Advanced Practice Nurse- Inpatient Orthopedics- Optional/PRN

TriHealth; Cincinnati (OH); On-site; USD 100,000 - 140,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

TriHealth is seeking an Advanced Practice Nurse for Inpatient Orthopedics in a flexible PRN role across Good Samaritan and Bethesda North Hospitals in Cincinnati, OH. The APRN will support weekend, holiday, and PTO coverage while maintaining an active clinical role in inpatient orthopedics.

The position emphasizes strong acute care nursing skills, collaboration with the medical team, and delivery of patient-centered care in a fast-paced setting. Comprehensive benefits accompany this opportunity.

Qualifications

• BA/BS plus 2 years post-graduate evaluation.
• BLS and ACLS certifications required.
• NCCPA certification and passing NCCPA board exam with recertification every 6 years.
• Physician Assistant designation noted in job requirements.
• Interest in acute patient care in an inpatient setting.
• 3-4 years experience as a Physician Assistant.

Responsibilities

• Direct patient care at least 50% of the position, including history and physical examinations.
• Prescribe medications and therapeutic devices per formulary under Ohio law.
• Assess interactions of multiple therapies and order tests as needed.
• Collaborate with physicians to plan and implement a comprehensive care plan.
• Educate patients and families to promote best outcomes.
• Lead or participate in quality improvement and evidence-based practice initiatives.

Skills

BLS/ACLS

NCCPA certification

Prescriptive authority

Interpersonal skills

Inpatient acute care

Team collaboration

Problem solving

Weekend/holiday coverage flexibility

Education

BA/BS in nursing or related field

Nurse Practitioner credential

State APRN licensure

Job description

Advanced Practice Nurse- Inpatient Orthopedics – Optional/PRN

Join our inpatient orthopedic team in a flexible PRN role designed for an experienced APP who wants to stay clinically engaged while maintaining work-life balance. You’ll support patients at both Good Samaritan and Bethesda North, helping provide coverage for weekends, holidays, and PTO. The commitment includes at least one weekend shift every 4–6 weeks, making this a great opportunity to bring your orthopedic expertise to a busy inpatient setting without a full-time schedule.

We offercareer growth opportunities, and a comprehensive benefits package.

Location:

Good Samaritan Hospital: 375 Dixmyth Ave, Cincinnati, OH 45220

Bethesda North Hospital: 10500 Montgomery Rd, Montgomery, OH 45242

Must be available to work both locations

Work Schedule:

• PRN/Optional
• Weekend, holiday and PTO coverage as needed
• 1weekend every 4-6 weeks required

Incentives & Benefits:

In addition to a comprehensive benefits package—including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement—this role offers competitive pay based on education level and experience.

Job Requirements:

• Graduate of an approved technical, professional, or vocational program with a BA/BS plus 2 years post-graduate evaluation
• Basic Life Support for Healthcare Providers (BLS) and ACLS
• NCCPA certification
• Passing grade on initial NCCPA board exam and Recertification every 6 years
• Physician Assistant
• Demonstrated exceptional interpersonal relations and problem solving
• Strong interest in acute patient care in an inpatient setting
• 3-4 years experience Physician Assistant

Job Overview:

The APRN II is a nurse prepared with graduate level nursing education and authorized to practice and prescribe as a Clinical Nurse Specialist or Certified Nurse Practitioner in collaboration with one or more physicians or podiatrists. Advanced clinical practice in nursing includes the following components: assessment of patient health status, diagnostic testing, diagnoses, development of treatment plans, implementation of treatment plans, follow-up and evaluation of the patient’s response to treatment, accurate documentation of the patient’s status, and patient advocacy. APRNs are clinical experts who design, implement and evaluate patient-specific and population-based programs of care and promote care through a variety of methods. APRNs function at all levels of the healthcare system within three sphere of influence: client, personnel, and organization. APRNs must have a collaborating physician(s) in an associated Standard Care Arrangement. The APRN II must spend 50% of hours worked utilizing prescriptive authority in their advanced clinical practice role.

Job Responsibilities:

At least 50% of position involves direct management of the patient’s and/or family’s care. Independently performs and documents a complete history and physical examination, including psychosocial assessment. Prescribes drugs and therapeutic devices consistent with the formulary under section 4723.50 of the Ohio Revised Code. Assesses for interactive and synergistic effects of multiple pharmacologic and non-pharmacologic interventions. Orders laboratory and radiologic tests and interprets the results. Collaborates with physician(s) to plan to implement a comprehensive plan of care. Discusses patient’s care with family members. Performs duties per the Standard Care Arrangement. Collaborates and consults with the interdisciplinary healthcare team, the patient and family when diagnosing, prioritizing problems, and implementing interventions. Provides consultation and initiates referrals to other healthcare team members and promotes collaboration among other members of the interdisciplinary healthcare team. Assists interdisciplinary team members, patients, and families in selecting therapies that integrate perspectives of cost and quality of benefits. Collaborates with other disciplines in teaching, consultation, management, and research activities to improve outcomes in nursing practice and enhance the healthcare environment. Utilizes, participates in, and disseminates research, evidence-based practice, or quality improvement projects to enhance clinical practice and patient outcomes. May serve as primary or co-investigator, or member of the investigative team in conducting nursing or collaborative research. Critically evaluates existing practice based on current research findings and integrates changes into practice through an EBP project. Evaluates processes of care by serving a as leader or team member in relevant Quality Improvement projects. Promotes mentoring and education to nursing by serving as a Journal Club mentor and facilitates learning in critically appraising the literature. Provides education to patients, families, and healthcare providers to promote best practice. Serves as a teacher, mentor, role model to nurses in the promotion of nursing research, EBP. Serves as preceptor, role model and mentor to staff nurses and colleagues as well as nursing students. Teaches, coaches, and supports nurses and other healthcare professionals to advance the care of patients. Provides education to the patient and their family for health promotion including secondary prevention strategies. Collaborates in the assessment, development, implementation and evaluation of patient and staff educational needs. Provides effective leadership. Integrates analysis of cost and benefits in care decisions. Designs/Develops innovative solutions for patient care problems that utilize resource efficiency while maintaining or improving quality and advancing best practices. Provides leadership in the development and application of consensus derived protocols or evidence-based practice (EBP) guidelines in the clinical setting. Participates, as opportunities arise, in healthcare-related decision-making at the system, local, state, and national levels with an emphasis on improving patient outcomes. Serves in key roles by participating in/leading committees, councils, and administrative teams. Ensures nursing practice is conducted in an ethical and legal manner. Abides by the Ohio Scope of Practice as an APRN. Provides safe, compassionate, competent, and ethical care. Demonstrates the highest level of accountability for professional practice. Preserves the patient’s dignity. Serves as a patient advocate by promoting advanced directives and adherence to the patient’s wishes. Contributes and promotes the discussions of end-of-life decisions and palliative care with the patient, family members, physician and the health care team as appropriate.

Other Job-Related Information:

The TriHealth Nursing Vision, Mission, and Philosophy speak to professional development, collaboration, and our nursing culture. To achieve excellence in nursing care, TriHealth encourages: pursuit of improved knowledge through continuing education classes, formal education leading to advanced degrees, and the attainment of specialty certification; nurse membership in local, regional, and national nursing organizations related to the appropriate nurse specialty; involvement in activities that better the health of our community; nursing research activities and use of evidence-based practice, and all nurses to foster, support, and personally model collaborative relationships amongst nurses, physicians, and other caregivers for the betterment of patient care.

Working Conditions:

• Bending -
• Climbing - Occasionally
• Concentrating - Consistently
• Continuous Learning - Consistently
• Hearing: Conversation - Consistently
• Hearing: Other Sounds - Consistently
• Interpersonal Communication - Consistently
• Kneeling - Occasionally
• Lifting <10 Lbs. - Frequently
• Lifting 50+ Lbs. - Frequently
• Lifting <50 Lbs. - Frequently
• Pulling - Frequentlyni>
• Pushing - Frequently
• Reaching - Consistently
• Reading - Consistently
• Sitting - Frequently
• Standing - Frequently
• Stooping - Frequently
• Talking - Consistently
• Thinking/Reasoning - Consistently
• Use of Hands - Consistently
• Color Vision - Consistently
• Visual Acuity: Far - Consistently
• Visual Acuity: Near - Consistently
• Walking - Frequently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS…

• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS…

• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service

Respect: ALWAYS…

• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone’s opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS…

• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS…

• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community