Advanced Practice Provider - Surgery

Advanced Practice Provider (APP), Surgery

The Advance Practice Provider, Surgery at St. Charles Health System (SCHS) 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 (40) 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.

Essential Functions and 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.

Administrative Expectations:

• Documents all patient care within the Electronic Medical Record (EMR) and completes all necessary tasks in compliance with health system policies and regulatory agencies to ensure timely and accurate billing.
• Remains familiar with the SCHS organization structure.
• Keeps medical knowledge and skills current through regular CME activity. Attests to having adequate (CME) to meet maintenance of board certification and compliance with MSO rules and continuing privileges without restriction.
• Keeps all licenses and appropriate certifications current and unrestricted.
• Maintains active privileges at SCHS hospitals sufficient to permit performance of job duties.

Behavioral Expectations:

• Acts as a leader and supports departmental goals and the vision, mission and values of the St. Charles Health System in all respects.
• Provides customer service in a manner that promotes goodwill, is timely, efficient and accurate.
• Creates a healing environment that supports all aspects of care, respects the wholeness of the individual, and demonstrates therapeutic presence through attitudes and behaviors that enhance the safety and care experience for patients, caregivers and guests.
• Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
• Contributes as necessary to assist in policy formation for the organization.
• Participates in creating intentional relationships and puts a high level of focus on attitudes and behaviors that enhance the care experience.
• Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the health system's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health system's investigations and proceedings.
• Keep all licenses and appropriate certifications current and unrestricted to maintain privileges at a St. Charles Health System hospital sufficient to permit performance of job duties.
• Increases understanding and collaboration throughout the medical community.
• Maintain compliance of hospital's Medical Staff Bylaws, Rules and Regulations, as required by SCHS Board of Directors.

Education:

• Required: Successful completion of an approved Physician Assistant or Nurse Practitioner course of study and certification as appropriate to the incumbent's license.
• Complete annual fire/safety, etc. education in-services as required.
• Attend mandatory educational offerings as described in SCHS policies/procedures and/or as required by other regulatory bodies.
• Complete annual CME as required to maintain license and appropriate Board certification.
• Complete in a timely manner assigned Computer Based Learning modules.

Licensure/Certification/Registration:

• Required: Unrestricted Physician Assistant and/or Nurse Practitioner licensure in the state of Oregon.
• Physician Assistant requires NCCPA certification. Nurse Practitioner requires AANC, NCC or AANP, AMCB certification. If Physician Assistant, ability to establish and maintain a Collaborative Agreement through OMB.
• Unrestricted Federal DEA number registered in Oregon.
• Unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.
• Valid driver's license and the ability to meet SCHS driving requirements.
• Current BLS certification.
• If provider will practice sedation, moderate or deep, ACLS certification is also required.
• Additional certifications may be required based on privileges granted to provider by Medical Staff Services at SCHS Inpatient locations.

Experience:

• Required: Experience with hospital rounding.
• Preferred: Experience as a General Surgery first assist. Trained and experienced in Bariatric and Robotic surgery.

Personal Protective Equipment:

• Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

Additional Position Information:

• Skills: Must have advanced communication skills and ability to interact with a diverse population and professionally represent SCHS.
• Strong team working and collaborative skills.
• Ability to manage facilitation and consensus building among health care professionals and agencies to achieve expected results
• Ability to multi-task and work independently.
• Attention to detail.
• Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.
• Intermediate to advanced proficiency with Electronic Medical Record systems.
• Intermediate in Microsoft applications (Word, Excel).

Physical Requirements:

• Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
• Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
• Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.
• Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle.
• Never (0%): Climbing ladder/stepstool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.
• Exposure to Elemental Factors
• Never (0%): Heat, cold, wet/slippery area, noise, dust,