NP or PA -- NEUROSURGERY INPATIENT NIGHTS-PPC - PRN

Premier Health•Dayton, OH

1d•Onsite

About The Position

The Advanced Practice Provider (APP) in Neurosurgery provides advanced, evidence-based care to critically ill patients with complex neurological and neurosurgical conditions in the hospital setting. In collaboration with attending physicians, residents, and the interprofessional care team, the APP assesses and diagnoses patients, develops treatment plans, and provides ongoing management. The role contributes to patient stabilization and critical decision-making and supports patients and families during high-acuity situations. The APP serves as a clinician, educator, consultant, and collaborator in neurosurgical care. The position requires knowledge of neuroanatomy, neurophysiology, critical care management, and evidence-based guidelines. Care includes patients with acute stroke, intracerebral hemorrhage, subarachnoid hemorrhage, traumatic brain injury, postoperative neurosurgical conditions, and other neurological emergencies. The APP partners with physicians on individualized treatment plans, provides timely assessment and interventions in critical care, and supports patients and families through education, communication, and advocacy. This is a PRN night position at the Clinical Neuroscience Institute – MVH. The posting accepts Nurse Practitioners and Physician Assistants.

Requirements

Completion of an Acute Care Nurse Practitioner program or a Physician Assistant program.
Current Ohio licensure as an Acute Care Nurse Practitioner or Physician Assistant.
Current BLS and ACLS certification.
National certification as an Acute Care Nurse Practitioner (ANCC or equivalent) or Physician Assistant (NCCPA).
Current Certificate to Prescribe, maintained at all times.
PHP Standard Care Arrangement (SCA) required before engaging in practice.
Advanced understanding of neurological and neurosurgical critical care.
Proficiency in advanced diagnostic interpretation and invasive monitoring.
Excellent clinical judgment and ability to manage high-acuity patients.
Strong organizational, multitasking, and critical-thinking skills.
Effective communication and teamwork skills in high-pressure environments.
Computer literacy, including Excel, Word, and Outlook; EMR experience required.

Nice To Haves

Two to three years of acute or critical care nursing experience preferred.
Prior critical care, neurocritical care, or neurosurgical ICU experience preferred.

Responsibilities

Perform comprehensive histories and physical examinations on critically ill patients.
Order, interpret, and act on diagnostic tests, including CT, MRI, EEG, and laboratory studies.
Develop, implement, and evaluate treatment plans in collaboration with supervising physicians.
Manage and interpret intracranial pressure devices.
Prescribe medications, therapies, and interventions in accordance with licensure and the collaborative agreement.
Respond to emergencies and acute neurological deterioration.
Provide education and guidance to patients, families, and interprofessional staff.
Document all care in the electronic medical record.
Uphold HIPAA standards and ethical guidelines in patient interactions.
Provide ongoing assessment and timely interventions in the critical care environment.
Support patients and families through education, communication, and advocacy.