Advanced Practice Provider; APP​/PA​/NP-Inpatient Procedural Sedation Adult Acute Care

Position Summary

The University of Virginia Medical Center is seeking a dedicated and experienced Advanced Practice Provider (APP)—either an Adult Acute Care Nurse Practitioner (ACNP) or Physician Assistant (PA)—to join our Inpatient Procedural Sedation Service. This unique hybrid service provides moderate sedation to adult inpatients throughout the medical center, supporting a wide variety of diagnostic and therapeutic procedures. The APP plays a central role in evaluating patients, developing individualized sedation plans, and delivering procedural sedation in a safe and effective manner.

This is a day/evening position that offers a dynamic mix of fixed-location sedation care and a roving/mobile service to meet patients where they are within the hospital.

• Perform comprehensive pre‑sedation assessments, including history, physical exam, ASA classification, and airway risk evaluation.
• Develop and implement sedation plans tailored to individual patient needs, clinical indications, and procedural requirements.
• Administer moderate sedation and monitor patients before, during, and after procedures in accordance with UVA protocols and safety standards.
• Serve as a procedural sedation expert and liaison to collaborating procedural teams.
• Document all clinical findings, sedation plans, medications administered, and patient responses in the EMR.
• Provide post‑sedation evaluation and ensure safe recovery and hand‑off.
• Participate in service development, quality improvement initiatives, and clinical education related to procedural sedation.
• Collaborate closely with anesthesiology, proceduralists, nursing, and other multidisciplinary teams.
• Maintain proficiency in sedation pharmacology, airway management, and emergency response.

Hybrid Service Design:

• Fixed Sedation Suite: A centralized location within the medical center where patients are brought for sedation.
• Mobile Sedation Team:
  Delivers bedside procedural sedation across inpatient units for patients unable to travel or when procedures are performed in‑unit.

Other Service Responsibilities:

• Works in conjunction with the medical director, administrative management, nursing and other interprofessional team members to facilitate patient care and management throughout the health care system.
• Exercises independent judgment in the assessment, diagnosis and initiation of medical processes and procedures commensurate with training and experience, as credentialed by UVA Health System.
• Performs and documents comprehensive health histories and physical assessments, to include initiation of CPR or other appropriate emergency therapy as needed.
• Formulates diagnoses, identifies problems and health risk profiles, documents and clearly communicates with other members of the health care team.
• Performs, orders, and interprets diagnostic studies, such as x‑rays and laboratory tests, in consultation with peers and colleagues.
• Performs procedures within scope of practice and UVA Health System credentialing and privileges.
• Orders medications, treatments and therapies in accordance with Virginia Prescriptive regulations.
• Requests consultation and initiates referrals to other health care providers, including specialists when and if needed.
• Evaluates and analyzes patient responses to the disease process and/or therapeutic, diagnostic interventions.
• Provides information, education and support to patients/families regarding disease processes and treatment plans (diagnostic procedures, medications and treatments), thus facilitating communication between patients/families and the health care team.
• Participates in on‑call responsibilities as appropriate and as determined by department or unit.
• Manages patients in accordance with established UVA Medical Center and UVA UPG policies and procedures.
• Reports births, deaths, outbreaks of communicable diseases and other information critical to the patient's and/or the public's health as required by legal or governmental authorities, in a timely manner.
• Meets quality standards as determined by the Medical Director and/or UVA Health System.
• May serve on select committees as needed.
• May participate in the clinical experience of…