Advanced Practice Provider - Orthopedic Trauma

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE:                                         SCMG Advanced Practice Provider – Orthopedic Trauma Service

REPORTS TO POSITION:         Trauma Medical Director, OTS medical Director, Senior Medical Director Surgical & Trauma Service Lines

DEPARTMENT:                           SCMG Trauma & Acute Care Surgical Specialists

DATE LAST REVIEWED:            November 30, 2022

OUR VISION:                Creating America’s healthiest community, together

OUR MISSION:             In the spirit of love and compassion, better health, better care, better value

OUR VALUES:               Accountability, Caring and Teamwork

DEPARTMENT SUMMARY: St. Charles Trauma & Acute Care Surgical Services currently employs 7 Advanced Practice Providers with varying levels of experience as well as 8 surgeons board certified in surgical critical care. There are community general surgeons and occasionally locum surgeons doing contracted work with the team as well. The division is now expanding to employ Advanced Practice Providers providing Emergent and Urgent care. Advanced practice providers on the general trauma service (TS) and on the Orthopedic Trauma Service (OTS) are expected to comply with all Oregon State Trauma program requirements and expected to actively participate in quality improvement projects and community outreach education.

POSITION OVERVIEW: Advanced Practice Providers (APPs) are directly responsible for all aspects of caring for Orthopedic Trauma Service patients throughout their hospital stay in a collaborative team-based approach. The Advanced Practice Provider works in collaboration with Orthopedic Surgeons. APPs will routinely care for OTS patients through providing consultation in the emergency department which may include reduction and splinting of fractures, rounding on current inpatients and occasionally by providing first assistant surgical services. They meet regularly with diverse healthcare professionals to provide multidisciplinary care to patients with urgent and emergent orthopedic conditions.

Work schedule: Provider shall be a full-time shift based exempt provider.  Shift requirement will be 156 clinical shifts for 1.0 FTE.  Shifts may vary but will typically be Monday through Sunday 0600 to 1800.

Call expectation: None

ESSENTIAL FUNCTIONS AND DUTIES:

Clinical Expectations:

• The OTS APP will work in hospital setting with both adult and pediatric patients.
• Obtains pertinent medical history and appropriate physical evaluations.  Orders and interprets pertinent lab and/or x-ray studies and conveys the information obtained to the collaborating surgeon in a meaningful way. Performs splint and cast application as needed.
• Performs and documents preoperative and preadmission histories and physicals as well as discharge summaries.Counsels patients on pre- and post-operative care, recovery and expectations, and on urgent and emergent orthopedic disorders and conditions. 
• Facilitates referrals to community health facilities, agencies, and resources.
• Recognizes medical emergencies and initiates evaluative and treatment procedures necessary in life-threatening situations, and immediately reports to the collaborating physician.
• Assists the collaborating physician in hospital by making patient rounds, recording pertinent information in the patient’s medical record.
• Accurately writing or executing standing orders or other orders as directed by the collaborating physician. 
• Prepares transfer orders, discharge summaries, referral physician letters, home prescriptions, and other records as instructed by the collaborating physician.
• Consults with the physicians, nursing staff, and technicians to evaluate standards of patient care provided and makes recommendations for improvement.
• Completes clinical records in a timely manner fostering good communication between the health care providers and providing for continuity of care and coordination of services. 
• Prescribes medications within the scope of their practice and Oregon law.
• Performs surgical procedures within the scope of their practice and the law, under the direction of the collaborating physician. 
• Assists in the operating room, as needed.
• Facilitate or provide drug addiction intervention in the form of Screening, Brief Intervention, Referral and Treatment (SBIRT), as needed, per Trauma Program guidelines.
• Performs other duties as assigned.
• Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and a