Neurosurgery-Advanced Practice Clinician-Thomas Jefferson University Hospital-Center City Philadelphia

Advanced Practice Clinician

The advanced practice clinician (Nurse Practitioner/Physician Assistant) within the acute care hospital setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The APC provides comprehensive care on the inpatient neurosurgery service.

Assessment & Management

• Performs complete history & physicals and documents in the medical record.
• Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
• The APC may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
• Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.

Diagnosis

• Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
• Manages diagnostic tests through ordering, interpretation, performance, and supervision.
• Formulates differential diagnoses by priority.
• Diagnoses complications and orders appropriate interventions.

Formulates Plan of Care

• Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs.
• Utilizes evidence-based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.
• Implements and modifies plan of care.
• Prescribes diagnostic strategies and therapeutic interventions.
• May perform advanced procedures consistent with privileges and competency validation.

Communication and Collaboration

• Maintains ongoing communication and collaboration with interdisciplinary health care team.
• Facilitates and communicates with patient, family, and staff to promote continuity of care across the inpatient and outpatient continuum of care.

Documentation

• Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and/or clinic note where applicable (H&P, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, death summary) in the medical record per specific patient unit or service.
• Documentation is timely, meets acute care compliance standards, and captures patient acuity.

Professional Practice

• Demonstrates Professional Practice behaviors including: preceptor/mentoring, education, and instruction of graduate students.
• Seeks opportunities for active engagement in research and the analysis of evidence-based practice.
• Actively participates in Advanced Practice Grand Rounds and specialty-specific meetings.
• Maintains CEUs and membership in a professional organization.

Qualifications

• Master's Degree
• National Board Certification as an Acute Care Nurse Practitioner or Physician Assistant
• BLS certification

Work Shift

Rotating (United States of America)

Worker Sub Type

Regular

Employee Entity

Jefferson University Physicians

Primary Location Address

900 Walnut Street, Philadelphia, Pennsylvania, United States of America

Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.