Advanced Practice Provider - Neurosurgery (Full Time, Days)

Advanced Practice Provider – Neurosurgery

Primary responsibility in association with the attending physician/surgeons for inpatient, assist in surgical cases if need arises, PICU, and clinic management of neurosurgical pediatric patients. Participates in pediatric patients' clinical care demonstrating high levels of critical thinking skills as a member of an interdisciplinary team. Participates in the development of guidelines for advanced practice providers and serves as a resource for staff members, patients, and family. Responsibilities include completing history and physical examinations; ordering and interpreting radiological and laboratory test results; prescribing medications; documenting patient care services within EMR and departmental records; and performing procedures within scope of practice and demonstrated through competency.

Job specific duties include conducting medical rounds (history, verification of medication, etc.), overseeing and documenting the plan of care, and ensuring best practices are in place. Performs focused neurological or comprehensive assessments and provides accurate documentation. Ensures plan of care for the neurosurgical pediatric patient is of sufficient breadth and depth to guide the interdisciplinary team in achieving the desired health outcomes. Ensures proper communication between physicians and families. Serves as a patient advocate and educator and provides family with support and community resources. Promotes teamwork and serves a role model, consultant, delegator, educator, and resource for all members of the health care team by providing education and emotional support.

Provides patient information and effectively completes the hand off process to physicians using SBAR at shift change and patient reassignments 100% of the time. Models professional verbal and written communication with the interdisciplinary team members involved in the ongoing management of patients to maintain continuity and optimize patient outcomes. Ensures all EVDs, drains, and ICP monitors are functioning appropriately. Maintains availability for bedside procedures as necessary. Assists with other clinical roles as needed where attending neurosurgeon or senior neurosurgical APP deem appropriate. Completes clinical documentation accurately and in a timely manner of 24 hours. Documents patient follow up per guidelines. Generates, collects, and integrates data from a wide variety of sources in order to make clinical judgments and critical decisions about the initiation of orders, procedures, referrals, and treatments.

Writes orders, monitors and alters drug therapies, and orders, interprets, and evaluates diagnostic tests with education and experience within established protocol in collaborative relationship with a physician(s). Reviews all patient records prior to admission (labs, consents, advance directives, custody documentation, etc.) in a timely and accurate manner. Provides mentoring in precepting APPs, medical students, and residents; actively provides feedback and detailed description of areas. Contributes to the development of peers, colleagues, and others to improve patient outcomes and to promote growth of the nursing profession by facilitating collaboration and communication.

Ensures zero-based medication errors by efficiently and accurately ordering medication following "five patient rights of medication administration" and medication administration policies. Accountable to follow all infection control standards and ensures proper use of personal protective equipment per policy and procedures to ensure safe patient care. Provides education to patient and families on the continuing plan of care to include medications and side effects; updates patient and families daily on plan of care (POC). Evaluates and applies knowledge of cultural, socioeconomic, and age-appropriate factors in assessments, treatment, and patients/family education. Accountable for measuring key metrics in program. Influences quality of patient care through research. Evaluates data, updates database, and patient outcomes from research initiatives. Performs and maintains competency in designated diagnostic and clinical neurosurgical procedures as defined in and agreed upon in APP protocol. Participates in gathering data for research and development, education, and implementation of system changes. Identifies opportunities for improvement in patient gathering and evaluating quality data to implement QI projects and protocols. Monitors and evaluates the appropriateness of care in the critically ill neurosurgical patients through collaboration within the multi-disciplinary team by participating in daily ICU rounds. Communicates effectively within a multidisciplinary team to modify a neurosurgical plan of care to attain expected outcomes.

Minimum job requirements include a master's degree in nursing or doctor of nursing practice (DNP) from an accredited school, valid state of Florida APRN license, national board certification AANP, ANCC, or PNCB, American Heart Association BLS, American Heart Association PALS, level II background check, and successful completion of credentialing by NCH medical administration. Knowledge, skills, and abilities include previous pediatric nurse practitioner experience, pediatric acute care certification by the pediatric nursing certification board (PNCB), availability to work weekends and holidays with varying schedules, ability to interpret, adapt, and react calmly under stressful conditions, ability to recognize subtle changes in the patient's condition and to adapt care based on those changes, strong interpersonal, communication, collaboration, and conflict resolution skills, ability to work independently and collaboratively with other disciplines using discretion and independent judgment, ability to relate cooperatively and constructively with patients, families, and co-workers, ability to maintain confidentiality of sensitive information, ability to problem solve, to formulate a plan of care, and evaluate the patient's response to care, and ability to communicate within a multidisciplinary team approach to modify a neurological plan of care to attain expected outcomes.