Advanced Practice Provider, Pediatric Neurosurgery

Position Summary:

ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN

Department:

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Located on the downtown Orlando Health campus, Orlando Health Arnold Palmer Hospital for Children has been providing compassionate care to the children, teenagers and young adults of Central Florida for more than 30 years. With 156 licensed beds and a team of experts in more than 30 pediatric specialties, the hospital has earned a “Best Children’s Hospitals” recognition by U.S. News & World Report for 14 consecutive years and has been named a Top Children’s Hospital by the patient-advocacy Leapfrog Group. Orlando Health Arnold Palmer has held Magnet® Recognition for nursing excellence and quality patient care since 2013 and several units have earned Beacon Awards for Excellence for employing evidence-based practices to improve patient outcomes and patient and staff satisfaction. Our pediatric Level I Trauma Center and ER is the only Central Florida facility to provide the highest level of emergency trauma care exclusively to children, and Orlando Health Arnold Palmer is the only facility in Florida to achieve Level I Children’s Surgical Verification and Level I Trauma Verification by the American College of Surgeons.

Orlando Health Arnold Palmer is part of the Orlando Health system of care, which includes award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities that span Florida’s east to west coasts and beyond. Collectively, our 27,000+ team members honor our over 100-year legacy by providing professional and compassionate care to the patients, families and communities we serve.

Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions.

“Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.

Position Summary:

The Pediatric Neurosurgery Advanced Practice Provider (APP) works collaboratively with supervising physicians and other APP colleagues to co-manage the pediatric neurosurgical patient

according to established practice guidelines and utilizing evidence-based clinical practice standards. The APP is responsible for managing patients within the inpatient setting, outpatient clinic visits, consultations, first-assists within surgical cases, and takes trauma call on a rotating basis.

Responsibilities:

• Inpatient Coverage

  Daily hospital rounds, progress notes, admissions, consult notes and discharge summaries. Pre-admissions for surgery and H&Ps. First call for all nursing questions, Floor consults, ER Consults and Trauma Consults. Communicate plan of care for floor patients to medical service. Enter in all daily charge notes, responsible for patient education for discharge, set up follow up appointments, and write prescriptions for discharged patients. Responsible for all bedside procedures i.e., shunt reprograms, shunt taps, reservoir or ventricular taps, EVD or ICP monitor insertions and removals

• Surgical Coverage

  Pre op all surgical patients, set up, and position in OR. Ensure all equipment for OR is ready i.e., surgical navigation. Make sure neurosurgical bundle is being followed. First or Second Assist in OR and be proficient at knot tying, multilayer closures, skin closures and removal of patient in fixation pins. Responsible for post op dressings and head wraps. Write all Post op admission orders, Post op Notes and Medication Reconciliation. Transport patient from OR to PACU or direct admit to ICU. Communicate with medical team regarding post op care. Perform post op exams and review post op diagnostic studies/lab work. Ensure all EVDs, Lumbar Drains and ICP monitors are functioning appropriately. Be available for bedside procedures as necessary. Assists with other clinical roles as needed where attending neurosurgeon or senior neurosurgical APP feels appropriate.

  
  

• Outpatient Coverage:

  Run daily APP Clinic which includes annual follow ups, new patient appointments, and postoperative exams. Rotates through Head Shape Clinic, Spina Bifida Clinic, Spasticity Clinic, Brachial Plexus, Neuro-oncology clinic and any other specialty clinics including satellite clinics. Available for walk-ins or patients requiring same day appointments as needed. Peer to Peer Reviews, Patient Phone Calls, Letters of Medical Necessity, and Radiology/lab Review. Available to office team to answer questions regarding patient concerns or clinical questions. Set up pre admits for preoperative planning and schedule pre surgical Stealth imaging as needed. Performs various outpatient procedures i.e., baclofen pump refills and reprograms, shunt reprograms, shunt or reservoir taps, wound care

• Trauma Call:

  Provide overnight call coverage rotating with other APPs. Goal is to have 6 full time APPs that can rotate 24/7 call coverage depending on staffing model. This includes weekend coverage. Extra compensation for weekend coverage provided in addition to base salary as well as shift differential for nighttime coverage. Call is currently non-restricted, but APP must come in for urgent consults, admissions and OR cases when needed between the hours of 4pm-7am on the weekdays and 7am Friday to 7am Monday on the weekends. First call for nursing calls, floor consults, parent phone calls, ER consults and Trauma consults. Restricted call coverage may be required in the future based on clinical needs and demands.

• Quilty Improvement, Research and Extracurricular

  • Each APP should participate in a Quality Improvement Initiative, Research Project, and Educational Project etc. of their choosing with the guidance of supervising physicians or senior APP.

• Holiday Coverage:

  All 4 minor and 3 major Holidays will require APP coverage and be rotated equally amongst the APP clinical staff. Four minors include Easter, Memorial Day, July 4

  th

  and Labor Day. Three Majors include Thanksgiving, Christmas and New Year’s

• Education:

  Attends all educational opportunities offered for neurosciences in person or virtually to include Tumor Board and Epilepsy Conference unless on PTO or leave. Attends at least 1 neurosurgical CME conference per year and actively participates in Journal club every quarter.

• Operations:

  Attends all neurosurgical provider meetings, staff meetings and Neuroscience department meetings unless on PTO or leave. Encouraged to attend surgical department meetings quarterly, Surgical PIPS review and APP council meetings when scheduled.

• Hours:

  6 APPs to cover 24/7. Day time operational needs M-F requires staffing 4 APPS for OR coverage, clinic coverage, inpatient hospital coverage and one float APP to be utilized where needed. 6 APPs are needed to fulfill this schedule along with night/weekend coverage.

Qualifications:

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• Graduate of accredited physician assistant program or has obtained an MSN or DNP degree from an accredited nursing school.

Experience

• Two years of pediatric or general surgery experience desired. Neurosurgical experience a plus but not required.

• Surgery, Critical Care, Trauma, or ED Fellowship trained APP desired.

Licensure/Certification

• Current licensure in State of Florida renewed every two years to include prescriptive authority.

• Maintains NCCPA (National Commission on Certification of Physician Assistants).

• Maintains APRN License and Certification as required by the state of Florida.

  (Must have Acute Care Certification.

  Registered Nurse Surgical First Assist not required but a plus)

• Maintains BLS, ACLS & PALS certification as required by department.