Nurse Practitioner or Physician Assistant

JOB SUMMARY:

The General Surgery Nurse Practitioner (NP) or Physician Assistant (PA) works collaboratively with the supervising General Surgeons to provide comprehensive care in the outpatient clinic, inpatient hospital setting, and surgical environment. The NP/PA evaluates and manages general surgery patients independently within the scope of practice, conducts inpatient rounds on hospitalized general surgery patients, and may assist the surgeon during operative procedures.

The position requires excellent clinical judgment, strong communication skills, and a commitment to delivering high-quality, patient-centered care.

Essential Duties and Responsibilities Clinical Outpatient Care & Patient Management:

Conduct comprehensive physical assessments, take detailed histories, and formulate differential diagnoses and treatment plans for an independent daily schedule.

Perform comprehensive pre-operative evaluations and clearances. Order and interpret diagnostic tests (e.g., labs, EKGs, imaging studies) to ensure patients are medically optimized for surgery.

Manage routine post-operative appointments, including wound assessments, drain removals, suture/staple removals, and medication adjustments. Formulate discharge plans and transition-of-care documentation.

Evaluate urgent or walk-in surgical patients presenting with potential post-op complications (e.g., localized infections, pain management issues) to prevent unnecessary Emergency Department utilization.

Coordinate care with physicians, therapists, nurses, and other healthcare professionals.

Participate in patient triage and respond to patient questions and concerns.

Perform Minor Outpatient Procedures & In-Office Interventions:

Perform autonomous, minor outpatient surgical interventions within the scope of practice to include but not limited to:

Incision & Drainage (I&D) of superficial abscesses

Excision of skin lesions, cysts, and lipomas

Local anesthetic blocks and simple wound debridement

Aspiration of seromas or fluid collections

Inpatient Responsibilities Conduct rounds as needed on hospitalized general surgery patients under the direction of the supervising General Surgeon.

Evaluate inpatient general surgery consultations and provide recommendations for treatment and management.

Monitor patient progress, review laboratory and diagnostic results, and adjust treatment plans as appropriate.

Coordinate inpatient care with nursing staff, case management, physical therapy, occupational therapy, and other members of the healthcare team.

Facilitate patient discharge planning, including follow-up care, rehabilitation needs, and patient education.

Document all inpatient encounters and treatment plans in the electronic medical record in a timely manner.

Communicate patient status and significant clinical findings to the supervising physician.

Surgical Responsibilities First assist the supervising General Surgeon during surgical procedures as credentialed and permitted by hospital policy.

Participate in preoperative assessments and patient preparation.

Assist with surgical exposure, tissue handling, hemostasis, wound closure, and application of postoperative dressings and immobilization devices.

Participate in postoperative patient management and follow-up care.

Round on hospitalized General Surgery patients as directed by the supervising physician.

Administrative Responsibilities Maintain accurate and complete medical records.

Ensure compliance with hospital, medical staff, and regulatory requirements.

Participate in quality improvement initiatives and departmental meetings.

Assist with development and implementation of clinical protocols and best practices.

Work Environment:

Small rural hospital setting with close-knit team dynamics.

Opportunity to make a significant…