Advance Practice Provider, Orlando Health Children's Surgical Nocturnist

Orlando Health•Orlando, FL

13d

About The Position

The Surgical Nocturnist Advanced Practice Provider (APP) is an integral member of the multidisciplinary surgical care team at Orlando Health Arnold Palmer Hospital for Children. The role provides overnight surgical consultation and management across multiple surgical subspecialties, including care in the Emergency Center and inpatient settings, supporting 24/7 surgical services. The APP team provides in-house coverage from 7:00 PM to 7:00 AM, 365 days per year, on a rotating schedule. The APP primarily handles surgical consultations originating in the Emergency Center and collaborates with attending physicians, fellows, and residents. Additional duties include inpatient surgical coverage, wound care rounding, operative support, and serving as the first clinical contact for postoperative patients and nursing calls overnight. The schedule includes rotating nights, weekends, and holidays, with 12-hour shifts. Specific scheduling patterns and FTE expectations are determined by operational needs. PTO requests must be made at least 30 days in advance under Orlando Health policy; operational needs may require additional notice, and requests are granted on a first-come, first-served basis. Holiday coverage is rotated among Surgical Nocturnist APPs and is contingent upon fellow and resident coverage.

Requirements

Master’s degree or doctorate degree in Nursing as an Advanced Practice Registered Nurse, or completion of an accredited Physician Assistant Studies program.
Minimum of three years of experience as a Registered Nurse or Advanced Practice Provider in Pediatric Emergency Medicine, Pediatric Intensive Care, or pediatric medical-surgical units.
Certified as a Pediatric Acute Care Nurse Practitioner, dual-certified as a Pediatric Primary and Acute Care Nurse Practitioner, or certified as a Physician Assistant.
Current, active licensure and certification in Florida as an Advanced Practice Registered Nurse or Physician Assistant.
Current Basic Life Support (BLS) and Pediatric Advanced Life Support (PALS) certifications.
Ability to complete a Surgical First Assist Training Program.
Ability to obtain Advanced Trauma Life Support (ATLS) certification.

Responsibilities

Receive sign-out on active surgical patients at the start of each shift and perform nightly rounds as needed.
Perform Emergency Department surgical consultations and evaluate patients who may require surgical admission.
Complete admission histories and physicals for surgical services.
Develop and enter admission and pre-operative orders and ensure patients are appropriately prepared for the operating room.
Provide pre-operative medical clearance as indicated.
Serve as first assist in the operating room when necessary and credentialed.
Act as the first call for nursing questions and clinical concerns related to postoperative surgical patients.
Collaborate with attending surgeons, fellows, residents, nursing staff, and ancillary teams to provide safe and effective overnight surgical care.
Triage overnight clinical responsibilities and incoming calls based on patient acuity, urgency, and emergent circumstances.
Complete comprehensive and problem-focused progress notes and histories and physicals for peri-surgical patients, Emergency Department surgical consultations and admissions, and transfer center admissions.
Assist with surgical procedures, including first-assist responsibilities, as needed and within scope of practice.
Conduct hospital rounds on pre- and postoperative surgical patients.
Order and review appropriate pre-operative laboratory and radiology studies as directed by the surgeon and/or anesthesia.
Evaluate changes in patients’ clinical conditions and initiate appropriate interventions.
Formulate and implement treatment and therapeutic plans for surgical patients in collaboration with the attending physician.
Assist with discharge planning and complete discharge summaries, orders, follow-up appointments, and outpatient prescription management.
Assess the need for urgent or emergent surgical intervention and promptly notify the appropriate surgeon.
Educate patients and families about changes in clinical condition, diagnostic findings, and planned procedural or surgical interventions.
Participate in educating pediatric residents, advanced practice providers, and registered nurses.
Prioritize and triage clinical responsibilities, consultation requests, and nursing communications according to acuity and emergent needs while maintaining patient safety and workflow efficiency.