NP/PA - Vascular
VASCULAR SURGERY PA/NP
Serves in an advanced practice nursing role providing comprehensive health assessments, physical examinations, and care by demonstrating a high level of autonomy and expert skill in the diagnosis, treatment, and management of vascular patients in the outpatient setting. Serves collaboratively in assessing needs, planning and providing care and education, evaluating outcomes, and coordinating follow-up to vascular patients and their families.
Reports to the Chief of Vascular Surgery and Chief Advanced Practitioner of Vascular surgery for clinical responsibilities as well as the Associate Vice President, Cardiovascular and Vascular Surgery Service Line for all non-patient administrative responsibilities.
MAJOR DUTIES AND RESPONSIBILITIES:
Serves as an expert clinician providing direct care, including assessing, diagnosing, planning, and prescribing pharmacologic and non-pharmacologic treatment of health problems, health promotion, and preventative care within the scope of vascular disease. Provides comprehensive clinical coordination of care and case management for inpatient and outpatient vascular population.
1. Collects comprehensive health data.
2. Critically analyzes health data and formulates clinical decisions to manage acute and chronic illness and promote wellness.
3. Identifies outcomes derived from expert assessment and diagnosis. Individualizes care considering risk and cost/benefit.
4. Investigates and problem solves patient care issues with staff in order to enhance quality outcomes.
5. Evaluates the patient's progress in achieving expected outcomes, barriers to successful outcomes, and provides follow-up service.
6. Assists with care of inpatients.
a. Participates in the postoperative care of patients, being especially knowledgeable in the recognition of postoperative complications and wound care.
b. Informs the surgeon of all changes in the patient's condition.
c. Collects data and writes pertinent clinical progress notes in the electronic medical record.
d. Summarizes details of patient's hospitalization, including operative procedures and follow-up of complications.
e. Performs therapeutic procedures, as directed by the surgeon, as indicated by training and experience.
f. Assists physician with discharge preparation, as needed, including making sure all appropriate testing is ordered.
g. Assures completion of all required outpatient forms.
h. Facilitates that the appropriate return appointment and follow up studies are scheduled for post op returns.
Provides outpatient consultation to influence plan of care for patients, initiating referral to other providers as needed and affecting change in the system. May also be asked to assist with in-patient coordination of care responsibilities as deemed necessary by the attending surgeons and Chief Advanced Practitioner.
1. Provides input/information to nursing and other medical services regarding vascular patient care issues, diagnostic needs, clinical recommendations for care and management, and educational needs for the individual/family with vascular disease.
2. Offers specialized knowledge, skills, and vascular disease statement management to assist other health care team members with problem solving and effective vascular disease management.
3. Communicates with patients by phone and/or written letter regarding problems.
4. Responds to patient and physician phone calls and electronic messages.
5. Communicates to referring physicians in a timely manner concerning patients they referred to be evaluated.
6. Collaborates with other health care professionals and health care agencies in the community regarding vascular education and management.
Utilizes research to investigate, examine, and evaluate knowledge, theory, and innovative approaches to health care practice.
1. Critically evaluates research done in specialty area and appropriately applies to practice.
2. Analyzes, evaluates, and disseminates pertinent research findings related to vascular care and education to nursing and medical staff.
3. Collaborates with nursing, medical staff, and/or clinical agencies in conducting research related to vascular surgery practice.
STANDARDS OF CARE - PROFESSIONAL PERFORMANCE LEADERSHIP:
Serves as a leader and role model for professional development of peers, colleagues, and other health care professionals.
1. Facilitates an interdisciplinary process with other health team members in the care of vascular patients.
2. Participates in the development of standards of care and practice guidelines for vascular disease state management.
3. Integrates ethical principles into advanced practice.
4. Develops criteria for and evaluates the quality of care and effectiveness of advanced nursing practice in specialty area.
5. Manages departmental expenses within budget allocations.
Remains self-directed, highly autonomous, and purposeful in seeking necessary knowledge and skills to develop and maintain competency and enhance career goals.
1. Evaluates own performance and practice based upon standards of practice, patient outcomes, and feedback from peers, colleagues, and patients.
2. Acquires and maintains current knowledge and skills in area of specialty practice, seeking advanced certification where available.
3. Contributes to the profession of nursing and specialty practice. Actively participates in professional organizations to improve and influence vascular disease management.
4. Performs other duties as required or assigned by emergency or other operational reasons which the employee is qualified to perform.
COMPETENCIES AND SKILLS:
Demonstrates ability to work in a team environment.
Demonstrates ability to deal directly with patients in such a way as to instill confidence and facilitate communication.
Demonstrates ability to work and communicate effectively with diverse medical personnel including physicians, technicians, and nurses.
Demonstrates strong interpersonal skills.
Demonstrates computer literacy.
Demonstrates ability to maintain confidentiality.
EDUCATION AND/OR EXPERIENCE:
The successful Physician Assistant candidate will work under the responsibility and supervision of the physician and require completion of an ARC-PA (or predecessor organization) approved physician assistant program, current NCCPA certification or eligibility and Pennsylvania State licensure.
The successful Nurse Practitioner candidate will work in collaboration with the physician and have a certificate of completion from an approved program for Nurse Practitioners or be eligible to hold national certification that allows the NP to work with the patient populations and location settings associated with this position. Must be eligible for licensure as a nurse practitioner in the state of PA.
Minimum one to two years in the care, management, and teaching of individuals with vascular disease and their families preferred.
WORKING CONDITIONS/PHYSICAL DEMANDS:
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Geisinger offers Advanced Practitioners :
* Domestic Partner Benefits
* Paid malpractice insurance
* Market competitive wages - constantly monitored
* Generous Paid Time Off policy
* Funding for CME and paid CME days
* Relocation for qualified candidates
* Health Care Benefits Starting Day 1: including vision and dental
* Interview expenses for qualified candidates.
To apply, contact Karen Rubbe, Talent Management Consultant, at email@example.com.
Geisinger is an integrated health services organization widely recognized for its innovative use of the electronic health record and the development of innovative care delivery models such as ProvenHealth Navigator®, ProvenCare® and ProvenExperience®. As one of the nation’s largest health service organizations, Geisinger serves more than 3 million residents throughout 45 counties in central, south-central and northeast Pennsylvania, and also in southern New Jersey at AtlantiCare, a Malcolm Baldrige National Quality Award recipient. In 2017, the Geisinger Commonwealth School of Medicine and Geisinger Jersey Shore Hospital became the newest members of the Geisinger Family. The physician-led system is comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan, all of which leverage an estimated $12.7 billion positive impact on the Pennsylvania and New Jersey economies. Geisinger has repeatedly garnered national accolades for integration, quality and service. In addition to fulfilling its patient care mission, Geisinger has a long-standing commitment to medical education, research and community service. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer. Women and minorities are encouraged to apply.
Geisinger fosters an atmosphere of clinical excellence while offering the best of life in small-town America-good schools, safe neighborhoods with affordable housing and a wealth of cultural and recreational activities. The surrounding natural beauty provides opportunities for fishing, skiing, canoeing, hiking and mountain biking. Urban life is easily accessible, with New York, Baltimore, Philadelphia or Washington D.C. just an afternoon’s drive away.