WVU Medicine-posted 4 months ago
Entry Level
5,001-10,000 employees

The Pre-Admissions Testing Advanced Practice Professional (APP), which may include Nurse Practitioners (NPs) or Physician Assistants (PAs), plays a key role in ensuring patients are medically optimized and safely prepared for surgical and procedural interventions. The APP conducts comprehensive pre-operative evaluations, coordinates necessary testing, and collaborates with multidisciplinary teams to identify and mitigate risks prior to surgery. This role emphasizes patient education, evidence-based decision making, and seamless care transitions to improve perioperative outcomes and enhance patient experience. The APP participates in the education of residents and medical/nursing students. Provide healthcare services consistent with state law and the requirements of the professional licensing or certification authority and/or hospital privileges, where applicable.

  • Manages comprehensive and individualized care for orthopedic patients and their families in the inpatient phase of hospitalization and immediate post discharge and in the ambulatory setting.
  • Completes daily rounds; consults and/or pre-procedure/evaluations (as applicable). Participates peri-operative patient care which may include (but is not limited to) first assisting in the operative suite.
  • Completes integrated assessments.
  • With the collaboration of orthopedic faculty or by following established clinical Guidelines and Protocols, orders additional tests or consults as deemed appropriate.
  • Performs and communicates results of diagnostic tests following established clinical guidelines and scope of practice.
  • Consults and communicates with clinic and hospital staff regarding abnormal findings in the evaluations of patients.
  • Performs succinct comprehensive clinical evaluations and documents findings in medical record.
  • Facilitates patient discharge by coordinating appropriate services and tests prior to discharge necessary for outpatient follow-up appointments in the clinic (as applicable).
  • Develops a comprehensive individualized plan of care for orthopedic patients, which includes teaching, perioperative planning, discharge planning and necessary referral to other members of the health care team as necessary.
  • Demonstrates expertise in caring for patients across the age continuum of their educational experience and certification.
  • Identifies unstable or complex orthopedic patient care situations and facilitates appropriate intervention in the clinic and/or hospital setting.
  • Recognizes emergency situations and initiates effective emergency care.
  • Evaluates orthopedic patients and serves as a coordinator for follow up procedures and tests in the ambulatory setting (as applicable).
  • Assists in the collection of outcome measures (as applicable).
  • Demonstrates critical thinking and diagnostic reasoning skills in clinical decision making by the identification, evaluation and management of the individual needs of patients/families.
  • Demonstrates the ability to utilize equipment in a safe manner.
  • Bases decisions made/actions taken on the relevant scientific principles, established standards of care and/or research findings.
  • Utilizes teaching/learning theory and appropriate teaching strategies in the provision of education to nursing staff, hospital staff, students, patients, families and the community.
  • Promotes an environment that facilitates learning by responding to appropriate patient/family preferences, priorities and readiness to learn.
  • Updates own knowledge base throughout the year.
  • Completes all identified clinical competencies.
  • Serves as a resource person for staff caring for the orthopedic patient.
  • Provides educational programs to professional and paraprofessional personnel in area of expertise.
  • Participates in community programs, distribution of literature, as appropriate in area of expertise.
  • Documents the plan of care, interventions and evaluations in a clear and concise manner for every patient visit in the patient’s medical record following approved hospital/UHA policies and compliance standards for documentation.
  • Collaborates with other leaders and staff to effectively achieve patient outcome based improvements in care.
  • Provides leadership in the development and implantation of changes in the orthopedic practice that positively impact patient outcomes.
  • Works collaboratively with medical and nursing staff to facilitate creative problem solving and provide professional support.
  • Participates and initiates inter-disciplinary approaches to patient care, program development and education. Serves as a professional role model.
  • Promotes and practices innovation of the expanded role in the delivery of care to orthopedic patients and families throughout inpatient hospitalization, perioperative phase and the ambulatory setting.
  • Participates and provides leadership for committees and task forces.
  • Documents hours and submits billing reports, as appropriate.
  • Reviews and interprets orthopedic data from sources such as patient registries, clinical and financial reports, length of stay, access to care, and cost per case reports and recommends/implements changes as necessary.
  • Participates in clinical trials and research studies with the Principal Investigator.
  • Assists orthopedic Faculty, Administrators and Directors in the collection of outcome measures.
  • Other duties/projects as assigned.
  • Graduate of a CCNE accredited nursing program with Master’s Degree in Nursing.
  • National Certification by one of the recognized APRN Certification Centers.
  • Licensure, or eligibility for licensure, as a professional Registered Nurse and Advanced Practice Registered Nurse in West Virginia.
  • CNOR Certification.
  • BLS Certification required with additional Advanced Life Support training at the discretion of the department.
  • Department Specific: APRNs requesting to be privileged as First Assists in perioperative services will be required to have ANOR approved RNFA Certification.
  • Advanced Cardiac Life Support (ACLS) at the discretion of the department.
  • Bachelor’s Degree as Physician Assistant, or Master’s Degree as Physician Assistant required.
  • Graduate of an ARC-PA approved Physician Assistant (PA) training program required.
  • Certification by the National Commission for Certification of Physician Assistants required.
  • Must be licensed or eligible for licensure by the WV Board of Medicine.
  • Acute care, surgical or orthopedic experience preferred.
  • Master’s level degree as Physician Assistant preferred.
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