Trauma Mid Level Provider

Physician Assistant/Nurse Practitioner

The nature of the duties is to provide patient care in a hospital setting in support of a supervising physician. The PA/NP treats patients in a caring, warm and professional manner.

Specific duties include:

• Functions independently in the hospital setting and at times in the absence of the supervising physician. These PA/NP functions are at the discretion of the supervising physician and BROC policy.
• Assists the supervising physician with hospital visits which includes, but is not limited to, the following:
• Obtains patient history
• Performs physical examination on the patient
• Orders imaging and lab studies as appropriate
• Dictates visit notes
• Prescribes medication, orthotics, braces, and other orthopedic devices as necessary
• Formulates a diagnosis
• Formulates a plan of care
• Schedules surgical procedures
• Applies/removes casts
• Performs injections/aspirations
• Coordinates with Attending Physician on call for point of care.
• Hospital duties include, but are not limited to, the following:
• Assists the supervising physician with performing the initial evaluation and management of patients in the Emergency Department
• Assists the supervising physician with performing inpatient daily rounds
• Assists the supervising physician with performing floor and emergency department consults; and, assist the supervising physician with performing inpatient chart documentation, signatures, updates, discharge summaries, etc.
• Understands and follows all OSHA and HIPAA rules at all times.
• Performs other related duties as assigned and serves in whatever other capacity deemed necessary for successful completion of the mission and goals of BROC.
• Patient Care
• Provides direct patient care management to high acuity patients including performing histories and physicals, admits, and discharges; related to the care of specialty patients focusing on the maintenance, achievement, and restoration of optimal functions of patients.
• Performs individual rounds on all inpatients, MET patients. Evaluates with Attending Physician providing documentation of medical finds and plan of care.
• The PA/NP will visit patients prior to surgery, conduct discharge teaching afterwards, and prescribe medications as appropriate, including narcotics.
• Provides routine Medical Management of inpatient care such as ordering diagnostic tests, labs, x-rays, nutrition, and medications.
• Partnership and Collaboration
• Plans, implements and evaluates nursing medical care consistent with medical treatment and care in collaboration with physicians. Additionally, the PA/NP will initiate or modify medical treatment within an established plan of medical protocol.
• The PA/NP will assist with consults, write orders, coordinate with consulting physicians, and accompany physicians on rounds.
• The PA/NP will analyze clinical data; order and/or perform necessary diagnostic tests or procedures; develop, implement, and evaluate the therapeutic regimen.
• Under the direction of the Attending Physician, conducts minor procedures as needed including insertion and removal of central venous catheters, chest tubes, indwelling venous and arterial catheters, venous punctures, arterial punctures, nasogastric tubes, bladder catheters, lumbar punctures, endotracheal intubations, PIC lines, and bedside ultrasonography.
• Adheres to mutually agreed upon Clinical Practice Guidelines and scope of practice with supervising physician.
• The PA/NP will teach and provide support for patients and their families; minimize fragmentation by providing coordination of care; manage transition of the patient to step-down units or to out-patient settings; and serve as patient advocates.
• The PA/NP will also participate in multidisciplinary rounds and communicate treatment plans to the physician, nursing staff and patient families.
• The Criteria for Hospital Setting
• Patients of this role are of higher acuity in a specialized area.
• PA/NP is on call and simultaneously manages multiple medical tasks and processes;
• PA/NP conducts hospital rounds and medical management of the patient;
• PA/NP assists attending physicians with procedures and initiates appropriate emergency care in lieu of Attending Physician.