APRN/PA - Adult Facial Plastics

University of Arkansas System•Little Rock, AR

1d•Onsite

About The Position

The PA/APRN supports an Adult Facial Plastics service within an academic Level I trauma center. The role includes operating-room assistance, emergency department and inpatient consultations, complex facial laceration repair, inpatient continuity and discharge coordination, outpatient clinic care, and statewide phone triage to facilitate timely follow-up. The PA/APRN collaborates with residents and fellows and may participate in teaching and quality improvement activities. The position provides first-assist support for adult facial plastic procedures, preoperative planning, intraoperative assistance, and postoperative care. It also involves evaluating patients in the ED, hospital, and clinic; coordinating care and disposition; supporting on-call coverage; and maintaining accurate documentation in accordance with institutional policies, trauma protocols, and other applicable standards.

Requirements

APRN applicants: Master’s degree in Nursing.
APRN applicants: Three years of nursing experience.
APRN applicants: Licensed Registered Nurse in Arkansas.
APRN applicants: APRN license.
APRN applicants: Acute Care Certification.
PA applicants: Master’s in PA Studies.
PA applicants: PA licensure.
PA applicants: National certification (PA-C or AGACNP-BC/ACNPC-AG).

Responsibilities

First assist for adult facial plastic procedures, reconstructive and aesthetic, as credentialed.
Perform preoperative planning, obtain consents per policy, ensure equipment and implants are ready, assist intraoperatively, and enter postoperative orders.
Collaborate with the surgical team to ensure safety, efficiency, and adherence to protocols.
Perform urgent and emergent ED consultations for facial plastics and ENT-related conditions, including Level I trauma activations as appropriate to scope.
Perform complex facial laceration repair and bedside wound management, including layered closure, debridement, hemostasis, and dressing care, per privileging.
Conduct inpatient consultations, formulate assessments and plans, coordinate imaging and labs, and escalate to the attending as indicated.
Determine disposition between bedside management and the OR and coordinate transitions of care.
Complete daily rounds, progress notes, order entry, care coordination, and discharge planning and education.
Ensure safe handoffs and timely outpatient follow-up after discharge.
Evaluate new and established patients through histories, focused exams, treatment planning, and documentation.
Provide postoperative care, wound checks, suture removal, scar care, and minor procedures per privileging.
Provide care independently and as an extender under collaborative practice agreements and protocols.
Provide statewide phone triage, including symptom assessment, red-flag identification, and disposition.
Facilitate expedited outpatient appointments and, when needed, transfer coordination in collaboration with the attending and access teams.
Teach and collaborate with residents, fellows, students, and APP learners in ED, OR, and clinic settings.
Participate in M&M, quality assurance and improvement initiatives, protocol development, and evidence-based practice updates.
Contribute to data collection, registries, and research activities as interested and applicable.
Complete accurate, timely documentation and coding.
Adhere to institutional policies, EMTALA requirements, trauma protocols, and infection control standards.
Support scheduled on-call coverage for ED and inpatient consultations.
Perform other duties as assigned.