Neurovascular Advanced Practice Provider – Stroke Care Leader

Brown University Health; Providence (RI); On-site; USD 132,600 - 214,200; Full time

Job summary

Brown University Health is seeking a Nurse Practitioner or Physician Assistant to join the Neurovascular Center team at Rhode Island Hospital in Providence. The APP will provide advanced patient care in neurointerventional radiology and vascular neurology across ED, stroke service and interventional suites.

You will manage a caseload, collaborate with physicians, educate staff, perform pre- and post-procedure assessments, and participate in hyperacute stroke care, with prescriptive privileges

Qualifications

• Masters of Science Degree, Graduate of accredited Nurse Practitioner or Physician Assistant program.
• Specialty certification required for Nurse Practitioners.
• Baccalaureate in Nursing.
• Certified in Basic Cardiac Life Support (BLS) and Advanced Cardiac Life Support (ACLS).

Responsibilities

• Demonstrates a fundamental knowledge in the field.
• Manages a caseload of patients in partnership with the healthcare team to optimize health status and coordinate care over time and across healthcare settings.
• Oversees care coordination in acute, home care, and ambulatory care settings as feasible.
• Assists the healthcare team to achieve mutually agreed upon healthcare goals by providing necessary support, education and encouragement.
• Demonstrates advanced physical and psychosocial assessment skills and knowledge of family dynamics.
• Provides direct care to patients in acute care settings. Performs advanced practice skills under the supervision of the Medical Director.
• Provides expert consultation for clinical issues promoting increased knowledge and skills for the consultee.
• Participates in the education, clinical research and mentoring of healthcare providers.
• Facilitates patient/family education in area of expertise. Annually completes mandatory safety infection control, BLS, and ACLS/PALS.
• Prescriptive privileges per licensure.
• Emergency Department – Hyperacute patients- Responds to all code Strokes (in patient and ED), and understands the role of acute revascularization therapies (IV and IA) in the care of these patients.
• Obtains and maintains NIHSS certification- Obtains and maintains certification for Modified Rankin Scores- Communicates and coordinates the hyperacute care of these patients with ED, Neurology & NIR- Obtains consent and performs pre-procedure evaluation if patient is going to NIR- Off hours, begin NIR preparing room for the procedure.
• APP will scrub and participate in the procedure.
• This should include other aspects of the VIR case as listed below- Assists Neurology resident with admission H&P, orders, if needed.
• Assists in hyper-acute MRI process, when indicated.
• Stroke Unit - Ischemic and Hemorrhagic stroke patients on Stroke Unit (and their ED Evaluation)- Rounds with Vascular neurology team, including performing H&P, daily exams, progress notes, discharge summaries and hospital course.
• Acts as resource to Neurology resident with other issues on Stroke service patients as needed NIR Service - Prior to, During and after neurointerventional procedures
• Assist NIR attending with consent, pre-procedure H&P, discharge summaries, discharge instructions for outpatients, and any other pre-, intra- or post-procedural issues as needed.
• Become proficient at the following aspects of neurointerventional procedures
• Understand sterile technique- Understand radiation safety and using fluoroscopic equipment safely
• Prepare sterile tray, and understand process of preparing wires, catheters, balloons and other devices as indicated-
• Obtain arterial and venous access, including safeplacement of sheaths into tortuous anatomy
• Assist primary operator in interventional cases, including understanding of catheter and wire manipulation in cases
• Proficiency at arterial and venous access closure, including the use of arterial closure devices.

Skills

Nurse Practitioner

Physician Assistant

BLS

ACLS

Acute care

Stroke care

Education

Master of Science Degree

Accredited NP/PA program

BSN

Job description

Brown University Health is seeking a Nurse Practitioner or Physician Assistant to join the Neurovascular Center team at Rhode Island Hospital in Providence. The APP will provide advanced patient care in neurointerventional radiology and vascular neurology across ED, stroke service and interventional suites.

You will manage a caseload, collaborate with physicians, educate staff, perform pre- and post-procedure assessments, and participate in hyperacute stroke care, with prescriptive privileges