Advanced Practice Provider - General Surgery

ST. CHARLES MEDICAL GROUP

ADVANCE PRACTICE PROVIDER - General Surgery

TITLE: Advanced Practice Provider - Surgery (Nurse Practitioner or Physician Assistant)

REPORTS TO POSITION: SCMG Chief Medical Officer

DEPARTMENT: SCMG Surgical Specialists

DATE LAST REVIEWED: July 10, 2019

OUR VISION: Creating Americas healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENT SUMMARY: St. Charles Surgical Specialists currently employs six full time board certified general surgeons with varying levels of experience, certification and fellowship training as well as three advanced practice providers. We offer general surgery, bariatrics, endoscopy, pH/Manometry, with sub-specialties in colorectal surgery, robotic surgery, and breast surgery. St. Charles Surgical Specialists provides surgical care throughout Central Oregon with clinics located in Bend, Redmond, Prineville, and Madras.

Surgery - Advance Practice Provider (Nurse Practitioner and/or Physician Assistant) is responsible for providing medical and surgical services under the general supervision of the Chief Physician Officer and Executive Medical Director and direct supervision of designated physicians. In this role, the APP will provide first assist in the operating room with all aspects of General Surgery including open, laparoscopic and robotic techniques including bariatric, colorectal, and breast operations.

Provides both inpatient and outpatient care that includes daily rounding, orders, post-op instructions and discharge summaries, clinic consultations and post-operative office visits.

Work Schedule: Provider shall be a full time exempt provider. Which requires a minimum of forty hours of inpatient and outpatient contact per week. This will generally be four 10-hour days scheduled as a blend of hospital rounding, procedure time and scheduled clinic visits recognizing that the minimum requirement may fluctuate up or down based on direct patient care.

Call Expectation: Provider is expected to participate in the first-call coverage for inpatient and outpatient questions and concerns during regular scheduled work hours in each of the assigned locations; this is shared equally by all the APPs in the group. Providers are expected to participate in the weekend call rotation, which is shared by the APPs in collaboration with a Surgeon;

this is generally 24-hour shifts with the weekend being Friday, Saturday, and Sunday. The minimum weekend call expectation is one weekend per month.

Clinical Duties:

• Acts as First or Second Assistant during surgical procedures as directed by the physicians.
• Performs patient examinations, obtains and records pertinent medical history, subjective and objective findings.
• Orders and interprets appropriate laboratory, imaging, and other diagnostic procedures.
• Interprets and integrates data to determine diagnosis and therapeutic plan.
• Administers and prescribes medications in compliance with state law and practice guidelines.
• Orders and performs appropriate medical and surgical procedures in accordance with State law and practice guidelines.
• Instructs patient and family regarding medications and treatments.
• Educates patients regarding health and illness prevention.
• Recommends community resources to meet patient and family needs.
• Maintains and reviews patient records, charts, and other pertinent information, documenting clearly and concisely.
• Charts tests, examination results, and other appropriate clinical data.
• Triages patient telephone calls, providing consultation as needed.
• Communicates effectively with colleagues, patients, physicians, and administration.
• Maintains quality of clinical practice by selecting appropriate avenues for professional growth.
• Participates in and supports quality and performance improvement activities; identifies areas and functions where patients, staff, and physicians need information.
• Under physician supervision, may participate in the care and management of hospital in and outpatients, including medical and surgical procedures.