Advance Practice Provider, Neurosurgery- South Lake Hospital, Clermont

Position Summary Under the supervision of the physician, according to established practice guidelines and utilizing evidence-based clinical practice standards, provides inpatient and outpatient management, consultations, and co-management of surgical patients. Responsibilities Operates with the highest degree of independence with minimal physician supervision and in highly specialized area. Obtains detailed history and performs physical examination, diagnostic studies and recognizes deviations from the normal. Develops a diagnosis and collaborates with the interdisciplinary team to formulate and implement the treatment plan. The Advanced Practice Provider will assist OR staff and anesthesiologists in the preparation of the patient. Performs operative positioning and marking of the patient independently with verification by the physician. Assists in Neurosurgical cases as designated by the surgeons. Performs complex diagnostic and therapeutic procedures as credentialed in diagnosing medical and surgical problems. Prescribes necessary treatment and services for quality patient care. Manages patient care based on lab results, physical exam, diagnostic and follow-up studies, and therapeutic measures. Assists in admission and discharge care in accordance with evidence-based medicine. Writes "brief op note" in compliance with OH standards immediately following completion of each operation or procedure. Dictates and documents in an accurate and timely manner. Performs daily rounds independently or with attending physician and/or resident(s). Conducts or participates in multidisciplinary rounds. Participates in department call rotation and/ or weekend/ holiday rounding as required. Assists in providing care to patients receiving surgery- writes appropriate orders, including perioperative orders and medications. Participates in quality initiatives to ensure consistent attainment of key quality indicators. Participates in certain aspects of clinical research as designated by the surgeon. Acts as an advanced resource or lead worker and precepts one student per year as per student availability. Obtains and maintains competencies in minor bedside procedures that are appropriate to the specialty patient population and independent of the physician including all specialty expanded privileges (e.g., ICP monitors, ventriculostomies). Maintains record of procedures for physician review and assessment on a regular cadence (FPPE/OPPE). Ability to provide verbal overview of Neurosurgery procedures with physician that they may not have completed during the previous FPPE/OPPE cycle. Works to ensure surgeon has operative coverage for all cases including late cases and those when APP is out. Maintains reasonably regular, punctual attendance consistent with OH policies, ADA, FMLA and federal, state, and local standards. Maintains compliance with all Orlando Health policies and procedures. Present one educational lecture yearly to office staff or clinical staff in the hospital (e.g., RNs, PT, OT, SLP, CNAs). Acts as a role model and resource person for staff. Assists in teaching students, residents and interns in complex techniques and procedures. Participates in review and revision of policies and procedures. Establishes relationships with professional and other health-related groups within the community. Demonstrates highest level of verbal and written communication with diverse populations, including physicians, employees, patients, and families. Qualifications Education/Training MN or MSN or DNP or PhD or DNS degree in nursing. (Nurse Practitioner) Graduate of accredited physician assistant program. (Physician Assistant) Licensure/Certification Nurse Practitioner APRN license in the state of Florida. After July 1, 2006, licensure applicants are required to have national advanced certification from an approved nursing specialty board. Maintains current BLS certification. Physician Assistant Maintain current physician assistant licensure in State of Florida. Maintain current BLS/healthcare certification. Experience Three (3) years as a nurse practitioner or physician assistant in all aspects of Neurosurgical care with yearly maintenance of all prescribing and bedside procedures. #J-18808-Ljbffr