Flex APP HSS Orthopedics Now - 48 Hours

Hospital for Special Surgery•Paramus, NJ

23h•Hybrid

About The Position

The HSS Orthopedics Now program provides consistent, immediate access for patients 12 years and older with an undiagnosed musculoskeletal injury or sudden onset of pain to be triaged, receive an initial diagnosis, and if appropriate, quickly connected to the right subspecialized level of care. The HSS Orthopedics Now Nurse Practitioner (NP) or Physician Assistant (PA) sees patients at an HSS location to triage, diagnose, treat, and when needed, refer patients to a higher level of care in an expedited timeframe. The NP/PA sees patients autonomously, in collaboration with, and with the support of HSS physicians. The NP/PA is an advanced practice provider who is licensed to practice their profession and provides a full range of primary, acute, and specialty healthcare services. The NP/PA is responsible for diagnosing and treating acute musculoskeletal injuries including, but not limited to: Bone, joint, or muscle injuries, Strains, sprains, minor dislocations, and closed fractures, Painful, swollen, or injured joints, Back and neck pain, Osteoarthritis (OA), Pediatric injuries (12 years of age and older), Sports Injuries, Steroid injections and joint aspirations, General bracing and splinting. The Flex APP for HSS Orthopedics Now will be expected to provide planned coverage at our program's sites across the regional locations. Coverage planning will be made in advance of anticipated shifts. There will be expected travel to HSS' regional locations.

Requirements

Obtain/Maintain NP licenses in New York, New Jersey, and Connecticut.
FNP Required.
Obtain/Maintain board certification as a NP in specialty area of practice.
Experience with injections, aspirations, and casting.
ACLS and BLS via American Heart Association.
DEA license (primary site only).
Obtain/Maintain PA license in New York, New Jersey, and Connecticut.
Obtain/Maintain current NCCPA certification.
Experience with injections, aspirations, and casting.
ACLS and BLS via American Heart Association.
DEA license (primary site only).
Utilizes evidence-based practice.
Committed to best practices; maintains clinical competency.
Promotes quality healthcare; seeks to improve and impact clinical outcomes.
Engaged in self –directed continued learning and professional development.
Leads and participates in both professional and lay healthcare forums, conducts research, and applies findings to clinical practice.
NP Masters Nursing.
PA Bachelors Physician Assistant Studies or Masters Physician Assistant Studies.
NP Demonstrates commitment to professional growth & development in medical and nursing practice.
PA Graduate of CAAHEP accredited Physician Assistant Training Program.
NP National board certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS) (e.g. ANCC, AANP).
PA Current NCCPA Certificate - 100 hours of continuing medical education must be logged every 2 years.
Recertification Examination must be taken every 6-10 years and passed successfully.
Infection Control Certificate must be current.
Must have taken child abuse recognition course.
2 Years NP musculoskeletal/orthopedic practice.
2 Years PA musculoskeletal/orthopedic practice.
Excellent verbal and written communication skills.
Strong customer service orientation.
Critical thinking, in-depth experience, professional knowledge in area of specialty; updated on the latest new, trends, and treatments.
Time management/organization: handles and effectively manages a daily caseload; experience with varied work schedule (flexibility); adaptable.
Collaboration and teamwork: collaborates with clinical colleagues (MDs, PAs, NPs, RNs) for advisement when necessary; develops and coordinates appropriate plan of care.
Interpersonal: confident, works well under pressure, responsible, caring, sympathetic and compassionate.
Maintains proper patient records.
Performs complete and accurate history and physical exams.
Continuously stand/walk or lift/handle/carry material or equipment of moderate weight (20 to 50 lbs).
Tasks that involve exposure to blood, body fluids, tissues, and other potentially infectious materials.
Possesses a basic understanding of anatomy, physiology and disease process related to orthopedic injury.
Performs a directed comprehensive history and physical examination.
Develops a differential diagnosis, and treatment plan appropriate to the patient injury and clinical presentation.
Orders studies to ensure a comprehensive and appropriate workup for the involved patient’s injury or disease.
Uses sound judgment when acting independently or escalating more complex issues to the Attending physician.
Identifies, responds to and triages emergent issues, escalates appropriately and ensures follow-up.
Performs outpatient procedures including but not limited to intra-articular injections and aspirations consistent with their DOP at the direction of the Supervising MD.
Prepares written or electronic documentation.
Provides comprehensive documentation in H&P, progress notes, problem list and medication reconciliation.
Documents and accurately assesses patient events (ie, metabolic changes, neurovascular changes, abnormal lab values, skin lesions, pressure ulcer staging, etc).
Participates in QA/PI program and requested team membership while improving performance based on results obtained.
Collaborates effectively with all surgical, medical and interdisciplinary team members.
Assist with training and orientation of new employees.
Completes E-learning modules on time.
Maintains competence and compliance with NP/PA Certification, CME requirements, BLS & ACLS certifications and attends NP/PA lectures, meetings, skills labs and hospital sponsored Conferences/Rounds when possible while demonstrating an interest in expanding and developing their knowledge base/skills as a NP/PA.
Complies with policies and procedures concerning infection control and safety in order to maintain a safe and comfortable environment for patients, visitors and staff while complying with their Annual Health Assessment requirement.
Initiates and maintains open, direct and effective written and verbal communication with colleagues/medical staff and all members of the department as applicable.
Responds to emails and pages as soon as possible in a professional manner with compassion and understanding.
Introduces and identifies oneself to patient prior to patient interaction.
Verifies each patient encounter correctly by consistent use of the patient identifiers and utilizes interpreter / language services when appropriate and necessary.
Adjusts to changing situations and triages work assignments.
Demonstrates urgency and manages time to meet patient/department/hospital needs as applicable.
Follows department policies and procedures and adheres to HIPPA protocols and procedures related to privacy and safety.
Consistently maintains a satisfactory attendance record.
Consistently arrives on time to work station.
Adheres to PA Department Policies when calling out sick.
Takes directives from PA Management in an appropriate manner.
Takes responsibility in being aware and compliant with departmental communication/deadlines.
Wears Hospital ID badges visible at all times, above the waist with a hospital issued chain, pin or clip as part of the required attire while on duty; wears professional attire according to job description and hospital policy (e.g., clean, pressed lab coats, uniforms and scrubs); and maintains good personal hygiene.
Courteously uses HEART in all interactions.
Listens and responds promptly to requests with compassion and respect and follows up in a timely manner.
When using the phone, responds promptly with courtesy, respect and professionalism including giving appropriate hospital, department and self-identification in greeting.
Provides exceptional elevator etiquette such as holding doors open, allowing patients and visitors to enter and exit first, assisting patients, etc.
Gives people with functional disabilities the "right of way".
Sensitive to patients and visitors with linguistic or cultural needs.
Recognizes and acknowledges others' good work; respects diverse opinions, cultural beliefs and religious practices; responds in a constructive and positive manner to issues and concerns raised by coworkers; offers assistance and support to new employees.
Maintains a positive attitude each day and demonstrates a passion for excellence in every aspect of work; provides feedback to help improve the work environment; takes ownership to resolve problems; does not blame or point fingers; refrains from gossip and negativity; does one's fair share and offers to help; supports group decisions; is open-minded and flexible; and demonstrates patience and control, especially in difficult or stressful situations.
Protects and safeguards patient information; does not discuss patient information in public areas or with anyone other than those who need to know in order to treat the patient (or for legitimate business operations of the hospital); does not access patient information for any reason other than to treat the patient (or for legitimate business operations of the hospital); ensures privacy with appropriate clothing and coverings, closed doors, drawn curtains, and identifying oneself before entering patient areas; safely stores patient's personal belongings; does not disclose institutional, salary, or personnel information; maintains computer passwords and access codes confidentially; promptly reports any concerns or issues regarding non-compliance and encourages others to do the same.

Nice To Haves

Doctorate of Nursing Educational Preferences NP Doctorate in nursing practice (DNP) preferred.
Additional clinical certification in specialty area of practice.
1-2 Years practicing in an outpatient or ambulatory setting, Sports medicine and/or emergency medicine experience.
Experience with electronic health record (EPIC) preferred.

Responsibilities

Triage, diagnose, treat, and refer patients to a higher level of care in an expedited timeframe.
Diagnose and treat acute musculoskeletal injuries including bone, joint, or muscle injuries, strains, sprains, minor dislocations, and closed fractures.
Treat painful, swollen, or injured joints, back and neck pain, and osteoarthritis.
Manage pediatric injuries (12 years of age and older) and sports injuries.
Perform steroid injections and joint aspirations.
Provide general bracing and splinting.
Provide planned coverage at program sites across regional locations.
Travel to HSS' regional locations.
Utilize evidence-based practice.
Promote quality healthcare and seek to improve clinical outcomes.
Engage in self-directed continued learning and professional development.
Lead and participate in healthcare forums, conduct research, and apply findings to clinical practice.
Prepare written or electronic documentation, including H&P, progress notes, problem lists, and medication reconciliation.
Document and accurately assess patient events.
Participate in QA/PI programs.
Collaborate effectively with all surgical, medical, and interdisciplinary team members.
Assist with training and orientation of new employees.
Complete e-learning modules on time.
Maintain competence and compliance with NP/PA Certification, CME requirements, BLS & ACLS certifications.
Attend NP/PA lectures, meetings, skills labs, and hospital-sponsored conferences/rounds.
Comply with policies and procedures concerning infection control and safety.
Initiate and maintain open, direct, and effective written and verbal communication with colleagues, medical staff, and department members.
Respond to emails and pages promptly and professionally.
Introduce and identify oneself to patients prior to interaction.
Verify each patient encounter correctly using patient identifiers.
Utilize interpreter/language services when appropriate and necessary.
Adjust to changing situations and triage work assignments.
Manage time to meet patient/department/hospital needs.
Follow department policies and procedures and adhere to HIPAA protocols.
Maintain a satisfactory attendance record and arrive on time to work station.
Adhere to PA Department Policies when calling out sick.
Take directives from PA Management and be aware of and compliant with departmental communication/deadlines.
Wear Hospital ID badges visible at all times and professional attire.
Maintain good personal hygiene.
Use HEART in all interactions with patients, visitors, and co-workers.
Listen and respond promptly to requests with compassion and respect.
Respond promptly to phone calls with courtesy, respect, and professionalism.
Provide exceptional elevator etiquette.
Give people with functional disabilities the 'right of way'.
Be sensitive to patients and visitors with linguistic or cultural needs.
Recognize and acknowledge others' good work.
Respect diverse opinions, cultural beliefs, and religious practices.
Respond constructively and positively to issues and concerns raised by coworkers.
Offer assistance and support to new employees.
Maintain a positive attitude and demonstrate passion for excellence.
Provide feedback to help improve the work environment.
Take ownership to resolve problems.
Refrain from gossip and negativity.
Offer to help and support group decisions.
Be open-minded and flexible.
Demonstrate patience and control, especially in difficult or stressful situations.
Protect and safeguard patient information.
Do not discuss patient information in public areas or with anyone other than those who need to know.
Do not access patient information for any reason other than to treat the patient.
Ensure privacy with appropriate clothing, closed doors, drawn curtains, and identifying oneself before entering patient areas.
Safely store patient's personal belongings.
Do not disclose institutional, salary, or personnel information.
Maintain computer passwords and access codes confidentially.
Promptly report any concerns or issues regarding non-compliance and encourage others to do the same.