Advanced Practice Provider, Inpatient Spine

Oregon Health & Science University•Portland, OR
•Onsite

About The Position

The Orthopedic Inpatient Advanced Practice Provider delivers care within a defined scope of practice in the Department of Orthopaedics and Rehabilitation, including care for high-acuity patients with traumatic spine injuries in inpatient and hospital-based settings. The role focuses on rapid assessment, perioperative management, and coordination of care for complex orthopedic spine patients. Work expectations follow departmental workflows, productivity and performance standards, the applicable collective bargaining agreement (CBA), and institutional policies. The position is structured around 200 10-hour shifts per year, inclusive of daytime coverage. The APP participates in departmental scheduling processes consistent with contract provisions, equitable coverage distribution, and safe, consistent clinical operations. The position is represented by the Oregon Nurses Association, Advance Practice United, and is subject to the active CBA. The appointee provides services as assigned by the supervisor in support of the university’s teaching, research, patient care, outreach, and public service missions. APPs also support OHSU’s clinical, education, and research mission through routine clinical care involving students, trainees, and patients participating in research, consistent with their role, scope of practice, contract, and institutional policies. Work may take place in outpatient clinics, hospitals, and surgical settings.

Requirements

  • Successful completion of a master’s degree in nursing or Master of Science in Nursing in the Acute Care Nurse Practitioner (ACNP) or Adult-Gerontology Acute Care Nurse Practitioner (AG ACNP) specialty from an accredited program, or completion of a master’s degree in Physician Assistant/Associate Studies from an accredited program.
  • For the nurse practitioner pathway: current RN and APRN NP licensure with the Oregon Board of Nursing and current national ANCC certification in the area of specialization.
  • For the physician assistant pathway: current PA licensure with the Oregon Medical Board and current NCCPA certification.
  • Current BLS certification and ACLS or PALS certification as indicated for the position (or BLS, ACLS, or PALS certification for the PA pathway).
  • DEA certification.
  • Strong knowledge of musculoskeletal anatomy and orthopedic conditions.
  • Surgical assisting skills.
  • Excellent clinical assessment abilities.
  • Strong communication and patient education skills.
  • Ability to work in a fast-paced clinical and surgical environment.
  • Team collaboration and problem-solving skills.

Nice To Haves

  • Experience in orthopedic surgery or musculoskeletal care; 2+ years of experience is preferred.

Responsibilities

  • Participate in rounding on hospitalized patients.
  • Lead discharge planning, including placement, rehabilitation needs, and follow-up care.
  • Ensure smooth transitions to outpatient care and post-acute services.
  • Perform comprehensive and focused assessments of patients with acute spine injuries.
  • Triage and evaluate spine consults from the emergency department and inpatient unit.
  • Promote adherence to trauma protocols and evidence-based orthopedic pathways.
  • Participate in spine performance improvement and quality initiatives.
  • Support compliance with regulatory and accreditation standards.
  • Assist surgeons during surgical procedures.
  • Support OHSU’s clinical, education, and research mission through routine clinical care involving students, trainees, and research participants, consistent with the role and applicable policies.
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