Neurosurgery Nurse Practitioner (NP) or Physician Assistant (PA)-Nights

Munson Healthcare•Traverse City, MI

1d•Onsite

About The Position

The Neurosurgical Advanced Practice Professional (APP) is a physician-dependent practitioner responsible for the medical and surgical management of patients admitted to the Neurosurgery Service under the supervision of the attending Neurosurgeon. The APP performs advanced diagnostic and therapeutic tasks related to neurosurgery patients from the Emergency Room phase, in the OR as necessary, and throughout the patient’s admission. This role involves performing History and Physical examinations, admission notes, daily progress notes, admit and routine orders, daily rounds, consultation notes, ED consult notes, and attending at least 75% of Trauma Performance Improvement and Neurosurgical Section meetings. The position requires responding to ED consults within 30 minutes, managing patient care in the ED under supervision, dictating H&Ps, consultations, procedure notes, and discharge summaries, communicating with the OR Scheduler, potentially assisting the Neurosurgeon in the OR, and daily contact with the Neurosurgeon on call. The APP will complete documentation in Powerchart, expedite patient disposition by identifying family issues for referral, perform pre- and post-operative patient education, respond to telephone inquiries from discharged patients, and manage inpatients including monitoring progress, ordering labs/x-rays, interpretation, consults, floor calls, assessing patients, developing treatment plans, and discharge activities. The role also involves exercising physician-delegated prescriptive authority, attending CME seminars, maintaining BLS certification, and demonstrating effective judgment for the neurosurgical patient population.

Requirements

Licensed by the State of Michigan to practice as a Nurse Practitioner or Physician Assistant.
Currently licensed as a Registered Nurse in the State of Michigan (for NP).
Master of Science degree in Nursing and is ANCC or ACNP board certified as a Nurse Practitioner (for NP).
Master of Physician Assistant Studies (MPAS), Master of Health Science (MHS) or Master of Medical Science (MMSc) and is board certified as a Physician Assistant (for PA).
Able to do a comprehensive neurological exam.
Candidate must apply for and be granted appropriate clinical privileges through MMC’s normal credentialing processes before rendering services.
Maintains continuous certification related to NP or PA training.
Maintains current BLS.
Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella.
MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

Nice To Haves

Having certification regarding Neurosurgery is preferred.
Two years of work experience as a clinical practitioner performing advanced diagnostic and therapeutic tasks related to surgery preferred
Ability to work on projects related to the development of the NS program as determined by the Director and Section Chief.
Able to communicate in oral and written format
Able to establish and maintain effective working relationships with physicians, superiors, team members and Medical Center staff.
Experience in working in a hospital clinical department is a plus
Experience in working with EMR in the hospital is a plus.

Responsibilities

Supports the Mission, Vision and Values of Munson Healthcare
Embraces and supports the Performance Improvement philosophy of Munson Healthcare.
Promotes personal and patient safety.
Has basic understanding of Relationship-Based Care (RBC) principles, meets expectations outlined in Commitment To My Co-workers, and supports RBC unit action plans.
Uses effective customer service/interpersonal skills at all time
On-call requirements are an expectation of the job. Times and frequency will be determined based on staffing and coverage needs.
Respond to consults to the ED department within 30 minutes of being called.
Manage patient care in the ED under direct supervision of the Neurosurgeons when appropriate but limited to: performing comprehensive history and physical examinations, ordering of appropriate lab and radiographic studies, interpretation of lab and x-ray results, consults, admission/discharge orders, addressing code status.
Dictation of history & physicals, consultations, procedure notes, and discharge summaries.
Communicate with OR Scheduler regarding status of patient and room availability on neurosurgery patients that may be going to surgery.
May assist with the Neurosurgeon in the OR if the Neurosurgeon deems it a necessity and rest of patients have direction for their daily care.
Daily contact with Neurosurgeon on call for that day.
Completes appropriate documentation of all evaluations, care, and services rendered in the medical record/Powerchart.
Expedites disposition by identifying patient and family issues for referral to appropriate personnel (transportation, housing, psychosocial, financial or caregiver)
Performs pre- and post-operative patient education to patients and their families
Responds to telephone inquiries on discharged patients and provides appropriate medical care or counseling
Communicates with referring or primary care physicians regarding patient care and treatment
Rounding and management of inpatients including: monitoring progress, progress notes, ordering daily labs and x-rays, interpretation of labs and x-rays, appropriate consults, floor calls, assessing patients, developing and implementing treatment plans, monitoring the effectiveness of therapeutic interventions by medical staff approved protocols, and discharge activities.
Exercising physician-delegated prescriptive authority pursuant to state and federal restrictions
Attends CME seminars and conferences to maintain licensure and currency in field.
Maintains current BLS.
Demonstrates effective judgment and ability to understand, react competently, and treat unique needs of the neurosurgical patient population.
Performs other duties and responsibilities as assigned.