About The Position

Eskenazi Medical Group is seeking a full-time Advanced Practice Provider (Nurse Practitioner or Physician Assistant) for the adult inpatient burn service at the ABA-Verified Richard M. Fairbanks Burn Center. The center includes a 15-bed acuity-adaptable burn unit, adjacent outpatient clinic and therapy and rehabilitation space, and dedicated operating and procedure rooms. The APP works collaboratively with a multidisciplinary team that includes burn attendings, fellows, nurses, therapists, case managers, social workers, pharmacists, dieticians, and rotating general and plastic surgery residents. The provider cares for patients across the burn service, including active burn resuscitations, postoperative patients, patients admitted to critical care and step-down services, minor-burn and other off-service consultations, emergency department consultations, and transfer-center triage. The APP partners with the outpatient team to transition patients from inpatient care and provides bedside procedures and wound care. The position also includes cross-coverage for plastic surgery patients as directed by the collaborating physician and participation in education, quality improvement, research, and professional development activities. Eskenazi Medical Group is affiliated with Eskenazi Health, a multispecialty provider group supporting the health system. Eskenazi Health is a safety-net health system partnering with the Indiana University School of Medicine and serving as the public hospital division of the Health & Hospital Corporation of Marion County, Indiana.

Requirements

  • Must be a Nurse Practitioner or Physician Assistant.
  • Maintain required continuing medical education and maintenance-of-certification requirements.
  • Special privileges and skills listed include phlebotomy; 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; skin-suture removal; 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.

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.
  • Manage critical-care and step-down admissions with indirect supervision from the on-call physician.
  • Provide coverage for burn surgery inpatient and outpatient services.
  • Cross-cover plastic surgery patients as directed by the collaborating physician.
  • Order and interpret routine and specialized laboratory tests, radiographic studies, and EKGs; treat patients as appropriate based on results.
  • Prescribe medications according to standards of practice and the approved list, and obtain prescriptive authority when eligible under state guidelines.
  • Complete 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, burn rounds and 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 in preparing for Joint Commission accreditation and American Burn Association certification.
  • Contact patients and family members to arrange surgical consents and exchange relevant information.
  • Consult with medical personnel to exchange information and plan operative actions and procedures that 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.
  • Order preoperative and postoperative laboratory tests and radiographic studies, interpret results, and provide treatment as appropriate.
  • Perform or assist with privileged burn-care procedures, including wound care and dressing changes, wound irrigation and debridement, escharotomy, operative fasciotomy assistance, and burn excision and grafting under the specified physician supervision.

Benefits

  • Potential support for conference attendance and courses.
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