Intraoperative Advanced Practice Provider (APP) – All Services (Including Robotics)

Trinity Health MI; Livonia (MI); On-site; USD 95,000 - 140,000; Full time

Job summary

Trinity Health Livonia seeks an Intraoperative Advanced Practice Provider (NP or PA) to deliver comprehensive surgical support across service lines, including robotic-assisted procedures. The role collaborates with surgeons, anesthesia, and OR staff to ensure safe, efficient outcomes in a busy 304-bed hospital in Livonia, MI.

The position requires either an Acute Care NP with MI licensure or an ARC-PA–accredited PA program graduate, plus surgical scrub experience and adherence to sterile

Qualifications

• Master's degree in clinical nursing for NP with Acute Care focus.
• For PA, graduate from ARC-PA accredited program.

Responsibilities

• Serve as first/second assist across surgical specialties including robotic-assisted procedures.
• Support robotic system docking/undocking, instrument exchange, and troubleshooting with the team.
• Perform tissue handling, retraction, exposure, suturing, hemostasis, and wound closure.

Skills

Surgical assistance

Robotic procedures

Team collaboration

Education

Master’s degree in nursing (Acute Care NP)

ARC-PA accredited PA program

Job description

Description:

Employment Type: Full time

Shift: Rotating Shift

Description: Trinity Health Livonia is a beautiful full-service, 304-bed level II trauma acute care hospital, located in Livonia, MI, that provides comprehensive care, including a 24-hour emergency department, general medicine, inpatient and outpatient surgery, physical medicine and rehabilitation, intensive care unit, cancer, cardiology, geriatrics and birthing and women's health. Through several major expansions in the hospital, programs and services, Trinity Health Livonia continues to offer the latest in quality health and medical services. Trinity Health Livonia has received numerous awards recognizing excellence in clinical outcomes, patient safety, financial performance and efficiency.

The hospital has 8 Operating Rooms, 3 are dedicated to Robotics.

Job Summary: The Intraoperative Advanced Practice Provider (Nurse Practitioner or Physician Assistant) delivers comprehensive surgical support across all service lines, including robotic-assisted procedures. This role functions as an integral member of the operating room team, providing expert intraoperative care, adapting to a wide variety of surgical specialties, and ensuring safe, efficient, and high-quality procedural outcomes.

Key Responsibilities:

• Serve as first or second assist across all surgical specialties, including open, laparoscopic, and robotic-assisted procedures
• Provide robotic support, including docking/undocking assistance, instrument exchange, and troubleshooting in collaboration with the surgical team
• Perform surgical assisting tasks such as tissue handling, retraction, exposure, suturing, hemostasis, and wound closure
• Maintain strict adherence to sterile technique and perioperative safety protocols
• Perform intraoperative procedures within scope (e.g., line placement, device insertion, graft harvesting where applicable)
• Rapidly adapt to varying surgeon preferences, procedures, and technologies across service lines
• Collaborate with surgeons, anesthesia, and OR staff to optimize workflow, case progression, and turnaround times
• Anticipate operative needs and ensure appropriate instruments, supplies, and robotic equipment readiness
• Assist with patient positioning, site verification, and surgical time-out processes
• Recognize and respond to intraoperative changes in patient condition in coordination with anesthesia
• Ensure accurate intraoperative documentation and compliance with regulatory and quality standards
• Support OR efficiency initiatives, including throughput and schedule adherence
• Preop/PACU order entry
• Postoperative rounding as requested

Required Education, Experience And Certification/Licensure

Education:

NP Education: Master's degree in clinical nursing from an accredited Acute Care Nurse Practitioner Program with emphasis on area of certification/licensure.

PA Education: Requires graduation from an ARC-PA accredited PA program.

Certification/License:

NP Certification/License: Current Registered Nurse and Acute Care Nurse Practitioner license in the State of Michigan.

PA Certification/License: Current License/Certification as Physician Assistant with the State of Michigan.

Experience:

Surgical Scrub Experience Is Strongly Preferred.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.