MUSCP - Advanced Practice Provider (NP/PA)- Surgery: Burn Surgery

Job Description Summary

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Job Description

Job Summary/ Purpose: The Clinical Thermal Injury Specialist Advanced Practiced Provider (APP) provides patient centered healthcare utilizing a holistic and multidisciplinary approach to deliver state of the art care to patients with thermal injury and other skin and soft tissue disorders. This position has an administrative/academic component as well as clinical duties. Under the direction of Burn Surgeons, the Advanced Practice Provider will increase continuity of care of all burn surgery service patients in the clinic, inpatient setting, and potentially in the operating room.

Fair Labor Standards Act Status: Salaried/Exempt

Hours per week: 40

Scheduled Work Hours/Shift: Rotating dependent upon whether inpatient or clinic. APP will be expected to work some limited hours during 1 out of 4-5 weekends.

Patient Population Focus
Inpatient, Outpatient, Operating Room/First Assist, Procedural Unit, Emergency Department Management/Consultation.

Patient Population Age Range
13 years-death

Required Minimum Training and Experience
Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN as noted below.

1. Physician Assistant

or

2. APRN License Type/Certification:

• AGPNP/ANP (Adult Gerontology Primary Care NP or Adult NP): Adult pts (13 years to death), stable chronic disease state management or primary care setting.
• FNP (Family NP): (birth to death) Stable chronic disease state management, primary care across the lifespan.

Preferred Training and Experience

Training: Physician Assistant or if APRN License Type/Certification:

1. Physician Assistant

or

2. APRN

• AGACNP/ACNP (Adult Gerontology Acute Care NP/Acute Care Nurse Practitioner): Adult pts (13 years to death), acutely ill or injured, potentially unstable, or technologically dependent (vents, drips, monitors, etc.)
• Registered Nurse First Assistant (RNFA) Certification

Experience: 1 year of work in a regional or ABA verified burn unit, 1 year of peri-operative management of surgical patients. If applicant is an NP, RNFA certification is preferred. Demonstrates an ability to collaborate in a positive, collegial manner with other disciplines.

Degree of Supervision
Advanced Practice Registered Nurse or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician.

Required Licensure, Certifications, Registrations

All certifications must be current and complete prior to start date:

Basic Life Support (BLS).

Advanced Cardiovascular Life Support (ACLS) required for Adult Surgery

If applicable, DHEC and DEA license applications must be started prior to first day.
 

Job Duties

Provides direct care to patients through the following activities:

• Takes comprehensive history and performs physical examinations
• Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline

• Performs the following therapeutic procedures in accordance with procedural privileges, skill and proficiency as approved by the Clinical Division Chief

  • The Advanced Practice Provider will provide patient assessment and treatment within established burn service guidelines and assist with coordinating follow up care; monitor adherence to burn service patient guidelines; assist with resident orientation, discharge dictations, physician clinics; and participate actively in burn center performance improvement. 

• Initiates referrals to other health care providers, and/or consults with the attending physician or the collaborating physician
• Documents and bills for direct care provided
• Utilizes current research and evidence-based decision-making in all clinical practice
• Performs and participates in quality/performance improvement activities and clinical research
• Participates in and supports accreditation, compliance, and regulatory activities of the organization
• Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education
• Potential to precept students at MUSC enrolled as an advanced practice provider student; and facilitates the learning of other new team members
• APRN or PA must maintain licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law
• Acts as a liaison between Burn Service patients/families by phone or in person to plan procedures and provide critical care services, and patient care issues.
• Coordinates with hospital case managers for assigned Burn patients. Assist with Burn Service discharge coordination and initiation of discharge planning.
• Makes patient rounds independently and with the Attending Physicians, assisting with compliance of physician/resident documentation.
• Assist with patient charges/hospital charges for Burn Service procedures.
• Assists staff with diagnostic procedures, interpretation, teaching admissions, in-patient case management, discharge preparation, post hospital follow-up, and correspondence with referring physicians.
• Operating room, Outpatient, and Burn Unit surgical Procedure assistance.
• Follows patients in the outpatient clinic setting meeting all documentation and billing requirements.
• Accepts and completes all duties positively and without conflict. 
• Cooperates, helps others and improves the performance of the Burn Service.
• Utilizes cost effective practices in performing all aspects of the job.
• Demonstrates the ability to provide competent patient care to the following patient populations:  Adolescent, Adults, and Geriatric. Pediatric preferred but not mandatory
• Provides timely, courteous, and efficacious care to patient; examine, diagnose, prescribe treatments and medications, performs or orders tests and/or procedures for a variety of diseases and injuries using applicable medical instruments and equipment within the healthcare delivery system, referring to medical specialist for consultation and communicating with patients’ primary physicians as indicated.
• The Advanced Practice Provider will actively participate in the burn center’s mandated alcohol screening and referral process. Additional responsibilities include but are not limited to research, protocol development, outreach, and injury prevention collaboration. See details below.
• Organizes and coordinates burn verification process along with other key personnel.
• Participates in research.
• Participates in community outreach and education including Advanced Burn Life Support and Firefighter’s It Happened In Seconds Program
• Participates on committees as assigned.
• Participates in performance and quality improvement activities
• Regular and prompt attendance
• Ability to work assigned schedule including overtime and call

Physical Requirements

Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces. 

Additional Job Description

The Department of Surgery is dedicated to ensuring the voices of our trainees, staff, faculty, and patients are heard; their thoughts are respected and their feelings are valued.  We pride ourselves on creating an inclusive culture dedicated to helping shape the field of surgery to be more diverse. We value our residents, fellows, faculty, and staff of every race, religion, national origin, sexual orientation, gender identity, and disability. Our goal is to continue to expand our diversity within our talented team, which leads to even more inclusive patient-centered care. Please click on the link below to learn more about our diversity efforts.

https://medicine.musc.edu/departments/surgery/diversity-and-inclusion 

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees