NP/PA - Vascular Surgery

Clinical care for Vascular Surgery patients

• Formulate and implement medical plans of care for acute management of all Surgery (inpatient, emergency department, and consult) patients with collaborating physicians.
• Aid in evaluation and triage of emergency room patients.
• Provide direct clinical services for surgical patients according to established protocols, using evidence-based practice and clinical practice standards, under the supervision of the collaborating physicians.
• Perform patient work-up, including history and physical examination with ordering of appropriate laboratory tests, x-ray studies and other diagnostic studies as indicated.
• Complete daily hospital work rounds including pre and post operations and charting of progress notes as required or as assigned.
• Complete discharge summaries, chart rounds, staffing conference summaries and consults as directed by service needs.
• Participate in the care of off-service patients as indicated by supervising physician request.
• Order appropriate diagnostic and laboratory data under the direction of the supervising physician and communicate results to physicians and other health care providers.
• Assess changes in patient status and institute routine and emergency interventions to stabilize patients under the direction of the supervising physician and APP team.
• Document plan of care and patient progress in medical records and narrative summaries.
• Evaluate and document patient outcomes and revise the plan under the direction of collaborating physicians in association with other specialty consultants.
• Help facilitate discharge planning along with patients, families, other members of the health care team and referral agencies.

Collaborative role with other disciplines

• Act as the daily central liaison to all health care team members for patient care concerns.
• Coordinate speech, physical and occupational therapies.
• Participate in patient care conferences and peer quality review with collaborating physician, consulting medical teams, and other health care disciplines.

Education Focus

• Explain the purpose, preparation and potential effects of the procedure to patient and families.
• Provide pre-operative teaching and discharge planning to patients and families.
• Design, instruct, and review information and programs pertinent to the inpatient and outpatient surgical population.
• Participate on hospital, nursing and medical committees as designated.
• Serve as a hospital resource to staff, patients, and families.
• Develop and implement a personal continuing education program to maintain current knowledge of surgical care and associated medical concerns.

Required Education, Experience And Certification/Licensure

• NP Education: Master’s Degree in clinical nursing from an accredited Acute Care Nurse Practitioner Program with emphasis on area of certification/licensure.
• NP Licensure: Current certification by a nationally accredited professional nursing organization such as American Credentialing Center (ANCC) or American Academy of Nurse Practitioners (AANP). Successfully pass the certification exam from accredited certifying organization approved by the Michigan Board of Nursing relative to the CNP's designated specialty.
• PA Education: Requires graduation from an ARC-PA accredited PA program.
• PA Licensure: Current License/Certification as Physician Assistant with the State of Michigan.

Experience

• Surgical experience preferred, but we are willing to train the right candidate.

Required Skills And Abilities

• Interpersonal skills necessary to initiate and maintain collegial relationships with coworkers and therapeutic relationships with patients and families.
• Analytic skills necessary to perform principal duties and responsibilities of job description.
• Ability to concentrate and pay close attention to detail for up to eighty percent of work time when planning and performing professional nursing care.
• Ability to walk and stand continuously for 50% of time, ability to sit for 50% of time.