Advanced Practice Provider - Emergency Room (Nights)

The Nurse Practitioner/Physician Assistant is accountable to facilitate a quality hospital experience and outcome for patients within a highly specialized team in Neurointerventional Radiology and Vascular Neurology. The Nurse Practitioner/Physician Assistant will be responsible to the Medical Director of Patient Services and responsible for overseeing the progress of a specific caseload of patients across the care continuum. Acts as an educator, consultant, and liaison to healthcare providers caring for the patients across the care continuum. The Advanced Practice provider (APP) hired for the Neurovascular Center (NVC) will be an integral part of the team caring for ischemic and hemorrhagic stroke patients, as well as other cerebrovascular disease. Assists in the care of these patients throughout their hospitalization, including the hyperacute phase. The Emergency Department, Stroke Service and in Neurointerventional Radiology.

Demonstrates a fundamental knowledge in the field.

Manages a caseload of patients in partnership with the healthcare team to optimize health status and coordinate care over time and across healthcare settings.

Oversees care coordination in acute, home care, and ambulatory care settings as feasible.

Assists the healthcare team to achieve mutually agreed upon healthcare goals by providing necessary support, education and encouragement.

Provides direct care to patients in acute care settings. Performs advanced practice skills under the supervision of the Medical Director.

Participates in the education, clinical research and mentoring of healthcare providers.

Annually completes mandatory safety infection control, BLS, and ACLS/PALS.

Emergency Department – Hyperacute patients- Responds to all code Strokes (in patient and ED), and understands the role of acute revascularization therapies (IV and IA) in the care of these patients.

Obtains and maintains NIHSS certification- Obtains and maintains certification for Modified Rankin Scores- Communicates and coordinates the hyperacute care of these patients with ED, Neurology & NIR- Obtains consent and performs pre-procedure evaluation if patient is going to NIR- Off hours, begin NIR preparing room for the procedure.-

APP will scrub and participate in the procedure.

Assists Neurology resident with admission H & P, orders, if needed.

Assists in hyper-acute MRI process, when indicated.

Stroke Unit - Ischemic and Hemorrhagic stroke patients on Stroke Unit (and their ED Evaluation)- Rounds with Vascular neurology team, including performing H & P, daily exams, progress notes, discharge summaries and hospital course.

Acts as resource to Neurology resident with other issues on Stroke service patients as needed NIR Service – Prior to, During and after neurointerventional procedures

Understand sterile technique- Understand radiation safety and using fluoroscopic equipment safely

Prepare sterile tray, and understand process of preparing wires, catheters, balloons and other devices as indicated-

Masters of Science Degree, Graduate of accredited Nurse Practitioner or Physician Assistant program. Specialty certification required for Nurse Practitioners.One to two years related experience as an APP in acute care hospital setting and preferred

Performs independently within the department’s policies and practices. Refers specific complex problems to the supervisor when clarification of the departmental policies are required.

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903

Work Type: M-F 7:00am-7:30pm, occasional weekend, occasional night

Work Shift: Variable