Nurse Practitioner or Physician Assistant - Neurosurgery ICU

MUSC Health; Charleston (SC); On-site; USD 95,000 - 125,000; Full time

Job summary

MUSC Health is seeking a dedicated Advanced Practice Provider to join the Neuroscience Intensive Care Unit team in Charleston. You will provide direct patient care for a high-acuity neurocritical care population, including complex assessments and procedural support, while coordinating with a multidisciplinary team.

Eligible candidates will have completed an accredited PA or APRN program and hold licensure or eligibility.

Qualifications

• Completion of an accredited Physician Assistant program and licensure or eligibility.
• Completion of an accredited APRN program and licensure or eligibility.
• Experience in neurosurgical or critical care settings is preferred.

Responsibilities

• Provides direct patient care, including comprehensive history and examinations.
• Performs procedures within scope of practice and privileges.
• Initiates referrals and collaborates with physicians for patient management.
• Assists in the operating room when applicable and feasible.
• Maintains licenses, certifications, and ongoing medical education.

Skills

Critical care

Neuroscience ICU

Patient assessment

Evidence-based practice

Education

Physician Assistant program

APRN program

Tools

EHR systems

Job description

Job Description Summary

Evaluating and managing inpatients on the Neurological Surgery Service. The successful applicant will be an Advanced Practice Provider interested in working full-time in the care of patients on the Neuroscience Intensive Care Unit. The APP will join a busy Neuroscience ICU Division that includes 5 Neuro-intensivists and 9 Advanced Practice Providers with plans for further expansion.

Entity

University Medical Associates (UMA) Only Employees and Financials

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC003542 COM NSGY Coverage CC

Pay Rate Type

Salary

Pay Grade

Health-33

Scheduled Weekly Hours

40

Fair Labor Standards Act Status

Salaried/ Exempt

Hours per week

Varies with scheduled shifts

Scheduled Work Hours/Shift

(14) 13-hour shifts in a month which includes nights, weekends and holiday coverage

Patient Population Focus

Neuroscience Intensive Care Unit (ICU)

Patient Population Age Range

13 years-death

Required Minimum Training And Experience Training

Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN as noted below.

• Physician Assistant
• APRN License Type/Certification:
  • AGPNP/ANP (Adult Gerontology Primary Care NP or Adult NP): Adult pts (13 years to death), stable chronic disease state management or primary care setting.
  • FNP (Family NP): (birth to death) Stable chronic disease state management, primary care across the lifespan.

Preferred Training And Experience

Training: Physician Assistant or if APRN License Type/Certification: at least 1 year of Neurosurgical care as a NP/PA-C experience is preferred.

• Physician Assistant
• APRN License Type/Certification:
  • AGACNP/ACNP (Adult Gerontology Acute Care NP/Acute Care Nurse Practitioner): Adult pts (13 years to death), acutely ill or injured, potentially unstable, or technologically dependent (vents, drips, monitors, etc.)

Degree of Supervision

Advanced Practice Registered Nurse or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician.

Required Licensure, Certifications, Registrations

• All certifications must be current and complete prior to start date:
• Basic Life Support (BLS).
• Advanced Cardiovascular Life Support (ACLS)
• DHEC and DEA license applications must be started prior to first day.

Job Duties

Provides Direct Care To Patients Through The Following Activities

• Takes comprehensive history and performs physical examinations
• Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline
• Performs the following therapeutic procedures in accordance with procedural privileges, skill and proficiency as approved by the Clinical Division Chief. The Nurse Practitioner will assist/perform the following, but NOT limited to:
  • Lumbar Puncture
  • Central Venous line placement
  • Pulmonary Artery Catheterization
  • Arterial line placement
  • Endotracheal Intubation
  • Chest Tube placement
  • Bronchoscopy
  • thoracentesis
  • paracentesis
  • perform suturing/stapling, and removal of catheters/tubes/drains as needed.
• Initiates referrals to other health care provides, and/or consults with the attending physician or the collaborating physician
• Potential to first assist in the operating room
• Documents and bills for direct care provided
• Utilizes current research and evidence-based decision-making in all clinical practice
• Performs and participates in quality/performance improvement activities and clinical research
• Participates in and supports accreditation, compliance, and regulatory activities of the organization
• Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education
• Potential to precept students at MUSC enrolled as an advanced practice provider student; and facilitates the learning of other new team members
• APRN or PA must maintain licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law

Physical Requirements

Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces.

Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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