Clinical Nurse Practitioner

Munson Medical Center Traverse City, Michigan Neurosurgery Full-Time Day/Night shift


Requisition #: 50011
Total hours worked per week: 16-40

Description

SUMMARY

 

The Neurosurgery Advanced Practice Professional (APP) is a mid-level practitioner (MLP) and is responsible primarily for the medical management and coordination of care for patients admitted to the Neurosurgery Service under the supervision of the attending Neurosurgeon. The APP performs his/her functions based on his/her personal experience, professional judgment and according to Michigan law: (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, in the OR as necessary and throughout the patient’s admission to MMC.  The APP will be responsible for the History and Physical examination, admission notes, daily progress notes, admit and routine orders, daily rounds, and attendance of at least 50% Neurosurgery Performance Improvement Committee meetings among other functions as required. The APP will share and, in some cases, primarily cover night call.

In addition, the APP will participate on the Neurosurgery service and will help direct the management of a broad array of critically ill patients including neuro critically ill and stroke patients, under the direct supervision of the Intensivist. The APP will be responsible for:

  1. Admission note and orders to the ICU/floor including H&P, consultation, transfer, discharge, and daily progress notes.
  2. Collaboration and coordination of care with family members, consultants, PT/OT, Speech Path, RT, pharmacy, and other ancillary services as needed.
  3. Participating in Multidisciplinary rounds.
  4. Ordering appropriate daily labs, diagnostic studies and medications.
  5. Applying current technology in monitoring hemodynamic status and ICP monitoring.
  6. Participation in continued education.
  7. The transfer of the patient out of the ICU.

 

ORGANIZATION

The position reports directly and is under the direct supervision of the Neurosurgeon. The incumbent will be expected to work effectively and positively with MMC Neurosurgeons that are associated and managing patients as a part of the Neurosurgery Service.

 

ENTRY REQUIREMENTS

Licensed by the State of Michigan to practice as a Nurse Practitioner or Physician Assistant.

 

Nurse Practitioner

  • Currently licensed as a Registered Nurse in the State of Michigan.
  • Master of Science degree in Nursing and is ANCC or ACNP board certified as a Nurse Practitioner.

 

 

 

Physician Assistant

  • Master of Physician Assistant Studies (MPAS), Master of Health Science (MHS) or Master of Medical Science (MMSc) and is board certified as a Physician Assistant

 

Experience in neurosurgery preferred.

 

Maintains continuous certification related to NP or PA training

 

Maintains NIH Stroke Scale and Emergency Neurosurgery Life Support (ENLS) certifications.  (Must complete within 90 days of hire)

 

Candidate must apply for and be granted appropriate clinical privileges through MMC’s normal credentialing processes before rendering services.

 

Demonstrate ability to communicate, relate and interact effectively with patients, families and members of the health care team.

 

Is a self-directed professional with the ability to make independent judgments in providing direct patient care, educate and supervise clinical staff, coordinate programs and office operations.

 

Able to do a comprehensive neurological exam.

 

Demonstrates computer skills and willingness to learn necessary health IT applications that promote maximum clinical efficiency.

 

ORGANIZATION

The position is under the clinical direction of the NeurosurgeonThe 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.

 

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

 

ORGANIZATIONAL EXPECTATIONS

1.Supports the Mission, Vision and Values of Munson Healthcare.

2.Embraces and supports the Performance Improvement philosophy of Munson Healthcare.

3.Promotes personal and patient safety.

4.Has basic understanding of Relationship-Based Care (RBC) principles, meets expectations outlined in Commitment To My Co-workers, and supports RBC unit action plans.

5.Uses effective customer service/interpersonal skills at all times.

 

 

SPECIFIC DUTIES

  1. A full complement of staff will involve having APP’s to provide 24-hour/seven coverage for Neurosurgery patient response which may include nights, weekends and holidays.

 

  1. Manage patient care in the ER under supervision of the Neurosurgeons when appropriate including but not limited to: performing comprehensive history and physical examinations, ordering of appropriate lab and radiographic studies, interpretation of lab and x-ray results, appropriate consults, admission/discharge orders, addressing code status.

 

  1. Assist with dictation of history & physicals, consultations, procedure notes, and discharge summaries.

 

  1. Communicate with OR Scheduler regarding status of patient and room availability on neurosurgery patients that may be going to surgery.

 

  1. May assist the Neurosurgeon in the OR as needed or requested.

 

  1. Completes appropriate documentation of all evaluations, care, and services rendered in the electronic medical record (Powerchart / eCW).

 

  1. Expedites disposition by identifying patient and family issues for referral to appropriate personnel (transportation, housing, psychosocial, financial or caregiver).

 

  1. Performs pre-and post-operative patient education to patients and their families.

 

  1. Responds to telephone inquiries on discharged patients and provides appropriate medical care or counseling.

 

  1. Communicates with referring or primary care physicians regarding patient care and treatment.

 

  1. Assist with 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.

 

  1. Must provide support within the clinic by seeing patients, responding to phone calls, completing FMLA paperwork, supporting staff as needed, etc.

 

  1. Exercising physician-delegated prescriptive authority pursuant to state and federal restrictions.

 

  1. Attends CME seminars and conferences to maintain licensure and currency in field.  

 

  1. Maintains current BLS and ACLS.

 

  1. Demonstrates effective judgment and ability to understand, react competently, and treat unique needs of the neurosurgical patient population.

 

  1. Performs other duties and responsibilities as assigned.