The Advanced Nurse Practitioner (ANP) is a faculty member credentialed and privileged to serve as a Nurse Practitioner (NP). The ANP is a member of the OHSU Professional Staff practicing in accordance with the respective bylaws. The ANP delivers preventive, primary and acute healthcare services to adult surgical patients; provides advanced education to students, peers and others; and, contributes to new knowledge and/or technology by conducting or participating in research.
The Pre Operative Medicine Nurse Practitioner (NP) position reports to the Nurse Manager and the Medical Director of the Pre Op Medicine Clinic (PMC). The PMC NP functions under and is held accountable to the Professional Practice Standards for Nurse practitioners.
Work Schedule, Hours, FTE, Salary Range
FTE:1.0, Full Time
Schedule: Working shift will be Monday - Friday, may vary but will most often be 7:00 a.m. to 5:30 p.m.
Salary: Commensurate with experience
Location: Marquam Hill (Portland, OR)
Job Type: Faculty
Functions/Duties of Position
The Advanced Nurse Practitioner (ANP) is a faculty member credentialed and privileged to serve as a Nurse Practitioner (NP), The ANP is a member of the OHSU Professional Staff practicing in accordance with the respective bylaws. The ANP delivers preventive, primary and acute healthcare services to adult surgical patients; provides advanced education to students, peers and others; and, contributes to new knowledge and/or technology by conducting or participating in research. The Pre Operative Medicine Nurse Practitioner (NP) reports to the Nurse Manager and the Medical Director of the Pre Op Medicine Clinic (PMC).
The PMC NP performs preoperative risk assessment on pre surgical patients by obtaining an H&P and ordering appropriate diagnostic studies and laboratory tests. He/she will collaborate with other members of the team regarding pre-op instructions, medication management, and patient education. The NP is expected to function independently but also work in close collaboration with providers from other departments (cardiology, anesthesiology, internal medicine, etc.) to coordinate medical optimization of the patient prior to surgery. This includes but is not limited to; following up on lab tests, cardiac testing, referrals to other specialties and documenting plan of care in EMR. NPs also communicate with the surgical team (surgeons, surgery schedulers) when necessary to share concerns about patient readiness for scheduled surgeries. Timely, focused documentation with the referring surgeon, PCP and anesthesiologist when appropriate to ensure quality patient care. The NP will review the patient's history, via patient's verbal report and the review of previous medical records from internal and external sources, and perform a complete physical exam on each patient- including but not limited to auscultation of the heart and lungs. Consistent patient education about good preparation for surgery. Documentation in the EMR of the clinical assessment will be executed according to documentation standards for licensed providers at OHSU. Chart documentation will be accurate and timely. The NPs will perform peer reviews on a yearly basis. This is a requirement of the academic staff .
The NP staff will perform peer chart audits according to the chart audit program in PMC. The PMC medical director will review peer chart audits and provide the NPs with feedback about documentation completeness. Charts will be forwarded to coding professionals for billing. All encounters will be closed by the end of the work day and submitted for billing within 24 hours of patient encounter. These nurse practitioners are billing for services rendered.
PMC NPs are responsible for reviewing and signing off on the documentation and medication/allergy review of all medical assistant staff.
The NP will attend monthly NP PMC QI meetings. The NP will be required to select a clinical topic and present his/her topic, via a power point presentation, at these monthly meetings. The PMC NP may be asked to participate in special projects as assigned by the medical director and or clinic manager. The focus on these projects may include but will not be limited to improving quality of patient care, clinic work flow and/ or customer service. OHSU Clinic support is provided (conference days/financial support-see PMC NP Continuing Education policy) to enhance professional development of the NP staff. NPs are encouraged to participate in continuing education opportunities such as classes and conferences at least once a year.
The PMC NP will initiate and participate in formal research projects when necessary.
Current, unencumbered Oregon Nurse Practitioner license required with prescriptive privileges and DEA licensing.
Current licensure as required by specific Advanced Practice Provider governing board(s): ANCC, AANP Board Certification;
OHSU Credentialing completed within 90 days of hire
Demonstrated ability to satisfy standards of performance delineated by law and associated professional practice standards, the latter set forth as an addendum to the position description.
Ability to manage heavy workload with multiple priorities and inflexible deadlines.
Ability to communicate effectively verbally and in writing.
Proficient in the use of computing hardware and software, including personal computing equipment, electronic medical record, word processing and spreadsheet software.
Regular and consistent attendance at work
Strong cardiology knowledge base
Recent new graduates of an NP program will be considered if the following requirements are met:
Minimum 5 years experience as an RN in one or more of the following specialties - ER, ICU, Periop, Pre-op/PACU, or internal medicine in the in-patient or ambulatory setting.
Previous experience with Epic and/or Centricity preferred.
Previous experience, 3-5 years, as an adult ANP preferred.
Frequent interruptions in an evironment of frequent change and fluctuations.
May be exposed to excessive auditory and visual stimulation.
May be required to attend out of town conferences according to hospital travel and reimbursement policicies.
May be exposed to body fluids, tissue, possible radiation exposure, and infectious processes.
Subject to computer work for several hours, as needed.
Able to use all appropriate patient care equipment and office equipment within work area.
Standing: On concrete, vinyl, or carpeting up to 4 hours per day and intermittently.
Sitting: Chair or stool continuous up to 8 hours per day and intermittently.
Changing Position: Intermittently, as needed.
Walking: Inermittently up to 4 hoursper day on concrete, vinyl, and carpeting.
Carrying: Up to 50 pounds (supplies, equipment, books, papers, etc) for intermittent periods and distances.
Lifting: Up to 50 pounds (patients, equipment, supplies, books, etc) Intermittent throughout the day.
Pushing/Pulling: Up to 100 pounds, intermittent, throughout the day.
Bending: From the waist and knees, frequently throughout the day.
Reaching/Handling: Fine manipulation, repetitive, gross motor requiring full ROM in upper extremeties, including overhead reaching.
Twisting: All ROM required, intermittent periods, throughout the day.
Climbing: Staircase, intermittently throughout the day.
Crawling: Infrequent but possible on vinyl, carpet surface
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