Advanced Practice Provider (NP/PA) - Adult Regional Burn Center

HHC•Indianapolis, IN

About The Position

The Physician Assistant (PA) or Nurse Practitioner (NP) focuses on surgical patients in the hospital and outpatient care. Patient populations may include acute burn, burn reconstruction, aesthetics, breast reconstruction, hand, maxillofacial, and general reconstruction surgeries. The provider delivers restorative, curative, rehabilitative, palliative, and maintenance care. This role manages and directs surgical inpatient and outpatient burn patients in a surgical and ICU care setting, including patients admitted to the burn ICU and critical care or step-down services under indirect physician supervision. It provides coverage for burn surgery inpatient and outpatient services and cross-coverage for plastic surgery patients as directed by the collaborating physician. The role also participates in patient evaluation and surveillance, operative planning, burn service activities, and institutional accreditation and certification efforts.

Requirements

Ability to perform the listed special privileges and skills, including phlebotomy; use of venous and arterial pressure monitoring devices; ACLS; EKG; incision and drainage; wound irrigation and debridement; burn wound excision and grafting under surgeon supervision; obtaining skin grafts from donor sites; wound care and dressing changes; removal of skin sutures; escharotomy under indirect physician supervision with special privileging; assistance with operative fasciotomies; compartment pressure measurement; ventilator adjustment; intubation and extubation; and first or second assistance in burn cases under direct surgeon supervision.
Obtain prescriptive authority based on state guidelines once required practice hours are achieved and maintain required CMEs.

Nice To Haves

Specialty certification, if available and appropriate.

Responsibilities

Manage and direct surgical inpatient and outpatient burn patients in a surgical or ICU care setting.
Provide care to patients admitted to the burn ICU under indirect physician supervision.
Provide critical care and step-down admissions with indirect supervision from the on-call physician.
Provide coverage for burn surgery inpatient and outpatient services.
Provide cross-coverage to plastic surgery patients as directed by the collaborating physician.
Order routine and special laboratory tests, radiographic studies, and EKGs, and interpret results.
Prescribe medications according to Standards of Practice and from the approved list.
Provide admission histories and physical examinations, progress notes, and physician orders, with orders cosigned within 24 hours.
Respond to service calls when physicians are in surgery.
Maintain membership in Burn Center committees and attend as required.
Participate in burn performance improvement projects and presentations, including burn rounds, burn conferences, multidisciplinary committee work, journal clubs, and mortality and morbidity reviews.
Prepare letters to physicians, government agencies, nursing homes, and home health providers to support patient needs and ongoing care.
Assist the institution with preparation for Joint Commission accreditation and American Burn Association certification.
Contact patients and family members to arrange surgical consents before operations and special procedures, and gather and exchange information with them.
Consult with medical personnel to exchange information and plan operative actions and procedures to meet patient needs.
Conduct surveillance of care.
Provide non-emergent and/or in-house on-call services for hospitalized patients as needed under the direction of the burn medical director.
Obtain prescriptive authority under state guidelines after achieving required practice hours and maintain required continuing medical education.
Order preoperative and postoperative laboratory tests and radiographic studies, interpret results, and treat as appropriate.