ST. CHARLES MEDICAL GROUP

ADVANCE PRACTICE PROVIDER-Trauma & Acute Care

TITLE:                                                SCMG Advanced Practice Provider - Acute Care and Trauma Surgery

REPORTS TO POSITION:                SCMG Chief Medical Officer

DEPARTMENT:                                  SCMG Trauma & Acute Care Surgical Specialists

DATE LAST REVIEWED:                 October 12, 2020

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 5 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. Advanced practice providers 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 emergency general surgery and critically ill/injured trauma patients throughout their hospital stay in a collaborative team-based approach. The Advanced Practice Provider is supervised by board certified Trauma/Critical Care Surgeons. APPs routinely assist surgeons by providing first assistant surgical services. They meet regularly with diverse healthcare professionals to provide multidisciplinary care to the complex, critically ill, and injured hospitalized surgical patient. APPs continue to provide care for patients in weekly general surgery/trauma follow up clinic.

Work schedule: Provider shall be a full time shift based exempt provider.  Shift requirement will be 156 clinical shifts.  Shifts may vary; Sunday-Wednesday, 10:00am-10:00pm/ Thursday-Saturday, 12:00pm-12:00am. 

Call expectation: Call will be shared equally by all APP's on the service. 

ESSENTIAL FUNCTIONS AND DUTIES:

Clinical Expectations:

• The Trauma/Acute Care Surgical 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 supervising surgeon in a meaningful way.
• Performs and documents preoperative and preadmission histories and physicals as well as discharge summaries.
• Actively participates in Trauma Resuscitations.
• Counsels patients on the pre and post-operative care, post-trauma care, recovery and expectations, and on Trauma/Surgical 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 supervising physician.
• Assists the supervising 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 supervising physician. 
• Prepares transfer orders, discharge summaries, referral physician letters, home prescriptions, and other records as instructed by the physician.
• Consults with the physicians, nursing staff, and technicians in order 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 supervising physician.
• Assists in the operating room.
• Facilitate or provide drug addiction intervention in the form of Screening, Brief Intervention, Referral and Treatment (SBIRT)
• Performs other duties as assigned.
• Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate

Administrative Expectations:  

• Document all patient care within the Electronic Medical Record (EMR) and complete all necessary tasks in compliance with health system policies and regulatory agencies to ensure timely and accurate billing.  
• Be familiar with the SCHS organization structure.
• Participate in SCMG physicians meetings and assist in policy and clinical practice guidelines formation for SCMG and Physician's practice.
• Keep medical knowledge and skills current through regular CME activity.  Must attest to having adequate (CME) to meet maintenance of board certification and compliance with MSO rules and continuing privileges without restriction.
• Keep all licenses and appropriate certifications current and unrestricted.
• Maintain active privileges at a St. Charles Health System hospital sufficient to permit performance of job duties.

Behavioral Expectations:  

• Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
• Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. 
• Delivers first-rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient and accurate, and courteous.
• Educates, counsels, and assists patients and families regarding current health problems, health maintenance activities and preventive behaviors.
• Provide a therapeutic presence in service to others by purposefully responding to the needs of patients/customers in a caring way. 
• This includes introducing oneself and stating your purpose, asking the patient their preferred name, spending time with the patient to determine their care goals, active listening, and using skillful communications (appropriate touch, eye contact, etc.).
• Complies with all applicable laws, regulations, policies and procedures, supporting the health system's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health system's investigations and proceedings.

EDUCATION                         

Required: 

• Successful completion of an approved Physician Assistant or Nurse Practitioner course of study and certification as appropriate to the incumbent's license.
• Complete annual fire/safety, etc. education in-services as required.
• Attend mandatory educational offerings as described in SCHS policies/procedures and/or as required by other regulatory bodies.
• Complete annual CME as required to maintain license and appropriate Board certification.
• Complete in a timely manner assigned Computer Based Learning modules. 

LICENSURE/CERTIFICATION/REGISTRATION

Required:

• Unrestricted Physician Assistant and/or Nurse Practitioner licensure in the state of Oregon.
• Physician Assistant requires NCCPA certification.  Nurse Practitioner requires AANC, NCC or AANP, AMCB certification.  If Physician Assistant, ability to establish and maintain a Practice Agreement with a Supervising Physician through OMB.
• Unrestricted Federal DEA number registered in Oregon                        
• Unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.
• Valid driver's license and the ability to meet SCHS driving requirements.
• Current BLS certification required.
• If provider will practice sedation, moderate or deep, ACLS certification is also required.
• Additional certifications may be required based on privileges granted to provider by Medical Staff Services at SCHS Inpatient locations.
• ATLS Certification

Preferred:  

• Fundamentals of Critical Care Support education
• PALS Certification

EXPERIENCE               

Required:        

• Experience using EMR (Electronic Medical Records) software.
• Advanced written and verbal communication skills to effectively interact with a diverse population and professionally represent St. Charles Health System.
• Experience working in a team environment and proven ability to collaborate, manage facilitation and consensus building among health care professionals and agencies to achieve expected results.

Preferred:

• Prior experience with trauma and acute care surgery and/or critical care.
• Epic EMR software experience

PERSONAL PROTECTIVE EQUIPMENT

• Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

GENERAL

• Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS. 
• Strong team working and collaborative skills.
• Ability to multi-task and work independently. 
• Attention to detail.
• Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.
• Intermediate to advanced proficiency with Electronic Medical Record systems.
• Intermediate in Microsoft applications (Word, Excel).

ADDITIONAL POSITION INFORMATION

PHYSICAL REQUIREMENTS   

• Continually (75% or more)
  • Standing & Walking
  • Keyboard Operation
  • Using a Clear and Audible Speaking Voice
  • Hearing at Normal Speech Levels.
• Frequently (50%)
  • Sitting
  • Lifting, Carrying & Pushing / Pulling up to 25 lbs.
• Occasionally (25%)
  • Bending, Stooping, Kneeling, Crouching
  • Lifting, Carrying & Pushing / Pulling 25 lbs. to 50 lbs.
  • Grasping / Squeezing
  • Hearing at Whispered Speech Levels
• Rarely (10%)
  • Climbing Stairs
  • Exposure to Wet / Slippery areas
  • Exposure to Chemical Solutions

**Nothing in this job description is intended, nor shall be interpreted, as a grant or approval of medical staff membership or clinical privileges.  By law and applicable accreditation standards, medical staff membership and clinical privileges can be granted or approved only by a hospital's medical staff and governing body.  Employment processes and requirements, which are governed primarily by the human resources policies of St. Charles, are separate and distinct from medical staff membership and clinical privileging processes and requirements, which are governed primarily by the bylaws and policies of the hospital medical staff.  Accordingly, employed physicians and providers of St. Charles are required at all relevant times not only to satisfy the requirements and perform the duties set forth in this job description, but, also, to satisfy the requirements and perform the duties for obtaining and maintain appropriate medical staff membership and clinical privileges.

Schedule Weekly Hours:

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