APP - Neurology (Inpatient)

WVU Medicine•Burbank, CA

7d•Onsite

About The Position

The Advanced Practice Professional (APP) provides coordinated, comprehensive clinical management for neurology patients, including biological, social, and psychological assessments. The APP coordinates medical specialty involvement, develops and reviews individualized plans of care with the clinical team, participates in directing care, performs diagnostic and therapeutic procedures, and coordinates discharge planning as applicable. The role also contributes to the education of residents and medical and nursing students. Services must comply with state law and applicable professional licensing, certification, and hospital privilege requirements. The APP manages neurology patients during inpatient hospitalization, immediately after discharge, and in ambulatory settings as applicable. The position includes daily rounds, consultations and evaluations, diagnostic and therapeutic activities within established guidelines and scope of practice, care coordination, patient and staff education, documentation, quality improvement, and participation in research and clinical trials. The position is based at University Health Associates’ UHA Neuro Neurology East cost center, 2500 Hospital Drive, Martinsburg, West Virginia. It is scheduled for 40 hours per week. The work involves close collaboration with others, potentially protracted or irregular hours, exposure to biohazards and infectious diseases, contact with or proximity to deceased persons, working with hands in water, and electrical hazards associated with patient-care equipment. The physical demands include heavy work requiring strength or stamina, lifting and moving, stooping, reaching, positioning and carrying patients, materials, and equipment weighing 40 pounds or more.

Requirements

For Nurse Practitioner candidates: graduate of a CCNE-accredited nursing program with a Master’s Degree in Nursing.
For Nurse Practitioner candidates: national certification by a recognized APRN certification center.
For Nurse Practitioner candidates: licensure or eligibility for licensure as a professional Registered Nurse and Advanced Practice Registered Nurse in West Virginia.
For Nurse Practitioner candidates: American Heart Association BLS certification; additional Advanced Life Support training may be required at the department’s discretion.
For Physician Assistant candidates: Bachelor’s Degree as a Medical/Surgical (as applicable) Physician Assistant.
For Physician Assistant candidates: graduation from an ARC-PA-approved Physician Assistant training program.
For Physician Assistant candidates: certification by the National Commission for Certification of Physician Assistants.
For Physician Assistant candidates: licensure or eligibility for licensure by the WV Board of Medicine or WV Board of Osteopathic Medicine.
For Physician Assistant candidates: American Heart Association BLS certification; additional Advanced Life Support training may be required at the department’s discretion.
Proficiency with computers.
Strong communication skills.
Ability to meet the role’s physical demands, including heavy work and lifting, moving, positioning, and carrying patients, materials, and equipment weighing 40 pounds or more.

Nice To Haves

Acute care or neurology experience is preferred; eligible new graduates will be considered.
For Nurse Practitioner candidates, ACNPs are preferred, but FNPs will be considered.
For Physician Assistant candidates, Master’s-level education as a Medical/Surgical (as applicable) Physician Assistant is preferred.

Responsibilities

Manage comprehensive, individualized care for neurology patients and their families during inpatient hospitalization, immediately after discharge, and in ambulatory settings as applicable.
Complete daily rounds, consultations, and pre-procedure evaluations.
Complete integrated assessments and succinct comprehensive clinical evaluations, and document findings in the medical record.
In collaboration with neurology faculty or under established clinical guidelines and protocols, order additional tests or consultations as appropriate.
Perform diagnostic tests within established clinical guidelines and scope of practice, and communicate the results.
Consult and communicate with clinic and hospital staff about abnormal patient evaluation findings.
Coordinate discharge services and tests needed before discharge for outpatient clinic follow-up, as applicable.
Develop individualized plans of care, including teaching, discharge planning, and referrals to other healthcare team members as needed.
Provide care across the age continuum covered by the APP’s education and certification.
Identify unstable or complex neurology cases and facilitate appropriate intervention in clinic or hospital settings.
Recognize emergencies and initiate effective emergency care.
Evaluate neurology patients and coordinate follow-up procedures and tests in ambulatory settings, as applicable.
Assist in collecting patient outcome measures, as applicable.
Use critical thinking and diagnostic reasoning to identify, evaluate, and manage the needs of patients and families.
Use equipment safely and base decisions and actions on relevant scientific principles, standards of care, and research findings.
Educate nursing staff, hospital staff, students, patients, families, and the community using appropriate teaching and learning strategies; support patient and family readiness and preferences for learning.
Maintain and update professional knowledge, complete identified clinical competencies, and serve as a resource for staff caring for neurology patients.
Provide educational programs to professional and paraprofessional personnel and participate in community programs and distribution of educational materials, as appropriate.
Document plans of care, interventions, and evaluations clearly and concisely in each patient’s medical record in accordance with approved hospital/UHA policies and documentation standards.
Collaborate with leaders and staff on patient outcome-based improvements, practice changes, problem solving, and professional support.
Provide leadership in developing and implementing neurology practice changes that positively affect patient outcomes.
Participate in and initiate interdisciplinary patient-care, program-development, and education efforts; serve as a professional role model.
Promote innovation in the expanded APP role in care delivery to neurology patients and families.
Participate in and provide leadership for committees and task forces.
Document hours and submit billing reports, as appropriate.
Review and interpret neurology data, including patient registry, clinical and financial, length-of-stay, access-to-care, and cost-per-case information; recommend or implement changes as needed.
Participate in clinical trials and research studies with the Principal Investigator.
Assist neurology faculty, administrators, and directors in collecting outcome measures.
Perform other duties or projects as assigned.