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

Position: 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.

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Key Responsibilities:

* 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.

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Service Model:

* Hybrid Service Design:

o Fixed Sedation Suite: A centralized location within the medical center where patients are brought for sedation.

o Mobile Sedation Team:
Delivers bedside procedural sedation across inpatient units for patients unable to travel or when procedures are performed in-unit.

* 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 students (graduate/post graduate advanced practice, nursing, and medical students), interns, and residents, as appropriate.

* Participates in group, peer and other review activities as requested.

* Prepares and attends to all reports, claims, and correspondence necessary or appropriate to the performance of professional services.

* Promotes the professional practice of the advanced practice group by serving as a clinical resource to nursing, medical and allied health care practitioners.

* Follows policies and procedures, including those of UPG, UVA Medical Center, CMS and other contracted payers with which the entity may contract.

* Accurately assigns Current Procedural Terminology (CPT) and International Classification of…