SUMMARY The Neurosurgical Advanced Practice Professional is a Physician-dependent practitioner responsible primarily for the medical and surgical management of patients admitted to the Neurosurgery Service under the supervision of the attending Neurosurgeon on emergency room call for the day. The APP performs his/her functions based on his/her personal experience and professional judgment and: (1) discussion with the physician; (2) knowledge of physician preference; (3) written protocols developed with the Neurosurgery Program and Munson Medical Center (MMC); (4) written policies of this institution. In addition; the APP will perform, under the supervision of a surgeon, advanced diagnostic and therapeutic tasks related to the neurosurgery patient from the Emergency room phase, in the OR as necessary and throughout the patient's admission to MMC. At the direction of the surgeon, the APP will be responsible for the History and Physical examination, admission notes, daily progress notes, admit and routine orders, daily rounds, consultation notes, ED consult notes and attendance of at least 75% at the Trauma Performance Improvement and 75% of the Neurosurgical Section meetings.
ORGANIZATION The position is under the direct supervision of the neurosurgeon on call and general supervision of the Neurosurgical Director. The incumbent will be expected to work effectively and positively with Neurosurgeons and any staff that they come in contact with in providing care while at Munson Medical Center.
Licensure as a Nurse Practitioner in the State of Michigan and,
Nurse Practitioner Certification by the American Nurse Credentialing Center (or other organization recognized for the credentialing of Nurse Practitioners.
Having certification regarding Neurosurgery is preferred.
Documentation of completion of an Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) (or appropriate predecessor agency) approved program and,
Current certification by the National Commission on Certification of Physician Assistants (NCCPA) and,
Licensure as a Physician Assistant in the State of Michigan
Able to do a comprehensive neurological exam.
Two years of work experience as a clinical practitioner performing advanced diagnostic and therapeutic tasks related to surgery preferred
Ability to work on projects related to the development of the NS program as determined by the Director and Section Chief.
Able to communicate in oral and written format
Able to establish and maintain effective working relationships with physicians, superiors, team members and Medical Center staff.
Experience in working in a hospital clinical department is a plus
Experience in working with EMR in the hospital is a plus.
AGE OF PATIENTS SERVED Cares for patients in the age category(s) checked below: Neonatal (birth-1 mo) Young adult (18 yr-25 yrs) Infant (1 mo-1 yr) Adult (26 yrs-54 yrs) Early childhood (1 yr-5 yrs) Sr. Adult (55 yrs-64 yrs) Late childhood (6 yrs-12 yrs) Geriatric (65 yrs & above) Adolescence (13 yrs-17 yrs) X All ages (birth & above) No clinical contact with patients
SUCCESS FACTORS: Good organizational skills. Ability to manage multiple tasks in a busy clinical environment. Exceptional customer service skills. Above average oral and written communication skills in being a "team player" Demonstrated ability to work independently Ability to effectively communicate and work with physicians, nurses, patients, families, staff, other health care professionals, and management. Ability to work with and maintain confidentiality of patient information
SPECIFIC DUTIES Supports the Mission, Vision and Values of Munson Healthcare
Embraces and supports the Performance Improvement philosophy of Munson Healthcare.
Promotes personal and patient safety.
Has basic understanding of Relationship-Based Care (RBC) principles, meets expectations outlined in Commitment To My Co-workers, and supports RBC unit action plans.
Uses effective customer service/interpersonal skills at all times
On-call requirements are an expectation of the job. Times and frequency will be determined based on staffing and coverage needs.
Respond to consults to the ED department within 30 minutes of being called.
Manage patient care in the ED under direct supervision of the Neurosurgeons when appropriate but limited to: performing comprehensive history and physical examinations, ordering of appropriate lab and radiographic studies, interpretation of lab and x-ray results, consults, admission/discharge orders, addressing code status.
Dictation of history & physicals, consultations, procedure notes, and discharge summaries.
Communicate with OR Scheduler regarding status of patient and room availability on neurosurgery patients that may be going to surgery.
May assist with the Neurosurgeon in the OR if the Neurosurgeon deems it a necessity and rest of patients have direction for their daily care.
Daily contact with Neurosurgeon on call for that day.
Completes appropriate documentation of all evaluations, care, and services rendered in the medical record/Powerchart.
Expedites disposition by identifying patient and family issues for referral to appropriate personnel (transportation, housing, psychosocial, financial or caregiver)
Performs pre-and post-operative patient education to patients and their families
Responds to telephone inquiries on discharged patients and provides appropriate medical care or counseling
Communicates with referring or primary care physicians regarding patient care and treatment
Rounding and management of inpatients including: monitoring progress, progress notes, ordering daily labs and x-rays, interpretation of labs and x-rays, appropriate consults, floor calls, assessing patients, developing and implementing treatment plans, monitoring the effectiveness of therapeutic interventions by medical staff approved protocols, and discharge activities.
Exercising physician-delegated prescriptive authority pursuant to state and federal restrictions
Attends CME seminars and conferences to maintain licensure and currency in field.
Maintains current BLS.
Demonstrates effective judgment and ability to understand, react competently, and treat unique needs of the neurosurgical patient population.
Performs other duties and responsibilities as assigned.
The Advanced Practice Professional may provide additional services as credentialed for:
Autonomic testing Lumbar puncture