Rarely less than 1 hour

Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.

Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.