About The Position

The Orthopedic Access Advanced Practice Provider independently evaluates and manages patients with a broad spectrum of musculoskeletal conditions, with collaborative support from orthopedic subspecialty teams. The clinic’s primary objective is to improve timely access to orthopedic care. The APP independently manages non-surgical cases at the Prairie Meadows Drive location and coordinates referral to the appropriate surgical team when surgical intervention is indicated. The role may include in-office procedures such as joint injections, depending on experience and clinical assessment. The position may also provide cross coverage in the Orthopedic Injury Walk-In Clinic at the North Liberty Campus, caring for musculoskeletal injuries and pain occurring within the previous seven days. This work can include splinting and casting, for which training is provided. The role calls for an organized, motivated, and efficient practitioner. The schedule includes a Thursday evening shift from 12 p.m. to 8 p.m. and every other Saturday from 8 a.m. to 2 p.m. The position is based at the Orthopedics Prairie Meadows Drive location, with cross coverage at the Main Campus North Liberty Hospital. The North Liberty Campus is a 469,000-square-foot facility with outpatient, inpatient, and surgical services, as well as imaging, laboratory, physical therapy, pharmacy, and emergency services. The APP will be part of a welcoming, skilled, and collaborative workforce supporting the health system’s patient care, teaching, research, and community partnership missions.

Requirements

  • Master's degree required.
  • If the Master's degree is in a related field, a Baccalaureate degree in nursing is required.
  • Current license to practice nursing in Iowa.
  • Current certification in the specialty area and licensure as an ARNP in Iowa.
  • At least 2 years of patient care experience, which may be obtained through clinical rotations or clinical practice.
  • At least 2 years of demonstrated experience and/or knowledge of orthopedic patient care.
  • Experience working effectively in a welcoming and respectful workplace environment.
  • Excellent written and verbal communication skills.
  • Timely and prompt documentation.

Nice To Haves

  • Master's degree or DNP in Nursing.
  • Experience working in an orthopedic outpatient clinic.
  • Relevant orthopedic experience in an emergency department or urgent care setting.

Responsibilities

  • Evaluate and manage a variety of orthopedic conditions in the Ortho Access Clinic.
  • Order medical diagnostic and therapeutic procedures and prescribe, dispense, or deliver medications under a collaborative practice agreement.
  • Follow up with patients regarding diagnostics and laboratory results.
  • Provide longitudinal follow-up when surgical or subspecialty consultation is not needed or desired.
  • Consult and collaborate with other care team members and orthopedic subspecialty teams to facilitate care.
  • Apply clinical judgment to the total clinical picture and influence others to adopt best practices.
  • Complete patient medical records, reports, and forms for treatment documentation and billing.
  • Improve quality of care through chart reviews and participation on performance improvement committees.
  • Escalate care appropriately for surgical conditions and coordinate referral to the appropriate surgical team.
  • When cross-covering the Ortho Walk-In Clinic, triage, evaluate, and manage orthopedic injuries, including acute back pain, sprains, strains, tendon and ligament injuries, suspected fractures, and joint pain.
  • Order appropriate imaging, such as plain X-rays, CT, or MRI, when indicated.
  • Provide initial injury management, including use of durable medical equipment such as wrist splints, slings, and boots, and perform splinting or casting as appropriate.
  • Educate patients about their injuries and facilitate follow-up with orthopedic subspecialty surgeons and providers as needed.
  • Work with North Liberty Hospital Emergency Room staff to transfer patients when emergency care is more appropriate.
  • Potentially perform in-office procedures such as joint injections, based on experience and clinical assessment.
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