Advanced Practice Provider, Orthopedics - Per Diem

STATEMENT: The Advanced Practice Provider in Orthopaedic Services is responsible for the coordination of care of orthopaedic patients. In the operating room and on the nursing units, the position will first assist the surgeon by preparing grafts, closing the incision and first and second assisting the surgeon as needed.

On the inpatient nursing unit, this position will coordinate the patients care and assist the surgeon in directing the post operative nursing care for these patients. The major functions in this environment consist of patient assessment, writing medication and treatment orders and performing, or directing specific tasks. Daily and rotating inpatient weekend rounding and/or call is expected in this position. Per Diem APP Ortho positions are required to work at least 1 weekend per quarter, or as determined by Ortho department.

Major job duties and tasks

Percentage

Of Time

1.Responsible for assisting the orthopaedic surgeons in the care of orthopaedic patients in the operating room, and post operatively on the nursing units30%

Coordinates the management of care with the Surgeon, Fellow, residents and nursing staff for orthopaedic patients.

Maintains knowledge of current pre & post-operative care.

Changes dressings, applies and removes casts, splints and braces.

Writes orders for medications and treatments as necessary to facilitate post-operative care.

Completes discharge order set and dictates discharge summaries in a timely manner to facilitate discharge.

Daily rounding on inpatients at Regions Hospital and/or affiliated sites with monthly weekend rounding and/or call responsibilities as assigned.

Obtains consults and collects pertinent patient information

Coordinates the admitting process

Maintains and review patient records, charts, and other pertinent information. Documents in the EMR

Discusses and develops diagnosis and pharmacologic and nonpharmacologic treatment plans with staff physician, on both inpatient and outpatient patients.

Educates patient and family on the diagnosis, treatment, and recovery process including prescribed medications.

2.See patients in the outpatient clinic setting independently and with surgeons30%

Obtain history and examines patients

Orders appropriate labs, radiology exams and medications

Performs minor procedures

3.Provides education to and is a resource for the inpatient and surgical services staff10%

Explains procedures to nursing staff to assist in care planning

Provides patients/families with explanations of treatments to assist in decision making / informed consent process.

Obtains informed consent as needed.

4.Establishes and maintains effective, collaborative working relationships with other members of the health care team across the organization10%

Routinely discusses and collaborates with physicians and other members of the health care team regarding the patient’s plan of care.

Responds to requests for consultation in a timely and effective manner in order to provide for patient care needs.

Demonstrates understanding of collaborative relationships by appropriately identifying and directing patient care within the scope of practice for an Advanced Practice Provider.

Deals with conflict, or confrontation in a professional manner.

Participates on committees as assigned.

5.Discusses with and instructs patient/family members regarding treatment and follow-up and communicates information to care team in a timely and effective manner10%

Functions as liaison between patient/family and other health care team members and the physician

Verbal and written communication is complete, accurate, and timely.

Initiates and/or participates in team conferences, family meetings, etc.

Deals with conflict and confrontation in a respectful and professional manner.

6.Assists with research studies as requested 10% Interview patients and collect information including authorization forms Discusses cases with surgeons Maintains appropriate documentation and databases as needed

7.Effectively problem solves

Maintains knowledge of regulatory influences(CMS,JCAHO) and applies those

standards to clinical practice

Is open to changing priorities, adjusts work accordingly

As assigned, participates and leads discussion for the purpose of clinical problem

solving

Sets priorities

Uses critical thinking skills

Utilizes appropriate lines of authority

8.Participates as an effective organizational member Adheres to high ethical and professional standards, shows respect for and to others Accepts responsibility and accountability for his/her actions and decisions Complies with work rules, standards and policies Performs other duties as necessary to meet the needs of the patient and team

9.Maintains and updates clinical knowledge including certification(s) as appropriate (e.g. BLS, ACLS, NALS) Stays current with new information, policies/procedures

Maintains knowledge of regulatory influences and applies those standards to clinical

practice

Improves/expands clinical expertise through reading, attending in-services,

conference, etc.

Completes annual required education

Participates in local/national professional organizations

Keeps current in clinical and education practice issues both regionally and nationally

through networking, reading and dialogue

Maintains own professional competency, certifications and visibility

Organizational expectations

Values

All team members are expected to demonstrate our values

Excellence

We strive for the best results and always look for ways to improve.

Compassion

We care and show empathy and respect for each person.

Partnership

We are strongest when we work together and with those we serve.

Integrity

We are open and honest, and we keep our commitments.

We are committed to living our values. That means our patients and families can expect certain things from each of us:

• They can expect us to be their partner and treat them with dignity and respect.
• They can expect us to listen carefully and give good, timely information.
• They can expect us to do our best to provide affordable, coordinated, high quality care and services that are easy to find and simple to use.
• They can expect safe, clean spaces.
• And they can expect that we will do our very best to earn their trust by being open and honest, and keeping our word.

Additional Expectations

Complies with safety instructions, observe safe work practices, provides input on safety issues and promotes a safe work environment.

Maintains regular and timely attendance

Protects confidentiality

Demonstrates participation in and support of the organization's Corporate Integrity Program by participating in compliance-related education and training and complying with the organization's policies and procedures.

Timely completion of all mandatory education and organizational requirements (i.e. licensure/certification, Employee Health and Wellness requirements, annual training, etc.)

Population specific competencies

X Yes:  No

Does this employee have direct patient contact?

If Yes, departments will need to determine the appropriate competencies in their areas for their specific patient populations.

Examples of items that can be included are

• Identifies expected outcomes for a plan individualized to the patient or situation specific to the needs of the population served.
• Communicates effectively with patients, families and team members.
• Integrates practices that supports patient safety, acknowledges variations in populations served.
• Anticipates the needs of the population served as well as the unique characteristics of the communities served.
• Anticipates the needs of the population in providing cultural responsive care and develops an individualized plan for patients and families.

Leadership responsibilities

Please describe the degree to which the position directs the work of others or coordinates workflow of a clinic, department or functional area. If applicable, indicate the number of people and the titles for which this position directly and/or indirectly directs the work of others or coordinates workflow.

This position has no formal leadership responsibilities

Physical requirements

Please list any physical requirements necessary to the performance of this job (e.g. lifting, carrying, stretching, sitting or standing for long periods of time). Please specify details such as number of pounds expected to lift, number of hours must be on feet, etc.

Work environment includes office, operating room and clinical nursing care units.

Office/OR/Nursing Unit Environment

Stands 4-6 hours and walks 2-4 hours daily while performing duties. May view a computer screen for up to 3 hours a day. Lifts, pushes, pulls training equipment up to 50lbs. Must be able to transport self throughout the hospital. Must be able to perform tasks requiring fine motor and hand/eye coordination.

Environmental conditions

Please list unusual environmental conditions, if any (e.g. extremely cramped quarters, noise, fumes, gases, extreme heat/cold, etc.).

Office Environment

May be exposed to printer/copier cartridges, no extreme conditions.

OR/Patient Care

Unit

May be exposed to hazardous substances, harmful physical agents, and infectious agents that exist in the patient care area in the performance of duties. In the operating room, may be exposed to sharps, anesthesia gasses and radiation (x-ray).

Equipment

Please list the equipment used in this position.

Office Environment

Computer, fax, printer, copy machine and other office machines. Audiovisual equipment.

Operating Room/Patient Care

Unit

Needles, syringes, OR beds, other surgical instrumentation, vital sign monitor.

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