GAdvanced Practice Provider (APRN/PA) - General Neurology Consult - Inpatient 2

Medical College of Wisconsin•Milwaukee, WI

19d•Onsite

About The Position

The Medical College of Wisconsin’s Department of Neurology is seeking a Nurse Practitioner or Physician Assistant to support the General Neurology Inpatient and Consult Service at Froedtert Hospital’s main campus in Milwaukee, Wisconsin. The Advanced Practice Provider (APP) works as part of a multidisciplinary health care team and contributes to patient care, patient safety, program administration, research, quality improvement, and teaching. The role involves caring for neurologically and medically complex patients in a collaborative academic practice, alongside physicians, fellows, residents, students, and other care team members. The APP provides care for primary General Neurology patients and consult patients, including patients transferred from the Neuro ICU or other services. The patient population may include people with seizures or status epilepticus, traumatic brain injury, polyneuropathies, myasthenia gravis, multiple sclerosis, encephalopathy or altered mental status, meningitis or encephalitis, brain masses, hydrocephalus, Guillain-Barre Syndrome, and spinal cord injury. The APP practices both autonomously and with oversight from the General Neurology attending, manages complex neurological and acute medical issues, develops treatment and discharge plans, and performs bedside procedures, primarily lumbar punctures. The schedule is day shift, with every-other-weekend coverage and two to three MCW-recognized holidays per calendar year on rotation. Schedule options are seven consecutive 10-hour shifts followed by seven days off, or four 10-hour shifts per week with every-other-weekend coverage. Hours may change based on APP commitments, service acuity or census, and resident days off.

Requirements

For an Advanced Practice Registered Nurse: a master’s degree or higher in Nursing from a nationally accredited organization.
For a Physician Assistant: a bachelor’s degree or higher in Physician Assistant Studies from an ARC-PA-accredited organization.
For an Advanced Practice Registered Nurse: Wisconsin RN license and Wisconsin Advanced Practice Registered Nurse license.
For an Advanced Practice Registered Nurse: certification as an Adult-Gerontology Acute Care NP (AGACNP), Adult-Gerontology Primary Care NP (AGPCNP), or Family NP (FNP) from a nationally accredited professional nursing organization.
For a Physician Assistant: Wisconsin Physician Assistant license and certification by the National Commission on Certification of Physician Assistants (NCCPA).
American Heart Association Basic Life Support (BLS) certification.
DEA registration.
Ability to obtain appropriate credentials for procedures performed.

Nice To Haves

Experience in a Neurology inpatient or outpatient setting is preferred; newer providers may be considered for training.
NIH Stroke Scale certification is preferred upon hire.

Responsibilities

Provide inpatient care on the General Neurology and Consult Service at Froedtert Hospital’s main campus.
Collaborate with physicians, fellows, and residents to accept transfers from the Neuro ICU or other services and care for primary General Neurology patients.
Assess new consults, follow up on established consults, and discharge patients with complex general neurologic problems.
Manage complex neurological issues and non-neurological acute medical problems, with physician oversight as appropriate.
Discuss and develop active treatment plans; follow up on laboratory and imaging results; and prescribe multimodal treatments, including Schedule II–V controlled substances when appropriately credentialed.
Write progress and transfer notes, procedure notes, admission and transfer orders, and discharge summaries; document in the Electronic Medical Record and complete other necessary documents.
Develop complex discharge plans, including arranging follow-up appointments, educating patients, reconciling medications, and assessing readiness to progress beyond inpatient care.
Perform bedside procedures as trained and credentialed, primarily lumbar punctures.
Communicate and coordinate with inpatient teams, patients, families, and house staff to promote continuity of care.
Attend afternoon Neurology floor Care Coordination Rounds with the Vascular service APP and multidisciplinary team; discuss disposition, equipment, transportation, placement, psychosocial needs, and medical barriers to discharge, and relay relevant information to the General Neurology team.
Work with resident physicians, fellows, medical students, and APP students to develop patient care and discharge plans, including comprehensive grand rounds on the General Neurology service.
Attend Neuro ICU didactic lectures and weekly Department of Neurology Grand Rounds.
Perform comprehensive histories and physical examinations, identifying physical, cognitive, and psychosocial findings.
Order, perform, and interpret screening and diagnostic tests and procedures, and communicate and document findings appropriately.
Develop pharmaceutical and non-pharmaceutical treatment plans and monitor their effectiveness.
Educate, counsel, and assist patients and families about current health problems, treatment plans, health maintenance, and preventive behaviors.
Attend required training and meet regulatory requirements, including those of the privileged institution, CMS, and the Joint Commission.
Participate in onboarding and required training, including MCP Orientation, Froedtert Learning Center education, NIHSS certification, ECG courses, Empathy Training, and BLS/ACLS renewal; lumbar puncture training is listed as optional.
Maintain clinical knowledge through continuing education, in-services, professional associations, and current literature.