Neurosurgery-Advanced Practice Clinician- Thomas Jefferson University Hospital-Center City Philadelphia

Advanced Practice Clinician The advanced practice clinician (Nurse Practitioner/Physician Assistant) within the acute care hospital setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The APC provides comprehensive care on the inpatient neurosurgery service. 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 APC 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 evidence-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's progress via daily progress note, transfer, and discharge summary, and/or clinic note where applicable (H&P, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, death summary) in the medical record per specific patient unit or service. 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 evidence-based practice. Actively participates in Advanced Practice Grand Rounds and specialty-specific meetings. Maintains CEUs and membership in a professional organization.

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