Advanced Practice Provider

Advanced Practice Provider

Location: US-OR-Portland

Requisition :

Position Category: Advanced Practice Provider

Job Type: Faculty

Position Type: Regular Full-Time

Posting Department: Pre-Operative Medicine Clinic

Posting Salary Range: Commensurate with qualifications, experience, and internal equity

Posting FTE: 1.00

Posting

Schedule:

Variable

Posting

Hours:

Day Shift

HR Mission: Healthcare

Drug Testable: Yes

The Advanced Practice Provider (APP) is a faculty member credentialed and privileged to serve as a Nurse Practitioner (NP) in a respective Specialty area; i.e., Certified Nurse Anesthetist (CRNA), Certified Nurse Midwife (CNM), Clinical Nurse Specialist (CNS), or a Physician Associate (PA). The APP is a member of the OHSU Professional Staff practicing in accordance with the respective bylaws. The APP delivers preventive, primary and acute healthcare services to individuals of all ages;

provide advanced education to students, peers and others; and, contribute to new knowledge and/or technology by conducting or participating in research.

Departments have flexibility to hire either a Nurse Practitioner or Physician Associate. The determination of whether to engage a Nurse Practitioner or Physician Associate is dependent on a variety of factors, including but not limited to the Department's need, availability of qualified candidates, and the medical or surgical specialty requirements for the job. Position specialty information follows in Section 3 below.

In addition to key job responsibilities, qualifications and other job requirements listed below, the APP is expected to comply with scope of practice, other laws, regulations, OHSU policy, and other applicable professional standards of practice.

The APP job search may be managed as a multi-level recruitment, e.g. recruit generically for an APP with their attendant professional credentials. This approach allows the hiring manager to consider Nurse Practitioner and Physician Associate candidates, assuming the position can be managed by either qualified professional. In addition to basics set forth herein, specific position requirements may vary by department and those should also be included in the job posting.

The Pre Operative Medicine Nurse Practitioner (NP) position reports to the Nurse Manager and the Medical Director of the Pre Op Medicine Clinic (PMC). The PMC NP functions under and is held accountable to the Professional Practice Standards for Nurse practitioners.

Job Key Responsibilities and Performance Expectations

• Patient Care: Assure the safe, efficient, high quality and customer oriented management of patient care to identified patient populations, including but not limited to completing a comprehensive assessment of the patient's status; developing, monitoring and revising, as appropriate, an evidence-based treatment plan that addresses diagnoses, patterns of disease, risk factors, and treatment alternatives; treat many common acute and chronic health problems;
  
  interpret diagnostic tests prescribe and manage medications and other therapies, provide health teaching with an emphasis on prevention of illness and health maintenance; and, refer patients to other healthcare professionals as necessary.
• The PMC NP performs preoperative risk assessment on pre surgical patients by obtaining an H and P and ordering appropriate diagnostic studies and laboratory tests. They will collaborate with other members of the team regarding pre-op instructions, medication management, and patient education. The NP is expected to function independently but also work in close collaboration with providers from other departments (cardiology, anesthesiology, internal medicine, etc.)
  
  to coordinate medical optimization of the patient prior to surgery. This includes but is not limited to following up on lab tests, cardiac testing, referrals to other specialties and documenting plan of care in EMR. NPs also communicate with the surgical team (surgeons, surgery schedulers) when necessary to share concerns about patient readiness for scheduled surgeries. Timely, focused documentation with the referring surgeon, PCP and anesthesiologist when appropriate to ensure quality patient care.
  
  The NP will review the patient's history, via patient's verbal report and the review of previous medical records from internal and external sources, and perform a complete physical exam on each patient – including but not limited to auscultation of the heart and lungs. Consistent patient education about good preparation for surgery. Documentation in the EMR of the clinical assessment will be executed according to documentation standards for licensed providers rt documentation will be accurate and timely.
  
  The NPs will perform peer reviews on a yearly basis. This is a requirement of the academic staff. The NP staff will perform peer chart audits according to the chart audit program in PMC. The PMC medical director will review peer chart audits and provide the NPs with…