NP/PA Surgery - Urology

Trinity Health•Ann Arbor, MI

About The Position

The Urology NP/PA provides health care services in collaboration with Urology surgeons and the Advanced Practice Professional (APP) team. The role coordinates care plans for an assigned patient population in collaboration with consulting physicians and other health care professionals, carries out physician orders, and supports continuity across all phases of 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 role contributes to excellent patient care by attending to age-specific, developmental, and spiritual needs and serving as a role model in patient care, consultation, teaching, and leadership. The position provides clinical care for Urology patients in inpatient, emergency department, and consult settings. Under the direction of collaborating physicians and the APP team, the NP/PA develops and implements plans of care, assists with emergency department evaluation and triage, provides direct clinical services according to established protocols and evidence-based standards, orders diagnostic and laboratory data, communicates results, responds to changes in patient status, documents care and outcomes, revises plans, and helps coordinate discharge planning.

Requirements

  • For the NP pathway: Master’s degree in clinical nursing from an accredited Acute Care Nurse Practitioner program, with emphasis in 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 Physician Assistant program.
  • For the PA pathway: Current license or certification as a Physician Assistant with the State of Michigan.

Responsibilities

  • Formulate and implement medical and nursing plans of care for acute management of Urology patients in inpatient, emergency department, and consult settings, in collaboration with physicians.
  • Assist with the evaluation and triage of emergency department patients.
  • Provide direct clinical services according to established protocols, evidence-based practice, and clinical practice standards under the supervision of collaborating physicians.
  • Order appropriate diagnostic and laboratory data under the supervising physician’s direction and communicate results to physicians and other health care providers.
  • Assess changes in patient status and institute routine and 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 plans of care under the direction of collaborating physicians and in association with specialty consultants.
  • Help facilitate discharge planning with patients, families, health care team members, and referral agencies.
  • Coordinate care plans and maintain continuity of care in collaboration with consulting physicians and health care professionals.
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