PS Nurse Practitioner

About the role

The Burn Advanced Practice Clinician (BAPC) is an Advanced Practice Registered Nurse (APRN) who has successfully completed a clinical Master’s Degree from an accredited school of nursing or a Physician Assistant (PA) who has successfully obtained their degree from an accredited school and passed the NCCPA certification exam. BAPCs are required to have current prescriptive licensure in accordance with Utah State Laws and Controlled Substance licensing.

The BAPC will collaborate with burn surgeons, residents, nursing staff, and other health care providers (including prehospital providers through rehabilitation) to provide expert clinical care for burn patients in emergency and urgent situations, including advanced assessment, diagnosis and patient management in the clinic, ICU, ED, OR and consultations. BAPCs will participate in quality assurance and performance improvement activities on a continual basis.

Responsibilities

Clinical Practice

• Performs and documents patient history, physical examinations and assessment of Burn Service patients.
• Orders and interprets laboratory, radiographic, and other diagnostic tests.
• Performs diagnostic and stabilization procedures as necessary based on ACLS, ATLS, PALS, and ABLS guidelines.
• Orders medications and treatments that include all approved formulary medications, wound care products, and controlled substances II–V, in accordance with Utah state laws and in consultation with burn service physicians.
• Develops and reviews documented plan of care and consults with attending burn surgeon, senior resident, patients and family regarding plan of care.
• The outpatient BAPC is the primary participant in daily outpatient burn clinic, providing continuity with patient telephone calls, clinic coordination and consultation with rotating attendings and residents.
• BAPC will aid in completing paperwork for all Burn Service patients, including patients they may not have seen personally, by reviewing patient’s electronic medical record.
• Performs procedures under the supervision of the burn attending; procedures may be delegated to the BAPC once formal proctoring is obtained as per Department of Surgery credentialing.
• Develops at least one performance improvement project per year.
• Efficiently and effectively uses resources to ensure the financial viability of the Burn Service.
• Assures Burn Clinic clinician coverage for all open clinic hours and communicates any foreseen problems well in advance to the BCMD.
• Responds to requests for evaluation and management of potential Burn Service patients in the ED, floor and telemedicine visits.

Consultation

• In collaboration with nurses, physicians, and other members of the burn team, develops, promotes, and maintains interdisciplinary teamwork using effective communication and interpersonal skills.
• Reviews and updates all burn service guidelines and protocols on a yearly basis; makes necessary revisions and updates to current guidelines/protocols developed by the Burn Service.
• Annually reviews all burn clinical forms for possible revisions/updates both in powerforms and paper.
• Serves as a consultant and liaison between the Burn Service and clinical, ancillary, and support services.
• Attends and participates in all annual burn program retreats, quarterly team meetings and ACS verification visits.
• Attends and participates in Burn Trauma ICU Interdisciplinary Quality Management Committee meetings; meets the 50% attendance requirement reviewed at yearly job performance evaluation.

Education

• Actively participates in the educational process of medical students, interns, residents, advanced practice nursing students, PA students, and nursing students.
• Obtains and documents continuing education hours required to maintain licensure.
• Serves as patient/family liaison in education of Burn Service patients and their families.
• Develops new patient education materials as needed for posting on the burn web page.
• Serves as a resource to staff and patients on burn-related subjects and resources available.
• Participates in staff development of all inpatient units with burn patients.
• Presents one formal educational presentation per year; if unable to present on scheduled date, must find replacement (reviewed at yearly job performance evaluation).
• Presents one burn education rounds annually.

Research

• Promotes and participates in burn research.
• Promotes and participates in presentation and publication of burn-related activities; one every three years per provider.
• Encourages the application of current research to clinical practice by providing in-services to inpatient units as requested.

Required Minimum Qualifications

• Licensure to practice as a Nurse Practitioner in the State of Utah.
• Utah State prescriptive privileges.
• UHPPM 1-56 requires that newly hired non-physician providers apply for credentialing and privileging at the time of hire.
• This position is patient-sensitive and must fulfill all associated requirements, including immunizations according to CDC standards and hospital policy (limited exemptions may be made for documented medical contraindications or religious beliefs).
• Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Preferred Qualifications

• General Surgery or Trauma/Burn clinical experience.
• Intensive Care clinical experience.
• Pediatric clinical experience.