APP, Burn

Eskenazi Medical Group•Indianapolis, IN

About The Position

The Physician Assistant (PA) or Nurse Practitioner (NP) focuses on surgical patients in the hospital and outpatient care. Patients may include those receiving care for acute burns, burn reconstruction, aesthetics, breast reconstruction, hand, maxillofacial, and general reconstruction surgeries. The PA or NP provides restorative, curative, rehabilitative, palliative, and maintenance care. The role provides coverage for burn surgery inpatient and outpatient services, manages patients in surgical and ICU settings, and provides cross-coverage to plastic surgery patients as directed by the collaborating physician. The PA or NP works under indirect physician supervision for specified burn ICU and critical-care responsibilities and performs procedures and clinical duties within granted privileges and applicable supervision requirements.

Requirements

Physician Assistant or Nurse Practitioner qualification.
Ability to perform the listed special-privilege skills and procedures, subject to required supervision and privileging.
Obtain prescriptive authority based on state guidelines once practice hours are achieved and maintain required CMEs.
Specialty certification if available and appropriate.

Nice To Haves

Specialty certification, if available and appropriate.

Responsibilities

Manage and direct surgical inpatient and outpatient burn patients in a surgical/ICU care setting.
Serve as a health care provider for patients admitted to the burn ICU under indirect physician supervision.
Provide critical-care and step-down admissions with indirect supervision from the on-call physician.
Provide full coverage to burn surgery inpatient and outpatient services.
Provide cross-coverage to plastic surgery patients as directed by the collaborating physician.
Order routine and special laboratory tests, radiographic studies, and EKGs, interpret results, and treat as appropriate.
Prescribe medications according to Standards of Practice and from the approved list, obtaining prescriptive authority based on state guidelines once practice-hour requirements are met and maintaining required CMEs.
Provide admission histories and physical examinations, progress notes, and doctors’ orders, with orders cosigned within 24 hours.
Respond to service calls when physicians are in surgery.
Maintain membership on Burn Center committees and attend as required.
Participate in burn performance-improvement projects and presentations, including daily and weekly burn rounds, weekly burn conference, multidisciplinary committee work, journal clubs, and mortality and morbidity reviews.
Prepare letters to physicians, government agencies, nursing homes, and home health providers to help meet patient needs and support medical officers with recurring and long-term care.
Assist the institution in preparing for JCAHO accreditation and American Burn Association Certification.
Contact patients and family members to arrange surgical consents before operations and special procedures, and gather and exchange information with them.
Consult with medical personnel to exchange information and plan operative actions and procedures to meet patient needs and contribute to care.
Conduct surveillance of care.
Provide non-emergent and/or in-house on-call services for hospitalized patients as needed under the direction of the burn medical director.
Order preoperative and postoperative laboratory tests and radiographic studies, interpret results, and treat as appropriate.
Perform privileged clinical skills and procedures, including phlebotomy; pressure monitoring; ACLS; EKGs; I&D; wound irrigation and debridement; burn-wound excision and grafting under surgeon supervision; donor skin-graft selection and procurement; wound care and dressing changes; skin-suture removal; escharotomy under indirect physician supervision with special privileging; assistance with operative fasciotomies; compartment pressure measurement; ventilator adjustment; intubation and extubation; and first or second assistance in burn cases under direct surgeon supervision.