The Advanced Practice Provider in Surgery functions as an independent healthcare provider who, working collaboratively within a multidisciplinary health team including pediatric surgeons, pediatric general surgery nurse practitioners, and pediatric trauma nurse practitioners, is responsible for providing comprehensive care to pediatric surgery patients in both inpatient and outpatient settings. He/she is directly supervised by the Lead Advanced Practice Provider and under the direction of a collaborating physician. He/she demonstrates a high degree of clinical expertise in working with patients with acute and chronic illnesses, specifically general and thoracic surgery and trauma. He/she provides care and educates patients and their families on wellness care and treatment plans for health disorders, and intervenes in acute episodes. He/she develops criteria for and participates in the evaluation of the quality and effectiveness of care. He/she plans and participates in learning opportunities for nursing, medical students, other healthcare professionals and community members as it relates to the care of the pediatric surgical patient. He/she works with administrative, nursing, physician, and ancillary staff to assure quality patient care and to promote education and research. This Advanced Practice Provider will practice at PCH with core hours between 0730 to 1630 Monday through Friday but may have call responsibility.
- Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team
- Excellence in clinical care, service and communication
- Collaborative within our institution and with others who share our mission and goals
- Leadership that set the standard for pediatric health care today and innovations of the future
- Accountability to our patients, community and each other for providing the best in the most cost-effective way.
- Inpatient Responsibilities - Conduct comprehensive health history and physical assessments of patients with acute health problems. 1. In accordance with the written practice agreement, establish medical diagnoses, order and evaluate diagnostic studies, and develop treatment plan which may include inpatient hospitalization. Perform admission history and physical, and write admission orders. 2. Communicate with staff physician/resident on the team to develop treatment plan. 3. Make rounds to observe and record pertinent progress of inpatient surgical patients. Will attend PICU rounds as a liaison of the Pediatric Surgical team. Notify the physician of changes in the patients’ condition and adjust treatment plan accordingly. 4. Round on surgical patients admitted to pediatric surgery service) and non-surgical services (e.g. NAT patients on the Hospitalist service). Perform and document tertiary surveys on applicable patients. 5. Inpatient surgical consults (e.g. NAT discovered after admission) 6. Facilitate referrals to appropriate community health facilities, agencies and resources. 7. Discharge hospitalized patients at the direction of the supervising physician, discharge coordination in conjunction with social work and case management. 8. Prepare and dictate discharge summaries of patients’ hospitalization and clinic care. 9. Care coordination with subspecialty services: including dentistry 10. Ensure surgical patients are evaluated by rehab service and patient receives appropriate therapy consults 11. Documentation of current injuries including maintaining current and accurate comprehensive problem list 12. Follow-up on radiology studies (e.g. final reads) discussing with attending physician any significant changes to interpretation from preliminary reads to final reads. 13. Work collaboratively with other specialty Advance Practice Providers, in such a capacity as deemed appropriate by the Lead Surgery Advanced Practice Provider, SIC, collaborating physicians, and Advanced Practice Provider Leadership
- Clinic/Outpatient Care Responsibilities 1. Conduct comprehensive or episodic health history and physical assessment of patients/families with acute, chronic and/or potential health problems. 2. Establish medical diagnoses. 3. Accurately and appropriately transcribe or execute standing orders at the direction of the supervising physician. Write specific orders within the limits of the practice agreement/scope of practice. 4. Discuss proposed surgical procedures with attendant risks and potential complications to obtain proper patient informed consent. 5. See patients in follow-up for routine post-op care and manage complications related to surgery. 6. Provide appropriate direction to clinic staff regarding patient care issues. 7. Communicates effectively with referring health care providers.
- Procedures Responsibilities Perform routine clinical procedures independently as outlined in the collaborative practice agreement/scope of practice while under the direction and supervision of the responsible physician. Procedures outlined in practice agreement, including: •Central line removal •Chest tube removal •Drain removal •Suture removal •Gastrostomy tube changes •Other procedures for which the practitioner is credentialed This position may have on-call responsibility.
- Education/Outreach Responsibilities 1. Identify and establish clinical learning opportunities for nursing and medical students, NP/PA students, residents, and other health science students in conjunction with appropriate faculty, monitor students’ performance. May act as preceptor in student learning experience. 2. Participate in formal programs such as clinic and hospital in-services. Institutional and community conferences, CME workshops and courses, and informal education activities such as reviewing current literature, independent study and consultations with health professional and experts in related fields. 3. Develop care pathways, protocols, and guidelines for management of specific problems in collaboration with physicians and other members of the health care team. 4. Support the Institution’s outreach mission through consultations and/or participation in health promotion, health education and specialty requests from community agencies. 5. Act as a resource to healthcare staff and implement educational programs to improve care provided to patients/families. Identify areas of learning need and provide information, refer to information sources and /or assist the individuals or groups to increase skills.
- Research Responsibilities 1. Evaluate current research within area of expertise/practice for applicability to the care of patients. 2. Support the planning of and participate in clinical research conducted by students and faculty of the Institution and /or other members of the health science disciplines. 3. May perform independent research, acting as principal investigator in research. 4. Work with trauma registrars and trauma program manager to ensure quality documentation and data abstraction for the trauma registry
- General Duties/Responsibilities 1. Provide for continuity of care between clinic visits. 2. Analyze clinical practice and identify opportunities to increase effectiveness and efficiency. 3. Meet regularly with appropriate physicians, advanced practice providers, and key interdepartmental stakeholders; work collaboratively to effect programmatic changes and develop protocols. 4. Develop, implement, and evaluate comprehensive patient education programs that assure quality and appropriateness of care across settings. 5. Participate in quality assessment and improvement activities. Identify important aspects of care and assure findings are used to improve practice and operations. 6. Serve on clinic/unit based, nursing department, and medical staff committees, as appropriate. 7. Develop state of the art collaborative practice relationships to serve as models for nursing and other students in the health science disciplines. 8. Act as a resource to healthcare staff and implement educations programs to improve care provided to patients/families. Identify areas of learning need and provide information, refer to information sources, and/or assist the individuals or groups to increase skills. 9. Works in collaboration with attending physicians, residents, fellows, surgeons and nursing staff to provide on-going patient care and management. 10. Is responsible for timely and accurate written documentation or dictation of patient care encounters/procedures.
- Performs miscellaneous job related duties as requested.