Ortho Livingston Surgery

Trinity Health•Howell, MI

About The Position

The Livingston NP/PA Surgery provides health care services under the direction of collaborating surgeons in the Department of Surgery and the Advanced Practice Professional (APP) team. The NP/PA coordinates the health care plan for an assigned patient population in collaboration with consulting physicians and health care professionals, carries out physician orders, and maintains continuity of care across all phases of patient care. Care is guided by progress notes, consults, care plans, critical pathways, managed care guidelines, best-practice protocols, evidence-based care, and utilization review processes. In partnership with the supervising physician, the NP/PA evaluates care based on quality and core measures, access, and cost effectiveness. The position contributes to excellent patient care by addressing age-specific, developmental, and spiritual needs and serving as a role model in patient care, consultation, teaching, and leadership. The NP/PA provides clinical care to Livingston surgical patients in inpatient, emergency department, and consult settings; assists with emergency room evaluation and triage; performs patient work-ups; assists in operations; supports operative patients in recovery; completes rounds and documentation; and participates in discharge planning. The role also serves as a liaison among health care team members, coordinates therapies, participates in patient-care conferences and quality review, and provides education to patients, families, and staff. The position requires compliance with confidentiality, HIPAA, organizational values, and safety practices.

Requirements

For the NP pathway: Master’s degree in clinical nursing from an accredited Nurse Practitioner Program, with emphasis on the area of certification or licensure.
For the NP pathway: Current Registered Nurse and Nurse Practitioner licenses in the State of Michigan.
For the PA pathway: Graduation from an ARC-PA-accredited PA program.
For the PA pathway: Current license or certification as a Physician Assistant with the State of Michigan.
Interpersonal skills to initiate and maintain collegial relationships with coworkers and therapeutic relationships with patients and families.
Analytical skills necessary to perform the principal duties and responsibilities.
Ability to concentrate and pay close attention to detail for up to 80% of work time when planning and performing professional nursing care.
Ability to walk and stand continuously for 50% of the time and sit for 50% of the time.

Nice To Haves

Surgical experience is preferred; the employer is willing to train the right candidate.

Responsibilities

Formulate and implement medical plans of care for acute management of surgery patients in inpatient, emergency department, and consult settings, in collaboration with physicians.
Assist with evaluation and triage of emergency room patients.
Provide direct clinical services under physician supervision, following established protocols, evidence-based practice, and clinical practice standards.
Conduct patient work-ups, including history and physical examinations, and order appropriate laboratory, x-ray, and other diagnostic studies.
Assist in operations, including first- and second-assisting and opening and closing incisions as indicated.
Transport and provide initial care to operative patients in the recovery room; complete initial orders and brief operative notes.
Complete daily hospital rounds for pre- and postoperative patients and chart progress notes as required or assigned.
Dictate discharge summaries, chart rounds, staffing conference summaries, and consults as directed by service needs.
Participate in care of off-service patients at the request of the supervising physician.
Order appropriate diagnostic and laboratory data under physician direction and communicate results to physicians and other health care providers.
Assess changes in patient status and initiate routine or emergency interventions to stabilize patients under the direction of the supervising physician and APP team.
Document plans of care and patient progress in medical records and narrative summaries.
Evaluate and document patient outcomes and revise care plans under the direction of collaborating physicians and in association with specialty consultants.
Facilitate discharge planning with patients, families, health care team members, and referral agencies.
Serve as the daily central liaison to health care team members regarding patient-care concerns.
Coordinate speech, physical, and occupational therapies.
Participate in patient-care conferences and peer quality review with collaborating physicians, consulting medical teams, and other health care disciplines.
Explain procedures, including their purpose, preparation, and potential effects, to patients and families.
Provide preoperative teaching and discharge-planning education to patients and families.
Design, instruct, and review information and programs relevant to inpatient and outpatient surgical populations.
Participate on hospital, nursing, and medical committees as designated.
Serve as a hospital resource to staff, patients, and families.
Develop and implement a continuing education program to maintain current knowledge of surgical care and related medical concerns.
Maintain cooperative relationships, address conflict constructively, identify problems, offer solutions, and participate in resolution.
Maintain confidentiality of information concerning patients, physicians, employees, and visitors; follow HIPAA policies and procedures.
Behave in accordance with the Mission, Vision, and Values of St. Joseph Mercy Health System and adhere to its Performance Standards – Focus on Others.
Perform duties safely and report preventable hazards and unsafe practices, including near misses and actual errors, to management or through the SJMHS anonymous reporting system (PEERS).