About The Position

STGi is seeking a seasonal Advanced Practice Clinician (Physician Assistant or Nurse Practitioner) to work in one of three medical clinics in Yellowstone National Park: Old Faithful, Lake Village, or Mammoth Hot Springs. Old Faithful and Lake Village are seasonal facilities that open in April and May on a staggered schedule and operate until mid- to late October, depending on the clinic. Mammoth Hot Springs provides primary care, occupational health, and urgent and emergency care. Old Faithful and Lake Village provide urgent and emergency care, occupational healthcare, and some primary care for Park residents and employees. The clinics see patients across a wide age range with diverse injuries and illnesses. The clinician provides direct patient care, including routine examinations and treatment as well as independent care for acutely and critically ill patients. Duties include assessment, treatment planning, medication administration and prescribing, diagnostic testing and interpretation, emergency stabilization, and coordination with healthcare team members. The role also includes preparing and maintaining clinical rooms, equipment, and supplies; training auxiliary personnel and rotating APCs or medical students from June through September; and participating in patient transfers and emergency response. The clinician is available for after-hours on-call coverage on a rotational basis according to National Park Service EMS operational needs. The position also involves reporting hardware, telecommunications, and other operational issues; using IT systems for tracking and deliverables; completing required IT training; and informing a supervisor about equipment needs that could affect work or deadlines.

Requirements

  • The role is for a Physician Assistant or Nurse Practitioner.
  • Ability to treat, lift, and move patients and to lift, carry, push, pull, operate, and manipulate a patient gurney outdoors.
  • Ability to provide independent care for acutely and critically ill patients, including emergency and trauma care.
  • Availability for rotational after-hours on-call coverage according to operational needs.

Responsibilities

  • Maintain accurate, detailed reports and records.
  • Administer medications and monitor patients for reactions or side effects.
  • Record patients' medical information and vital signs, and monitor, record, and report symptoms or changes in patients' conditions.
  • Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans.
  • Modify treatment plans as indicated by patients' responses and conditions.
  • Prepare patients for and assist with examinations or treatments.
  • Prepare rooms, sterile instruments, equipment, and supplies, and maintain supply stock.
  • Inform physicians of a patient's condition during anesthesia.
  • Administer local, inhalation, intravenous, or other anesthetics.
  • Conduct specified laboratory tests.
  • Direct or coordinate infection control programs and advise on necessary precautions.
  • Prescribe or recommend drugs, medical devices, or other treatment as appropriate.
  • Perform physical examinations.
  • Train or instruct auxiliary personnel and monthly rotating APCs or medical students from June through September.
  • Treat, lift, move, and secure patients for transport, and transfer patients from the remote clinic to medical facilities.
  • Operate and manipulate a patient gurney outdoors during patient transfers, including lifting, carrying, pushing, and pulling.
  • As needed, assist with emergency rescue, move patients from danger, secure them for transport, provide care en route to hospitals, or assist at disaster triage sites during a National Park Service mass casualty event.
  • Independently care for acutely and critically ill patients, including interpreting ECGs and rhythm strips; obtaining and interpreting plain radiographs; managing cardiopulmonary arrest; stabilizing major trauma and critically ill or injured patients; managing myocardial infarction, including thrombolytic administration; performing rapid-sequence airway management and procedural sedation; and managing orthopedic injuries, including closed reduction of dislocations and fracture stabilization.
  • Provide rotational after-hours on-call coverage according to National Park Service EMS operational needs.
  • Identify and report hardware, telecommunications, or other issues affecting duties to a supervisor.
  • Use IT systems for database tracking and other deliverables.
  • Attend initial and update training on IT systems, seek assistance when needed, and complete mandatory IT training by specified deadlines.
  • Inform a supervisor of IT and other equipment needs, particularly needs that could prevent completing projects by deadlines.
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