Senior Surgical Advanced Practitioner - General Surgery

Under general supervision, is responsible for the clinical management of patients in accordance with hospital, State and National regulatory agency standards.

Education

Successful completion of Physician Assistant Program OR Nurse Practitioner Program

Experience

One (1) year acute care experience in a Surgical ICU, step down or Surgery Service strongly preferred

Skills

• Analytical skills to assess patients and implement appropriate intervention.

• Able to work under varying degrees of stress and the ability to adjust to changes in the work environment.

Licensures, Certifications

• Licensed as a Physician Assistant or as an Adult Nurse Practitioner by the Board of Medical Examiners of Maryland / Maryland State Board of Examiners of Nurses.

• Certification as required.

• Completion of "Healthcare Provider" CPR course.

Physical Requirements

Work is of medium to heavy physical demand; walking and standing most of the time.

Working Conditions

• Normal patient care environment with exposure to excessive noise, dust and temperature.

• Frequently exposed to moderately adverse working conditions due to performance of certain patient care activities.

• Exposure to communicable diseases.

Conditions of Employment

• Maintain current licensure and certifications.

• Maintain CME requirements needed for licensure.

• Comply with conditions of contract

Standard Precautions

Standard precaution policy and procedures are applicable to this job

Patient & Workplace Safety

• Employee has knowledge and understanding of patient and workforce safety as it relates to job duties. 

Patient Population

• Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable. 

Principal Duties and Responsibilities: Overview: This is both an inpatient and outpatient role for General Surgery at GBMC and is 24 hours per week.

The APP will divide duties with the Finney-Trimble Surgery group on designated weeks and on other designated weeks, work on the general surgical post-operative floor caring for general surgery, orthopedic, vascular surgery, and bariatric patients. Some weekend days will be required. At no time will the APP be assigned both roles. This role will also include some outpatient office evaluations.

• Assumes responsibility for the initial evaluation and treatment of admitted surgical patients, including for emergency admissions, in collaboration with the attending surgeon.

• Performs admission history and physical as evidenced by appropriate documentation.

  Writes appropriate orders within approved delegation agreements

• Discusses with the attending physician and nursing staff, physical and/or emotional findings which impact patient care.

• Evaluates patient progress on a continuing basis and, in collaboration with the attending physician, alters treatment modalities.

• Make daily rounds on assigned patients to evaluate medical, social, and educational needs.

• Initiates referral to appropriate ancillary departments and community resources based on patient need and documents on the progress note.

• Writes progress notes daily, documenting pertinent information regarding patient progress and treatment regime.

• Documents pertinent findings on holidays/weekends.

• Writes orders appropriate to the patient's care requirements in compliance with hospital policy.

• Establishes medical diagnoses in compliance with standard accepted medical practice.

• Refers to the attending physician or designee those problems, which require consultation and documents it on progress note.

• Makes immediate referral of acute and/or life-threatening patient conditions to attending physician or designee.

• Performs technical functions as covered by the job description and delegation agreement submitted to BPQA and/or MBON, approv