Neurological Surgery Clinical APP Associate - Pediatric Division

Oregon Health & Science UniversityPortland, OR
7dOnsite

About The Position

As the state's only health and research university, OHSU brings together education, research, patient care and community service. While each component has its own individual goals and mission, all of them are bound together by a common vision - to improve the well-being of Oregonians. Neurological surgeons at OHSU and Doernbecher Children’s Hospital deliver comprehensive surgical care for patients with brain, spinal cord, and peripheral nerve diseases. Our specialists combine a sincere interest in the welfare of their patients with innovative surgical skills and technology. Innovation at OHSU has included the first deep brain stimulation surgery in North America, the first neuronal stem cell transplants in the world, and the first and most powerful intra-operative MRI facility in a children’s hospital in the western United States. We also house a nationally leading neurosurgery training program and advanced fellowships in skull base and vascular, functional, and pediatric neurosurgery. Scientists in our department contribute to fundamental understanding of pain perception and of the brain’s blood supply. The Department of Neurological Surgery in the OHSU School of Medicine is a safe, respectful and welcoming place for people of all races, cultures, ethnicities, genders, national origins, abilities, ages, colors, religions, and sexual orientations. We are committed to learning, promoting inclusion, and working to abolish inequities in our workplace here at OHSU, in our region, in our nation, and in our world. The Department of Neurological Surgery promotes an equitable work environment with a strong commitment to diversity. All department members will actively participate in training and events that reinforce and expand on this commitment. The Clinical Associate Advanced Practice Provider (APP) is an independent practitioner, certified through the Oregon State Board of Nursing (NP) and authorized to practice within the parameters described in Division 50 of the Oregon Nurse Practice Act (Oregon Revised Statute Chapter 678) or is a Physician Assistant licensed to practice by the Oregon Medical Board (PA). The APP is credentialed by the Medical Board of OHSU and other locations as required to practice in the hospital setting and to perform such procedures as authorized by the Medical Board. The APP is authorized to prescribe medications according to the state and federal guidelines and laws. The APP for the Department of Neurological Surgery possesses specialized knowledge and skills in the care of pediatric patients with neurological disorders. Works in partnership with faculty APPs and physicians to provide excellent clinical care and customer services in furthering OHSU mission of excellence in education, research and scholarship, clinical practice and community service. Provides clinical modeling and education to departmental staff, trainees, and nursing staff. Overall responsibilities include inpatient care, operating room first assist, and outpatient care for the Department of Neurological Surgery, Division of Pediatric Neurosurgery. This position will primarily serve pediatric neurosurgery patients at the Legacy Randall Children’s Hospital (RCH) site. This position will participate in a rotating schedule that will cover clinical operations 7 days/week, during day time hours only. Currently, the schedule will include working 10 consecutive days followed by 4 days scheduled off (Sat-Tue). Scheduled weekend shifts may occur from home or in the hospital and mostly include rounding and continuity of care in the hospital setting. The appointee shall provide services as assigned by the supervisor in furtherance of the university’s missions and goals of teaching, research, patient care, outreach and public service. This position reports to (supervisor): Site Director for daily operations, Department Administrator or site designee for administrative functions, and Department Chair for academic and clinical appointment.

Requirements

  • Surgical clinical experience, ability to multi-task and prioritize, ability to work as a team member.
  • Must obtain medical staff privileges as necessary to assist supervising physician perform surgical procedures and care for hospitalized patients.
  • Includes providing high quality customer service (to faculty and staff, internal providers, patients, referring providers, insurance carriers, etc.) that meets or exceeds the service standards for the health care industry.
  • Working with Division Head, Department Chair, and Department Administrator, and faculty to ensure staff and faculty adherence to departmental and customer service standards and excellence in patient care.
  • Can integrate seamlessly into a team dynamic environment by utilizing excellent communication skills, problem-solving abilities, and strong inter-personal skills while maintaining team cohesion.
  • Physician Assistant: - Current active Oregon Board of Medical Examiners (licensed Physician Assistant) Registration - Current active Drug Enforcement Agency Controlled Substance Registration - Current Physician Assistant Certification
  • Nurse Practitioner: - Licensed by Oregon State Board of Nursing (NP) and authorized to practice within the parameters described in Division 50 of the Oregon Nurse Practice Act (Oregon Revised Statute Chapter 678)

Nice To Haves

  • Neurosurgery experience.
  • Experience completing comprehensive history & physical examinations.

Responsibilities

  • Assists with neurosurgicalprocedures, including craniotomies, spinal procedures (including instrumentations) andmicroscopic procedures.
  • Conducts hospital rounds daily on all patients, including intensive careunits.
  • Writes orders and progress notes.
  • Performs all admission history and physicals and inpatientconsultations.
  • Orders appropriate laboratory and radiographic tests, such as MRIs, CT scans,myelograms, bone scans and other radiographic studies.
  • Provide inpatient care and follow-up from admission through discharge.
  • Providing patient care in the outpatient setting for preoperative and postoperative care, wound care, unscheduled visits, and chronic follow-up as determined by the faculty.
  • Training and supervision of neurosurgical team staff, house staff and medical students.
  • Provide scheduled hospital coverage outside of normal business hours, which includes Saturday and Sunday rounds.
  • Provide OHSU Department of Neurological Surgery representation regarding hospital accreditation standards and provide leadership within the Department regarding compliance with accreditation requirements and guidelines in the inpatient arena.
  • Participate in quality initiatives.
  • Participate in clinical in-services and staff educational programs, teach neurosurgical and diagnostic treatments to medical students, house staff, nursing staff, and other Department support staff.
  • Work in teams to develop and maintain patient education material; present education materials to patients and families and ensure understanding; consult with the faculty to provide up-to-date condition-specific health care information to patients.
  • Daily communication and problem-solving responsibilities includes prompt and professional communication to all internal and external customers, excellent face-to-face customer contact skills, crisis management, efficient use of available information technology, processing customer complaints, flexibility in coverage of internal service needs, and continuous application of process improvement methods and skills including efficient and safe prioritization of patient care needs in collaboration with team members.
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