Advanced Practice Provider - Clinical Decision Unit - Emergency - Day Shift 0700-1700 Four 10 Hour Days)

The Advanced Practice Practitioner in Emergency Care works as an educator, advocate and care provider and is responsible for the care and well-being of patients in the Michael and Susan Smith Emergency Department by functioning as a direct provider of emergency services SUPPLEMENTAL JOB FUNCTIONS Assess and triages a patient’s condition by obtaining a focused and pertinent history, identifying risk factors, performing an appropriate focused/complete physical examination, and by ordering and/or providing preventive or diagnostic procedures. Develops a differential diagnosis and/or diagnoses of both life threatening and non-life threatening conditions by utilizing critical thinking while simultaneously synthesizing and analyzing patient data. ENPs establish a differential diagnosis based on the patient’s medical history, physical exam findings, interpretation of diagnostic studies, while continually establishing priorities to meet the needs of the patient, their family, and or the community. Utilize critical thinking during medical screenings and diagnostic processes by synthesizing and analyzing the data to execute a plan of care including stabilization, resuscitation of unstable conditions and the transfer of care when appropriate. Provides medical screening evaluations in accordance with the EMTALA. This includesDocumentation of the chief complaint and pertinent history incorporating health risk factorsPhysical exam findingsInterpretation of diagnostic data including the rationale for the medical necessity of testsMedical decision making with differential diagnosisOn-going evaluation of patient progress and response to treatment to determine the plan of care. Collaborates with staff of affiliated institutional facilities to provide care for patients receiving care in the Michael and Susan Smith Emergency Department Collaborates with transitional support team, inpatient teams, physical therapy and other health care providers to ensure a seamless transition to inpatient units or care within the community. Determines most appropriate patient disposition Confers with patient’s primary care provider as needed Communicates via Epic outstanding patient problems and issues requiring follow up care Management of patient health/illness statusTriages patients’ health needs/problemsCompletes EMTALA-specified medical screening examinationsResponds to the rapidly changing physiological status of emergency care for the assessment, treatment, and disposition of acute and chronically ill and injured emergency patients.Specifically assesses and initiates appropriate interventions for violence, neglect and abuse.Specifically assess and initiates appropriate interventions and disposition for suicide riskParticipates in internal and external emergencies, disasters, and pandemics.Maintains awareness of known causes of mass casualty incidents and treatment modalities required for emergency care. The following may be done independently based on scope of practice and credentialing or in partnership with the ER staff physician Assess and manages a patient in cardiopulmonary arrestAssess and obtain advanced circulatory accessUltraviolet examination of skin and secretionsTreat skin lesionsInjects local anestheticsNail trephinationToe nail removalNail bed closureWound revision for closureDebridement of wounds/ minor burnsIncision, drainage, irrigation of wounds and packing.Eye dilatationTonometry to asses intraocular pressureSlit lamp examinationCerumen impaction curettageControl epistaxisNeedle thoracotomy for life threatening conditions in emergency situations.Replace gastrostomy tubeAssess and manage cervical spine injuriesLumbar punctureIncise and drain Bartholin’s cystAssist with imminent childbirth and post-delivery maternal careFecal impaction removalIncision of thrombosed hemorrhoidsDigital nerve blockReduction of fractures of small bonesReduction of fractures of large bones with vascular compromise (ie. traction splint)Application of immobilization devicesRemove castsArthrocentesis (knee/elbow) ACLS certification Additional privileging as requested to perform procedures independentlyArterial line placementArthrocentesisNerve blockFracture reductionLumbar puncture.Cast and splintChest tube placement/removalChest x-ray reviewDigital, hematoma, and intraarticular blocksCentral and femoral venous catheter placement/removalJoint aspirationJoint injection tendon sheaths, ligaments, trigger points, ganglion cysts, bursaParacentesisTaping and bracingFracture reduction Maintains competency in area of expertise Specialty certification if available/eligible