General Robotic

Trinity Health•Ann Arbor, MI

6d•Onsite

About The Position

The CTVS / General Robotic 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 care plans for an assigned patient population in collaboration with consulting physicians and other health care professionals, carries out physician orders, and maintains continuity of care across all phases of treatment. 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 patient-care excellence by addressing age-specific, developmental, and spiritual needs and serving as a role model in patient care, consultation, teaching, and leadership. The position provides clinical care to CTVS and general robotic surgical patients in inpatient, emergency department, and consult settings. Duties include formulating and implementing medical plans, evaluating and triaging emergency room patients, conducting patient work-ups, assisting in operations—including robotic procedures—and providing postoperative and ongoing inpatient care. The NP/PA collaborates with physicians, other specialties, and the wider health care team; documents and evaluates patient progress and outcomes; assists with discharge planning; and provides education to patients, families, and staff. The position is based at Trinity Health Ann Arbor in the CTVS & Robotic Operative department. Shifts are days with rotating nights, weekends, and on-call coverage. Full-time status is available. Surgical experience is preferred, but the employer is willing to train the right candidate.

Requirements

For the NP pathway: Master’s degree in clinical nursing from an accredited Acute Care Nurse Practitioner Program, with emphasis on the area of certification or licensure.
For the NP pathway: Current Registered Nurse and Acute Care 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.
Analytic 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 established protocols, evidence-based practices, and clinical standards, including patient work-ups, histories and physical examinations, and ordering indicated diagnostic studies.
Assist in operations as a first or second assistant, including robotic procedures and opening and closing incisions as indicated.
Transport and provide initial care for operative patients in the recovery room, complete initial orders, and prepare brief operative notes.
Complete daily hospital rounds for pre- and postoperative patients and document progress notes as required or assigned.
Dictate discharge summaries, chart rounds, staffing conference summaries, and consults as directed by service needs.
Participate in the care of off-service patients when requested by 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 institute 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 with collaborating physicians and specialty consultants.
Help facilitate discharge planning with patients, families, the health care team, and referral agencies.
Serve as a daily central liaison for patient-care concerns among health care team members.
Coordinate speech, physical, and occupational therapies.
Participate in patient-care conferences and peer quality review with physicians, consulting medical teams, and other disciplines.
Explain procedures, including their purpose, preparation, and potential effects, to patients and families.
Provide preoperative teaching and discharge planning 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 personal continuing education program to maintain current knowledge of surgical care and associated medical concerns.
Maintain cooperative relationships, address conflict constructively, identify problems, offer solutions, and participate in resolution.