Neurosurgery - Advance Practice Clinician - Jefferson ...

The Neurosurgical Advanced Practice Clinician (APC) at Jefferson Health Northeast (JNE) will facilitate Neurosurgical consults, admissions, daily care of the Neurosurgical inpatients and outpatients, general flow of the Neurosurgical service, discharges and coordination of care. Job duties include: Comprehensive problem focused history and physical exams and consultations in the ED, hospital inpatient floors and ICU, as well as outpatient clinic. In collaboration with Attending, coordinate patient care by establishing a working diagnosis and formulating a treatment plan. Order, collect and interpret appropriate laboratory and diagnostic imaging. Perform therapeutic and diagnostic procedures, including advanced neurosurgical procedures such as insert/remove External Ventricular Drains and Intracranial Pressure monitors. First Assist in surgery, including pre, intra and post-operative care of patients. Complete all necessary hospital-based documentation including consent for surgery and procedures, EMR progress notes and consults. Order and prescribe medication, orthotics, and bracing. Assessment Management Performs complete history physicals and documents in the medical record. Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated. The APP may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions. Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures. Diagnosis Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions. Manages diagnostic tests through ordering, interpretation, performance, and supervision. Formulates differential diagnoses by priority. Diagnoses complications and orders appropriate interventions Formulates Plan of Care Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs. Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum. Implements and modifies plan of care. Prescribes diagnostic strategies and therapeutic interventions. May perform advanced procedures consistent with privileges and competency validation. Communication and Collaboration Maintains ongoing communication and collaboration with interdisciplinary health care team. Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care. Documentation Documents/dictates key components of patient#39;s progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable. (hp, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, in medical record per specific patient unit or service, death summary) Documentation is timely, meets acute care compliance standards and captures patient acuity. Professional Practice Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of graduate students. Seeks opportunities for active engagement in research and the analysis of evidenced based practice. Actively participates in Advance Practice Grand Rounds and specialty specific meetings. Maintains CEUs, and membership in a professional organization. Masterrsquo;s Degree National Board Certification as an Acute Care Nurse Practitioner or Physician Assistant BLS certification About Jefferson Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow#39;s professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educashy;tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Created: 2024-11-02