Intraoperative Advanced Practice Provider (APP) – All Services (Including Robotics)

Job Summary

The Intraoperative Advanced Practice Provider (Nurse Practitioner or Physician Assistant) delivers comprehensive surgical support across all service lines, including robotic-assisted procedures. This role functions as an integral member of the operating room team, providing expert intraoperative care, adapting to a wide variety of surgical specialties, and ensuring safe, efficient, and high-quality procedural outcomes.

Key Responsibilities

• Serve as first or second assist across all surgical specialties, including open, laparoscopic, and robotic-assisted procedures
• Provide robotic support, including docking/undocking assistance, instrument exchange, and troubleshooting in collaboration with the surgical team
• Perform surgical assisting tasks such as tissue handling, retraction, exposure, suturing, hemostasis, and wound closure
• Maintain strict adherence to sterile technique and perioperative safety protocols
• Perform intraoperative procedures within scope (e.g., line placement, device insertion, graft harvesting where applicable)
• Rapidly adapt to varying surgeon preferences, procedures, and technologies across service lines
• Collaborate with surgeons, anesthesia, and OR staff to optimize workflow, case progression, and turnaround times
• Anticipate operative needs and ensure appropriate instruments, supplies, and robotic equipment readiness
• Assist with patient positioning, site verification, and surgical time-out processes
• Recognize and respond to intraoperative changes in patient condition in coordination with anesthesia
• Ensure accurate intraoperative documentation and compliance with regulatory and quality standards
• Support OR efficiency initiatives, including throughput and schedule adherence
• Postoperative rounding as requested

Required Education, Experience And Certification/Licensure

• Education: NP Education: Master’s degree in clinical nursing from an accredited Acute Care Nurse Practitioner Program with emphasis on area of certification/licensure. PA Education: Requires graduation from an ARC-PA accredited PA program.
• Certification/Licensure: NP Certification/Licensure: Current Registered Nurse and Acute Care Nurse Practitioner license in the State of Michigan. PA Certification/Licensure: Current License/Certification as Physician Assistant with the State of Michigan.
• Experience: Surgical Scrub Experience Is Strongly Preferred.