Nocturnist Advanced Practice Provider

The Advanced Practice Provider (APP) serving as the Outpatient Care Unit (OCU) APP is a faculty member credentialed and privileged to serve as a licensed independent practitioner and is a member of the OHSU Professional Staff practicing in accordance with the respective bylaws.

The OCU APP has the responsibility to provide overnight care for patients who are on daypatientor observation status following a surgery or procedure requiring a stay up to 2 nights. They are responsible for medical and postoperative management of a wide variety of surgeries/procedures. Additionally the APP is responsible to partner with the patient family pharmacist and nurse case manager to impact timely and effective discharges and patient flow; impact patient and family experience through communication and education; mentor residents clinical nurses and others; promote an interdisciplinary approach to care; and support new processes to improve patient outcomes.

In addition to key job responsibilities qualifications and other job requirements listed below the APP is expected to comply with scope of practice other laws regulations OHSU policy and other applicable professional standards of practice.

Clinical Activities (not related to teaching or research): Assure the safe efficient high quality and customer oriented management of patient care to identified patient populations including but not limited to completing a comprehensive assessment of the patients status; developing monitoring and revising as appropriate an evidencebased treatment plan that addresses diagnoses patterns of disease risk factors and treatment alternatives; treat many common acute and chronic health problems; interpret diagnostic tests prescribe and manage medications and other therapies provide health teaching with an emphasis on prevention of illness and health maintenance; and refer patients to other healthcare professionals as necessary.

• The APP in the Outpatient Care Unit will be responsible for the evaluation and management of individuals with postoperative care needs of a variety of surgical procedures. The practice will include but not be limited to comprehensive physical assessment ordering and interpreting diagnostic tests and required followupup management discharge preparation patient and family education. The APP will be responsible for timely completion of documentation including physical assessments daily progress notes and discharge summaries.

Scholarship (improvement science research writing abstracts grant supported work presentations etc.: Keep abreast of changes in field and applies knowledge to identify and recommend enhancements to clinical quality patient experience/satisfaction length of stay and to achieve improvement that demonstrates a higher standard of care. Assesses and recommends initiatives to improve performance indicators related to patient experience quality and costs. Professional development meeting the expectations of ongoing certification. Demonstrates success or productivity in the field as evidenced by securing research funding publication in journals and/or other forms of peer presentations.

• APP should be willing to complete all regularity requirements and participate in all relevant clinical research activities within the program.

Teaching/ Clinical Supervision: Support OHSUs academic missions by participating in the design development and assessment of program curricula for professional (advanced practice nursing medicine and physician assistant) specialty areas; including course objectives instructional methods learning outcomes projects and assessment measures. Teach program courses as needed according to specified learning outcomes; academic advising and career related counseling for students; monitoring student retention and identifying and assisting atrisk students.

• Deliver individual instruction to support fellows residents graduate APP students and other clinical learners to support their personal program of learning in the applicable specialty area. Provide instruction and review of the practices policies and procedures in a variety of functions; including but not limited to development of treatment plans interpretation of clinical diagnostic data; developing orders; patient and family communication and education; management of medical equipment electronic medical records; performing procedures and transitioning patients to the next level of care. Assures adherence to the specialty specific protocols best practices quality and organizational indicators. Provides input to the performance of the resident or graduate APP student as a provider or graduate APP student provider in the practice setting.

• Acute Care Nurse Practitioner (ACNP or AGACNP) or Physician Assistant; must have experience.
• Masters Degree as required by specific Advanced Practice Provider role.
  • Acute Care Nurse Practitioner
  • Adult Gerontology
  • Acute Care
  • Nurse Practitioner/Physician Assistant
• Must have at least 2 years of patient management experience preferably with surgical patients.
• Demonstrated ability to satisfy standards of performance delineated by law and associated professional practice standards the latter set forth as an addendum to the position description.
  • Ability to manage heavy workload with multiple priorities and inflexible deadlines.
  • Ability to communicate effectively verbally and in writing.
  • Proficient in the use of computing hardware and software including personal computing equipment electronic medical record word processing and spreadsheet software.
  • Regular and consistent attendance at work
• Current licensure as required by specific Advanced Practice Provider governing board(s).
• Compliance with Code of Conduct Respect in the workplace and Applicable policies procedures and agreements related to position department or OHSU as a whole
• Must be able to perform the essential functions of the position with or without accommodation

• Academic medical center experience.
  
• Experience in the Microsoft Office Suite of products.
• Experience using Epic EMR
  • Other as required for position

• Hours 2 12 hour shifts 7PM7:30AM
• Frequent interruptions in an evironment of frequent change and fluctuations.
• May be exposed to excessive auditory and visual stimulation.
• May be required to attend out of town conferences according to hospital travel and reimbursement policicies.
• May be exposed to body fluids tissue possible radiation exposure and infectious processes.
• Subject to computer work for several hours as needed.
• Able to use all appropriate patient care equipment and office equipment within work area.
• Standing: On concrete vinyl or carpeting up to 4 hours per day and intermittently.
  
• Sitting: Chair or stool continuous up to 8 hours per day and intermittently.
  
• Changing Position: Intermittently as needed.
  
• Walking: Inermittently up to 4 hoursper day on concrete vinyl and carpeting.
  
• Carrying: Up to 50 pounds (supplies equipment books papers etc) for intermittent periods and distances.
  
• Lifting: Up to 50 pounds (patients equipment supplies books etc) Intermittent throughout the day.
  
• Pushing/Pulling: Up to 100 pounds intermittent throughout the day.
  
• Bending: From the waist and knees frequently throughout the day.
  
• Reaching/Handling: Fine manipulation repetitive gross motor requiring full ROM in upper extremeties including overhead reaching.
  
• Twisting: All ROM required intermittent periods throughout the day.
  
• Climbing: Staircase intermittently throughout the day.
  
• Crawling: Infrequent but possible on vinyl carpet surface