Nurse Practitioner/Physician Assistant- Trauma
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Munson Medical Center
Traverse City, MI
Trauma and Acute Care Surgery
40 hrs (1 out of 3 weekends)
The Trauma Acute Care Surgery Advanced Practice Professional (APP) is responsible primarily for the medical management and coordination of care for patients admitted to the Trauma Acute Care Surgery Service under the supervision of the attending general surgeon. 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 Trauma Acute Care Surgery 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 trauma acute care surgery patient from the resuscitative phase, in the OR as necessary and throughout the patient’s admission to MMC. The APP will assist the Trauma Acute Care Surgeon in all Level 1 and 2 Trauma resuscitations, as well as Acute Care Surgery patients and will be present in the ER resuscitation area within 15 minutes of the activation of the Trauma Team for Level 1 activations and 30 minutes for Level 2 Trauma Team activations. The APP will be under the supervision of the attending Emergency Physician in the resuscitation phase until the attending General Surgeon arrives and assumes the lead role. 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 75% at the Trauma Service Committee and Trauma Performance Improvement Committee meetings among other functions as required.
Master of Science degree from an ARC-PA approved Physician Assistant Program
Master of Science degree from an Accredited Nurse Practitioner Program.
Current Licensure as a Physician Assistant/Nurse Practitioner in the State of Michigan.
Current Certification by the National Commission on Certification of Physician Assistants.
Current Certification by the American Nurses Credentialing Center (ANCC) or American Association of Nurse Practitioners.
Candidate must apply for and be granted appropriate clinical privileges through MMC’s normal credentialing processes before rendering services
Previous experience in primary care, ICU or emergency setting is desired.
Current ACLS, PALS, ENPC, or APLS, BLS and ATLS.
Minimum 1 year previous experience as APP required.
The position reports directly to the Trauma Acute Care Surgery Program Manager and is under the direct and general supervision of the Clinical Lead and Medical Director for the Trauma Program. The incumbent will be expected to work effectively and positively with MMC General Surgeons that are associated and managing patients as a part of the Trauma Service.
POPULATIONS SERVED, COMPETENCIES, INCLUDING 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
Supports the Mission, Vision and Values of Munson Healthcare.
Embraces and supports the Performance Improvement philosophy of Munson Healthcare.
Promotes personal and patient safety.
Uses effective customer service/interpersonal skills at all times.
A full complement of staff will involve two APP’s always in-house during the daytime and one APP in house at night in order to provide 24-hour/seven days a week coverage for trauma acute care surgery patient response.
Respond to Level I trauma activations within 15 minutes of patient arrival.
Respond to Level II trauma activations within 30 minutes of patient arrival.
Respond to trauma/acute care surgery consultations within 30 minutes.
Manage trauma acute care surgery patient care in the E.R. under supervision of the Trauma Acute Care Surgeon, including but not limited to: performing history and physical examination, initial resuscitation, ordering of appropriate lab and radiographic studies, interpretation of lab and x-ray results, appropriate consults, admission/discharge orders, addressing code status.
Procedures in the ER including suturing, skin stapling, chest tube placement, and line placement (central lines, arterial lines) as directed by the trauma acute care surgeon.
Dictation of history & physicals, consultations, and procedure notes.
Address clinical documentation inquiries (CDI) that he/she is responsible for in a timely and professional manner.
Communicate with OR Scheduler regarding status of patient and room availability on trauma acute care surgery patients that may be going to surgery.
Communicates with Radiology and the OR on the status of Level I and II trauma patients.
First assisting in surgery as needed or requested with the Trauma Acute Care Surgeon.
Daily contact with Trauma Acute Care Surgeon, and others as appropriate.
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, discharge planning, and follow-up.
Must accrue 16 hours of trauma related CME yearly.
Demonstrates effective judgment and ability to understand, react competently, and treat unique needs of trauma and surgical patient age groups served.
Participates and maintains attendance of at least 75% at the Trauma Service Committee and Trauma Performance Improvement Committee meetings.
Performs other duties as assigned by the Trauma Acute Care Surgery Manager, Clinical Lead or Medical Director of the Trauma Acute Care Surgery Program.
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