APP, TRAUMA SURGERY

 Division:Eskenazi Medical Group  

Sub-Division: EMG -Employee  

Req ID:  23402 

Schedule: Full Time 

Shift: Days 

EMG is affiliated with Eskenazi Health and employs physician and advanced practice providers who support the Eskenazi Health system. A multi-specialty provider group, it strives to be a leading primary care provider serving all patients regardless of ability to pay or condition of health while advancing medicine through teaching and research.

Eskenazi Health is one of American's largest safety net health systems with more than 1 million outpatient visits each year. Partnering with the Indiana University School of Medicine, Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County, Indiana. In addition to the 327-bed hospital located on its downtown Indianapolis campus, Eskenazi Health provides services at 10 federally qualified health care centers and multiple mental health sites and residential facilities located throughout Indianapolis. Eskenazi Health is accredited by The Joint Commission and has been highlighted as one of the nation's 150 best places to work by Becker's Hospital Review for four consecutive years.

Indianapolis offers affordable housing, excellent schools and a wealth of entertainment options, including a variety of amateur and professional sports teams, dynamic museums, live theater productions, symphony and opera concerts, a wide variety of shopping options and restaurants, and numerous outdoor festivals, as well as the famous Indy 500 race each May.

Job Summary

 The role of the Nurse Practitioner/PA is the application of diagnostic reasoning; specialized psychomotor skills in the performance of procedures, evaluation, consultation; referral to nurses, physicians, and other providers; family assessment; education; and provision for discharge planning or disposition.

Key elements of the role include:
•Advanced clinical expertise
•Development of differential diagnoses
•Use of medical reasoning to formulate the plan of care
•Order and prescription of pharmacological and other therapeutic therapy
•Planning and management of patient care across the acute care continuum
•Utilization and performance of invasive and non-invasive interventions and procedures to promote physiologic stability or obtain diagnostic information
•Surveillance of care
•Accountability and authority for managing patient care outcomes across settings and boundaries
•Advocacy or patient agency
•Clinical leadership
•Managing and negotiating healthcare delivery systems on behalf of the patient and family
•Influencing changes as patients and system needs demand
•Promotion of health
•Providing care with an awareness that each patient is unique

ESSENTIAL JOB FUNCTIONS:
•Proactively contributes to Eskenazi Health's mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County.
•Serves as a resource for all health care providers in the patient care coordination and management outcomes
•Intervenes with patients in areas of expertise to develop appropriate plans of care to achieve optimal patient outcomes
•Impacts patient care indirectly by developing, implementing and evaluating standards of care, clinical practice guidelines, policies and procedures, and through involvement in practice committees
•Coordinates the development of patient management tools (pathways, protocols) based on research findings
•Utilizes principles of performance improvement process to improve patient care
•Maintains a flexible schedule as necessary to meet the needs of patients, staff and system
•May utilize prescriptive authority according to the Indiana statue and institutional guidelines
•Conducts one-on-one patient and family teaching to facilitate adherence to care plan; promotes a positive outcome and develops patient independence
•Develops and implements educational material
•Contributes to the professional literature
•Provides consultative services to health team members and Care Delivery Area Directors.
•Critiques pertinent research literature related to specialty areas and promotes research utilization to improve patient care
•Participates in the conduction of research and clinical trials
•Designs product evaluations and implements the findings with attention to cost-effectiveness
•Participates as an integral member of the leadership team
•Participates in the development, implementation and evaluation of departmental and organizational mission and goals
•Serves as a role model, mentor and change agent for health care providers
•Uses innovative techniques to effectively manage hospital resources to positively impact patient outcomes in a cost-effective manner
•Alters activities/behaviors to reflect/ensure adequate care, maintain age and job-specific competencies appropriate to the age patients served (i.e. adolescent, geriatric, pediatric, neo-natal, adult) described in the area/unit age specific and/or job specific competencies

JOB REQUIREMENTS
SKILLS AND KNOWLEDGE REQUIRED:
• Ability to assess systems and patients' needs, and function autonomously to develop and implement programs to improve patient care
•Ability to collaborate with other health care team members to enhance patient care across the continuum
•Demonstrates leadership abilities by serving as a mentor to improve patient outcomes
•Ability to conduct product, program and/or process value analyses, including complete financial implications involved in implementation of the product or program
•Ability to review/critique pertinent research literature related to specialty areas and promote research utilization to improve patient care
•Demonstrates excellent communication skills related to team development, group process conflict management and negotiation
•Knowledge and skills necessary to provide care appropriate to the age of patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data/interpret appropriate information needed to identify each patient's requirements relative to age specific needs
•Ability to use age-appropriate and cognitive skills detailed in the department/area/unit job specific/age specific competencies
•Ability to complete the following procedural skills and Critical Care Management*
• 12 Lead ECG interpretation
• Chest X-Ray interpretation
• Spirometry and Peek flow assessment
• Local anesthesia application
• Drain removal
• Laceration repair and suturing
• Wound packing
• Superficial abscess incision and drainage•
• Wound Care

• Chest tube insertion and removal
• Central venous catheter insertion and removal
• Arterial line insertion and removal
• FAST exam

SKILLS, ABILITIES AND KNOWLEDGE TYPICALLY ACQUIRED THROUGH:

•Graduation from an accredited school of nursing with a Master of Science degree or Physician Assistant Program
•Current Indiana license as a Nurse Practitioner or Physician Assistant
•Collaborative agreement with affiliated physician group
•Credentialing agreement with Eskenazi Health within 6 months of hire

Eskenazi Health has been named to Becker's Hospital Review's 2018 list of "150 Great Places to Work In Health Care."  This is the 3rd year in a row now that EH has received this honor.  

https://www.beckershospitalreview.com/lists/150-top-places-to-work-in-healthcare-2019.html