DHC Advanced Registered Nurse Practitioner

University of Iowa•Iowa City, IA

11d•Onsite

About The Position

The Advanced Registered Nurse Practitioner (ARNP) will perform pre-operative/pre-anesthesia assessments for patients scheduled for surgery at UI Health Care. This role involves assisting in the education of resident physicians, medical students, and nurse anesthetist students rotating through the clinic, and contributing to research related to pre-op/pre-anesthesia assessments. Under the direction of a board-certified anesthesiologist, the ARNP will exercise autonomy in medical decision-making and services provided, while also participating in continuing education and training in the field of anesthesia.

Requirements

Master’s degree in nursing or related field required; if Masters’ Degree is in a related field a Baccalaureate Degree in Nursing is required.
Current certification in specialty area and licensure as ARNP in state of Iowa is required.
Current license is required to practice nursing in the State of Iowa.
Demonstrated experience in area of clinical practice is required.

Responsibilities

Reviews patient records including prior anesthetics, surgical and nursing work-up, consultant work-up, and other relevant clinical notes and testing procedures.
Evaluates patient according to the standard anesthetic evaluation, understanding that this standard evaluation may evolve with time. This standard evaluation will include obtaining the patient’s medical history, airway exam, examination of heart and lungs, and other clinically indicated organ systems.
Perform further evaluation as directed by the staff physician.
Assists the patient in understanding teaching materials provided for their anesthetic.
Assist the patient in interpretation of NPO instructions.
Instructs the patient regarding medications to be taken on the day of surgery, including how to manage insulin doses.
Writes orders for pre-medication for the patient in consultation with the staff physician or clinic supervisor. (e.g. EMLA cream, omeprazole, antiemetics, etc.)
Orders diagnostic tests for the patient in consultation with the staff physician or clinic supervisor.
Directs requisitions for relevant outside medical records which may include telephone calls to outside physicians, their offices or hospitals.
Communicate with other services within or outside the hospital to request further consultation or work-up with the cooperation of the staff physician.
Arranges for communication of special needs or concerns to the anesthesia team.
Assists in collecting information such as duration of workup, health status of patient, etc., for use in optimizing the function of the clinic. The ARNP will not analyze the data collected unless this is substituted for other responsibilities.
Make observations with the clinic director regarding issues that seem to dissatisfy patients or lead to inefficiency.
Assists in teaching duties of the position to substitutes and/or replacements. Also teaches pre-operative/pre-anesthesia evaluation both by example and by direct instruction to junior residents or SRNA students.
Establishes and maintains standards of collaborative interaction among peers and employees that are characterized by respect, honesty and service; assures that all unit members are held to similar standards and ethics.
Inspires and motivates others to high performance by exercising strong stewardship of University resources, setting expectations, measuring success through individual performance evaluations, and driving organizational results.
Identifies opportunities for and creates development plans that encourage employees to attend to the growth of their personal and professional capacity; engages self and staff in collective reflection of the University’s greater role in society.
Other duties as assigned.