Advanced Practice Provider - Neurosurgery Department

Neurosurgery Advanced Practice Registered Nurse

This position will work closely with the Neurosurgery Faculty, Residents, and nursing staff which can include providing support in an outpatient clinical setting during patient appointments, providing support and education to the nursing staff, facilitate patient surgical scheduling, educating and counseling patients on both an inpatient and outpatient basis, assisting the physician in performing surgeries in the main OR and in ambulatory surgery as applicable, participating in daily rounds, providing patient care and discharges post-operatively. The position will also provide draft correspondence relating to patient work status, disability, medical prognosis and prospective plans of treatment on both an inpatient and outpatient basis and review patient diagnostics and lab reports for interpretation and sign off in the inpatient and outpatient clinical setting. The position may include research.

Primary Functions

• Provides Advanced Practice support to the department of Neurological Surgery as applicable, at inpatient and outpatient clinic locations as assigned; Some outpatient clinic support; Working closely with Neurosurgeons, fellows, residents, clinic and office support staff.
• Provides compassionate, quality and skilled patient care to Brain and Spine Neurosurgical patients.
• Collaborates with all members of the healthcare team in planning, triaging, implementing, monitoring and evaluating care delivery for the neurosurgical patient in a variety of settings.
• Performs comprehensive History, Physical, and Neurological exams including cranial and spinal assessments.
• Accurately documents/records information by Dictating and/or inputting in electronic form.
• Orders, obtains, and interprets laboratory and diagnostic studies.
• Prescribes medication and therapies within the APRN/PA functions.
• Provides communication and interpretation to inpatient and outpatient hospital nursing staff, and coordinates implementation of clinic, hospital, nursing service policies and programs.
• Optimizes efficient patient hospital and/or clinic flow by analyzing treatment and referral systems on an on-going basis, and implements quality improvements, as necessary.
• Monitors consistency and quality of patient outcomes for all neurosurgical specialties within the UHealth hospital-based clinics.
• Promotes and facilitates effective communications between the Department of Neurological Surgery, University of Miami Hospital (UMH), Jackson Memorial Hospital and other clinical departments.
• Assists in the design, implementation and management of department clinical systems to optimize the treatment and disposition of patients with various neurosurgical disorders.
• Act as a resource and a point of contract for further problem solving for patients and rehab team who are in the beginning stages of the next level of care.
• The department of Neurosurgery maintains satellite clinics location across the health system which crosses multiple county lines. As a requirement of this position, you may be required to cover clinics at any of these locations

Specialized/Professional Duties

• Demonstrates advanced knowledge and technical capabilities in the diagnosis, treatment and evaluation of persons with complex neurosurgical problems and acute or potential life-threatening health issues, including Pre and Post op management of cranial and spine surgeries.
• Oversees nurses who conduct in-patient or outpatient care to assess patient progress and appropriateness of therapy using advance clinical physical assessment and decision-making skills. Acts as a patient advocate and provides emotional and situational support for patients, their families and nursing staff.
• Assist nursing personnel in the assessment of patients by providing information, demonstrating technical skills, developing new approaches, and relating theoretical concepts to the practice setting.
• Provides clinical expertise in the development of interdisciplinary clinical pathways for neurosurgical patients with specific diagnosis.
• Performs cranial and spinal assessments, to include determining ASIA score assessment for potential prognosis and rehab potential.
• Utilizes clinical and critical assessment skills to determine medical changes in patients who have lost their natural ability of an autonomic nervous system response.
• Provides assistance with lumbar punctures, halo vest applications and management, and monitoring and troubleshooting technology such as lumbar drainage systems.
• Performs wound evaluations and debridement as indicated.
• Utilizes keys clinical skills to act quickly and problem solve on acute changes in patient's physical status and post-op management of neurosurgical approaches and surgeries
• Provides consistent compassionate, patient bedside manner, with neurosurgical skills and equal depth for educating patients and families.
• Assist to maintain a minimal length of stay low by incorporating all aspects of exceptional clinical care and practices.
• Provide emphasis on the social, rehabilitative, emotional, physical, and financial aspects or recovery.
• Utilizes clinical and critical assessment skills to determine medical and neurological changes in the neurologically compromised patient and act quickly to problem-solve.

• Acts as a patient advocate and provides emotional and situational support for neurosurgical patients, their families and nursing staff.
• Serves as an expert clinical resource for Departmental staff, UMHC/UMH nursing staff and other allied health care professionals.
• Willing to Precept and help train, New Hires, Advanced Practice Nursing and Physician Assistant Students, and Medical Students in the Neurosurgical specialty.
• Provides specialized education, clarification, and counseling to patients, families and community groups in reference to pre- and post-operative treatment plan, minor medical problems, surgical considerations and preventative medicine.

• Assists in the development of patient education programs/materials for the Department of Neurological Surgery and UHealth Clinics to support their teaching and patient care functions.

Educator

• Develops, implements and evaluates patient education programs and standards of care for neurosurgical patients.
• Provides education and clarifications to patients, families and community groups in reference to pre-and-post-operative treatment plan, minor medical problems, surgical considerations and preventative medicine.
• Provides community and regionally based educational programs in the area of neuroscience to health care professionals and/or patients.
• Assists in the coordination and development of educational programs for the Department of Neurosurgery. Develops curricular plans, assists in the selection of speakers, and evaluates programs. Assists in coordinating the required components to obtain CME and CEU professional educational credit.

Administrative (Professional Development and Leadership)

• Participates in health care decisions through departmental, hospital wide and/or community-based planning by establishing cooperative, collaborative relationships with Faculty, Residents and other disciplines and hospital departments.
• Participates in continuing education programs, Neurosurgical Grand Rounds, Multidisciplinary Rounds, and specialty conferences to keep abreast of current trends and issues affecting general nursing practice and the clinical specialty practice of Neurological Surgery.
• Assesses the effectiveness of ambulatory and or inpatient clinical management systems and assumes a leadership role in facilitating necessary changes.
• Assists in the development and implementation of the clinical systems and administrative nursing strategic planning for the Department of Neurological Surgery, and UHealth care sites in both the hospital and or clinical setting.

General Conduct

• Displays an attitude that reflects the University and Department's mission.
• Displays a positive approach toward co-workers, staff and faculty.
• Willing to step outside of perceived responsibilities.
• Exhibits responsible behavior and self-control by:
• Limiting the negative impact on co-workers when affected by personal situations/issues.
• Displaying a professional attitude during interactions with co-workers.
• Displaying a professional attitude during interaction with members of the management team.
• Limiting the number and duration of personal telephone calls during work hours.
• Adheres to UMMG/UMH and department Policies and Procedures 100% of the time.
• Displays and exhibits telephone etiquette skills and techniques. Answers the phone in a prompt and courteous manner, relaying messages accurately and timely.
• Displays flexibility with work schedule or shift, to meet department needs.
• Works together with all colleagues and staff in the spirit of "Team Work".

Preferred: (Essential Requirements):

Equipment Use

• Standard office equipment: computer, fax, copier, printers, electronic medical records (i.e., UChart, Cerner, PACS) and electronic clinical and hospital medical records, as applicable.
• PPE (personal protective equipment) use including masks, gloves, gowns as indicated.

Physical Demands

• Ability to:
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