Advanced Practice Provider - Clinical Decision Unit - Emergency - Day Shift 0700-1700 Four 10 Hour Days)

Eskenazi-Medical-Group; Indianapolis (IN); On-site; USD 110,000 - 140,000; Full time

Job summary

Eskenazi Medical Group seeks an Advanced Practice Practitioner for the Michael and Susan Smith Emergency Department. The APR will educate, advocate, and provide direct emergency care, coordinating with ancillary teams for safe patient disposition and transfers.

Responsibilities include rapid assessment, developing differential diagnoses, conducting EMTALA-compliant screenings, and performing technically demanding procedures as credentialed.

Qualifications

• ACLS certification is required.
• Privileging to perform procedures independently as requested.

Responsibilities

• Assess and triage a patient’s condition with focused history and physical exam; identify risk factors and order/perform preventive or diagnostic procedures.
• Develops differential diagnoses and plans based on history, exam, and tests; prioritize patient needs.
• Provides EMTALA-compliant medical screening examinations and ongoing evaluation of patient progress.
• Collaborates with ER staff and inpatient teams to ensure seamless patient transitions and disposition.

Education

ACLS certification

Tools

Arterial line placement

Nerve block

Fracture reduction

Lumbar puncture

Chest tube placement/removal

Joint aspiration

Joint injection

Incision and drainage

Cast and splint

Central venous access

Job description

Overview

The Advanced Practice Practitioner in Emergency Care works as an educator, advocate and care provider and is responsible for the care and well-being of patients in the Michael and Susan Smith Emergency Department by functioning as a direct provider of emergency services

Responsibilities

SUPPLEMENTAL JOB FUNCTIONS:

Assess and triages a patient’s condition by obtaining a focused and pertinent history, identifying risk factors, performing an appropriate focused/complete physical examination, and by ordering and/or providing preventive or diagnostic proceduresDevelops a differential diagnosis and/or diagnoses of both life threatening and non-life threatening conditions by utilizing critical thinking while simultaneously synthesizing andanalyzing patient data. ENPs establish a differential diagnosis based on the patient’s medical history, physical exam findings, interpretation of diagnostic studies, while continually establishing priorities to meet the needs of the patient, their family, and or the community. Utilize critical thinking during medical screenings and diagnostic processes by synthesizing and analyzing the data to execute a plan of care including stabilization, resuscitation of unstable conditions and the transfer of care when appropriate. Provides medical screening evaluations in accordance with the EMTALA. This includes: Documentation of the chief complaint and pertinent history incorporating health risk factorso Physical exam findingso Interpretation of diagnostic data including the rationale for the medical necessity of testso Medical decision making with differential diagnosiso On-going evaluation of patient progress and response to treatment to determine the plan of care. Collaborates with staff of affiliated institutional facilities to provide care for patients receiving care in the Michael and Susan Smith Emergency Department. Collaborates with transitional support team, inpatient teams, physical therapy and other health care providers to ensure a seamless transition to inpatient units or care within the community. Determines most appropriate patient disposition. Confers with patient’s primary care provider as needed. Communicates via Epic outstanding patient problems and issues requiring follow up care. Management of patient health/illness statuso Triages patients’ health needs/problemso Completes EMTALA-specified medical screening examinationso Responds to the rapidly changing physiological status of emergency care for the assessment, treatment, and disposition of acute and chronically ill and injured emergency patients.o Specifically assesses and initiates appropriate interventions for violence, neglect and abuse.o Specifically assess and initiates appropriate interventions and disposition for suicide risko Participates in internal and external emergencies, disasters, and pandemics.o Maintains awareness of known causes of mass casualty incidents and treatment modalities required for emergency care.

The following may be done independently based on scope of practice and credentialing or in partnership with the ER staff physician: Assess and manages a patient in cardiopulmonary arrest Assess and obtain advanced circulatory access Ultraviolet examination of skin and secretions Treat skin lesions Injects local anesthetic Nail trephination Toe nail removal Nail bed closure Wound revision for closure Debridement of wounds/ minor burn Incision, drainage, irrigation of wounds and packing Eye dilatation Tonometry to asses intraocular pressure Slit lamp examination Cerumen impaction curettage Control epistaxiso Needle thoracotomy for life threatening conditions in emergency situations Replace gastrostomy tube Assess and manage cervical spine injuries Lumbar puncture Incise and drain Bartholin’s cyst Assist with imminent childbirth and post-delivery maternal care Fecal impaction removal Incision of thrombosed hemorrhoid Digital nerve block Reduction of fractures of small bones Reduction of fractures of large bones with vascular compromise (ie. traction splint) Application of immobilization devices Remove cast Arthrocentesis (knee/elbow)

Qualifications

ACLS certification

• Additional privileging as requested to perform procedures independently:
  
  
  
  • Arterial line placement
  
  
  • Arthrocentesiso
  
  
  • Nerve block
  
  
  • Fracture reduction
  
  
  • Lumbar puncture
  
  
  • Cast and splint
  
  
  • Chest tube placement/removal
  
  
  • Chest x-ray review
  
  
  • Digital, hematoma, and intraarticular block
  
  
  • Central and femoral venous catheter placement/removal
  
  
  • Joint aspiration
  
  
  • Joint injection: tendon sheaths, ligaments, trigger points, ganglion cysts, burs
  
  
  • Paracentesiso
  
  
  • Taping and bracing
  
  
  • Fracture reduction
  
  
  
  


• Maintains competency in area of expertise


• Specialty certification if available/eligible