Advanced Practice Provider (Nurse Practitioner/Physician Associate), Part-Time

Oregon Health & Science University•Portland, OR

5d•Onsite

About The Position

The Pre-Operative Medicine Clinic APP delivers care aligned with a defined scope of practice in outpatient comprehensive, evidence-based, patient-centered preoperative/pre-procedural medical evaluations and risk reduction/optimization counseling visits. The APP delivers preventive, primary and acute healthcare services to individuals of all ages; provide advanced education to students, peers and others; and, contribute to new knowledge and/or technology by conducting or participating in research. The PMC APP performs preoperative risk assessment on pre surgical patients by obtaining an H and P and ordering appropriate diagnostic studies and laboratory tests. This position collaborates with other members of the team regarding pre-op instructions, medication management, and patient education. The APP is expected to function independently but also work in close collaboration with providers from other departments (cardiology, anesthesiology, internal medicine, etc.) to coordinate medical optimization of the patient prior to surgery. This includes but is not limited to following up on lab tests, cardiac testing, referrals to other specialties and documenting plan of care in EMR. APPs also communicate with the surgical team (surgeons, surgery schedulers) when necessary to share concerns about patient readiness for scheduled surgeries. Timely, focused documentation with the referring surgeon, PCP and anesthesiologist when appropriate to ensure quality patient care. The APP will review the patient’s history, via patient’s verbal report and the review of previous medical records from internal and external sources, and perform a complete physical exam on each patient- including but not limited to auscultation of the heart and lungs. Consistent patient education about good preparation for surgery.

Requirements

Nursing Advanced Practice Provider Master Degree in Nursing or Master of Science in Nursing in the specialty of Acute Care Nurse Practitioner (ACNP), or Adult-Gerontology Acute Care Nurse Practitioner (AG ACNP) from an accredited program.
Current RN and NP licensure with the Oregon Board of Nursing.
Current ANCC Certification in the area of specialization.
Current ACLS certification.
DEA certification
Physician Assistant Advanced Practice Provider Master Degree in Physician Assistant Studies from an accredited program.
Current PA licensure with the Oregon Medical Board.
Current NCCPA Certification.
Current ACLS certification.
DEA certification
3-5 years of previous experience as provider in critical care setting, ideally with experience in a medical intensive care setting.
Interest in learning advanced clinical skills required to practice in the ICU environment.

Nice To Haves

Previous experience as provider in critical care setting, ideally with experience in a medical intensive care setting.
Education directed at critical care.
Interest in learning advanced clinical skills required to practice in the ICU environment.
Interest in further developing leadership skills.
Leadership experience (For Lead APP role).

Responsibilities

Deliver preventive, primary and acute healthcare services to individuals of all ages.
Provide advanced education to students, peers and others.
Conduct or participate in research.
Complete a comprehensive assessment of the patient’s status.
Develop, monitor and revise, as appropriate, an evidence-based treatment plan that addresses diagnoses, patterns of disease, risk factors, and treatment alternatives.
Treat common acute and chronic health problems.
Interpret diagnostic tests.
Prescribe and manage medications and other therapies.
Provide health teaching with an emphasis on prevention of illness and health maintenance.
Refer patients to other healthcare professionals as necessary.
Perform preoperative risk assessment on pre surgical patients by obtaining an H and P and ordering appropriate diagnostic studies and laboratory tests.
Collaborate with other members of the team regarding pre-op instructions, medication management, and patient education.
Function independently but also work in close collaboration with providers from other departments.
Follow up on lab tests, cardiac testing, referrals to other specialties and document plan of care in EMR.
Communicate with the surgical team (surgeons, surgery schedulers) when necessary to share concerns about patient readiness for scheduled surgeries.
Provide timely, focused documentation with the referring surgeon, PCP and anesthesiologist when appropriate to ensure quality patient care.
Review the patient’s history, via patient’s verbal report and the review of previous medical records from internal and external sources.
Perform a complete physical exam on each patient.
Provide consistent patient education about good preparation for surgery.