Nurse Practitioner II, Surgery

University of California, Irvine•Irvine, CA

4d•Onsite

About The Position

The position of Nurse Practitioner II in the Department of Surgery requires a highly competent and independent yet team-oriented individual who will be immersed in the management and coordination of all inpatient care for the Department of Surgery, Division of Emergency General Surgery. Duties include and not limited to assessing health needs, planning and evaluating care of all patients on the emergency general surgery service which will include patients in the surgical intensive care unit, step down unit, telemetry unit and medical surgical units. The Nurse Practitioner will work closely with residents, fellows and attending surgeons. The inpatient workload will include handoff at the out at beginning and end of shift, seeing inpatients, consults in the ED, and coordinating care among team members, including, social work, case management, therapy and other medical and surgical specialties. Surgical consultations will include assessments, decisions on indications for surgery and preparation for surgery. The Nurse Practitioner will be responsible for care and organization of procedures (including scheduling operations, interventional procedures, etc) and follow-up, obtain consults as needed, admit and discharge patients (including admission orders, initial H&P, discharge summary, instructions, and medications) when appropriate. The Nurse Practitioner will be responsible for the reviewing critical labs/imaging, follow-up of results with patient and medical staff, obtaining comprehensive medical histories, performing initial and periodic physical examinations/assessments, and exploring patient’s interpretation of health needs. The Nurse Practitioner will also have an independent clinic on Wednesday and Friday afternoons that will include postoperative patients, some follow- up patients and occasionally preoperative patients. The Nurse Practitioner will triage calls and issues trough the clinic and call center for EGS patients, including EDD form, disability forms, etc, The Nurse Practitioner will work closely with residents, fellows and attending surgeons and will facilitate patient throughput through the system and hospitalization. The Nurse Practitioner should demonstrate an advanced level of medical and surgical knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation. Procedures may include but are not limited to removal of drains, drainage of abscesses, dressing changes, including wound vacuum dressings. Under the supervision of Chief of Emergency General Surgery and guided by the applicable policies and procedures, the Nurse Practitioner will participate in the comprehensive care of patients in the ambulatory or inpatient settings and provide multi-disciplinary care coordination, treatment, education, monitoring, and communication with patients and referring physicians. A Nurse Practitioner is an Advanced Practice Provider (APP) who possesses the advanced education, knowledge, clinical skills and experience necessary to provide advanced nursing care in their area of specialization. This position may perform: Functions as appropriate to their “scope of practice” (In general, the “scope of practice” includes the management of chronic stable medical conditions, routine care, acute or critical care, and medical and surgical procedures per their approved standardized procedure). Familiarity with state statute for their licenses is necessary. Approved privileges are unique to each person and are unlikely to include ALL privileges The NP professional may provide patient care in age groups based on educational preparation and at all Health licensed settings and affiliates. The NP has responsibility for the standards of care for their specified patient population and evidences self-direction and accountability both to quality of care and in the development of their role within the all Health locations and affiliates. Advanced Practice Practitioners (APP) are required to be credentialed to practice and be privileged through Medical Staff to function in their clinical role. Credentialing and approval of privileges must be completed prior to the first working day. The NP is accountable to, evaluated, and provided feedback by the supervising/collaborating physician, physician designee(s) in the same clinical specialty, or the Administrative.

Requirements

Ability to obtain UCIMC Allied Health Professional Privileges prior to hire.
Ability to establish and maintain effective working relationships across the program and UCI Health System.
Ability to exercise diplomacy and flexibility in interacting with physicians, nurses, other paramedical personnel, administrators, emergency and law enforcement officers.
Must demonstrate customer service skills appropriate to the job.
Skill to clearly communicate medical information to a broad variety of people, both in person and over the telephone.
Excellent written and verbal communication skills.
Writing skills to prepare clear medical reports, laboratory data and progress notes.
Ability to maintain a work pace appropriate to the workload.
Ability to adapt to a dynamic work environment and workload.
Must possess the skill, knowledge and ability essential to the successful performance of assigned duties.
Ability to be trained in the use of specialized medical equipment and procedures.
Demonstrates an understanding of and adheres to privacy, confidentiality, and security policies and procedures related to Protected Health Information (PHI) or other sensitive and personal information.
Current, active, unrestricted California Registered Nurse license.
Current, active, unrestricted California Nurse Practitioner license.
Current, active, unrestricted Furnishing license and DEA registration.
Active National Provider Identifier (NPI).
NP National Board Certification (Beginning February 2018): Adult Gerontology Acute Care AGACNP-BC or ACNPC-AG
Current BLS, ACLS, and PALS certification.
Two or more years of experience to support setting and patient population.
Must be able to provide proof of work authorization.

Nice To Haves

Knowledge of Windows and MS Office software applications (Excel, Word, Quest, Access, Power point and Outlook).
Experience in Surgical Critical Care.
Experience with acute care surgery.
Experience in working with surgical trainees.
Able to function autonomatously in clinic and on hospital inpatients.
Familiarity with UC policies and procedures.

Responsibilities

Assessing health needs, planning and evaluating care of all patients on the emergency general surgery service.
Managing and coordinating all inpatient care for the Department of Surgery, Division of Emergency General Surgery.
Working closely with residents, fellows and attending surgeons.
Coordinating care among team members, including social work, case management, therapy and other medical and surgical specialties.
Performing surgical consultations, including assessments and decisions on indications for surgery.
Preparing patients for surgery.
Scheduling operations and interventional procedures.
Obtaining consults as needed.
Admitting and discharging patients, including writing admission orders, initial H&P, discharge summaries, instructions, and medications.
Reviewing critical labs/imaging and following up on results with patients and medical staff.
Obtaining comprehensive medical histories.
Performing initial and periodic physical examinations/assessments.
Exploring patient’s interpretation of health needs.
Managing an independent clinic for postoperative, follow-up, and preoperative patients.
Triaging calls and issues for EGS patients, including EDD and disability forms.
Facilitating patient throughput through the system and hospitalization.
Demonstrating advanced medical and surgical knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, and timely/compliant documentation.
Responsible for professional development and competency validation.
Performing procedures such as removal of drains, drainage of abscesses, dressing changes, and wound vacuum dressings.
Participating in the comprehensive care of patients in ambulatory or inpatient settings.
Providing multi-disciplinary care coordination, treatment, education, monitoring, and communication with patients and referring physicians.
Managing chronic stable medical conditions, routine care, acute or critical care, and medical and surgical procedures per approved standardized procedure.
Providing patient care in age groups based on educational preparation and at all Health licensed settings and affiliates.
Maintaining standards of care for their specified patient population.
Demonstrating self-direction and accountability for quality of care and role development.