General Surgery APP- Reynolds Memorial Hospital

Essential duties and responsibilities include the following; however other duties may be assigned:

Provide healthcare services consistent with state law and the requirements of the professional licensing or certification authority and/or hospital privileges, where applicable. Such services may include, but are not limited to:

Essential Duties and Responsibilities: include the following. Other duties may be assigned.

1.0 Manages comprehensive and individualized care for surgery patients and their families in the inpatient phase of hospitalization, and in the ambulatory care arena (as applicable).

1.1 Completes daily rounds and/or pre-procedure evaluations, and participates in

consults for surgery as needed throughout the system

1.2 Participates in the peri-operative management of surgery patients; which includes (but is not limited to) first assisting in surgery

1.3 Completes integrated assessments.

1.4 With the collaboration of surgery faculty or by following established clinical guidelines and protocols, orders additional tests or consults.

1.5 Performs, interprets and communicates results of diagnostic tests in the outpatient and hospital setting.

1.6 Consults and communicates with surgery clinic and hospital staff regarding abnormal findings in the evaluations of patients.

1.7 Performs history and physical examinations and documents findings in medical

record.

1.8 Facilitates patient discharge be coordinating appropriate services and tests prior to

scheduled outpatient follow-up appointments in the surgery clinic (as applicable).

1.9 Performs necessary procedures following established clinical guidelines and Protocols for vascular surgery and scope of practice (SOP).

2.0 Manages comprehensive and individualized care through the inpatient and immediate post-discharge phase of the patient's hospitalization experience and in the outpatient setting. (as applicable).

2.1 Develops a comprehensive individualized plan of care for surgery patients, which includes teaching, discharge, and follow-up planning and necessary referral to other members of the health care team as necessary.

2.2 Demonstrates expertise in caring for patients across the age continuum of their educational experience and certification.

2.3 Participates in physician rounds, and consultations as applicable

2.4 Identifies unstable or complex patient care situations and facilitates appropriate intervention in the clinic and/or hospital setting.

2.5 Facilitates patient discharge by coordinating appropriate services and tests prior to scheduled outpatient follow up appointments (as applicable).

2.6 Evaluates patients in the outpatient setting. Acts as a coordinator for follow up procedures and tests in the outpatient setting (as applicable).

2.7 While in the clinic setting, assists in the collection of outcome measures (as applicable).

2.8 Demonstrates critical thinking and diagnostic reasoning skills in clinical decision making by the identification, evaluation and management of the individual needs of patients/families.

2.9 Demonstrates the ability to utilize basic equipment in a safe manner.

2.10 Recognizes emergency situations and initiates effective emergency care.

2.11 Bases decisions made/actions taken on relevant scientific principles, established standards of care and/or research findings.

3.0 Utilizes teaching/learning theory and appropriate teaching strategies in the provision of education to nursing staff, hospital staff, students, patients, families, and the community.

3.1 Promotes an environment that facilitates learning by responding to appropriate Patient/family preferences, priorities and readiness to learn.

3.2 Evaluates the effectiveness of the surgery patient/family teaching and collaborates with the nursing and clinical staff in the completion of education plan.

3.3 Updates own knowledge base throughout the year.

3.4 Completes all identified clinical competencies.

3.5 Serves as a resource person for staff caring for the patient.

3.6 Provides educational programs to professional and paraprofessional personnel in

area of expertise.

3.7 Mentors nursing personnel in all levels of clinical practice.

3.8 Participates in community programs, distribution of literature, as appropriate in your area of expertise.

4.0 Communicates effectively with patients/families, physicians and ancillary services at all levels to assure coordinated efficient patient care.

4.1 Documents the plan of care, interventions and evaluations in a clear and concise manner for every patient visit in the patient's medical record following approved hospital/UHA policies and compliance standards

4.2 Documents all interventions in the patient's medical record following approved hospital/UHA policies and compliance standards for documentation.

5.0 Collaborates with other leaders and staff to effectively achieve needed change.

5.1 Provides leadership in the development and implementation of changes in practice that positively impact patient outcomes.

5.2 Works collaboratively with medical and nursing staff to facilitate creative problem solving and provide professional support.

5.3 Participates and initiates inter-disciplinary approaches to patient care, program development and education. Serves as a professional role model.

5.4 Promotes and practices innovation of the expanded role in the delivery of care to patients and families throughout the inpatient hospitalization, and in the ambulatory setting

5.5 Participates and provides leadership for committees and task forces.

5.6 Documents hours and submits billing reports, as appropriate.

6.0 Participates in the WVUH/UHA Performance Improvement Plan.

6.1 Applies information from Performance Improvement activities, changing practice as necessary, to improve care provided to patients.

6.2 Reviews and interprets surgical data from sources such as patient registries, clinical and financial reports, length of stay, access to care, and cost per case reports and recommends/implements changes as necessary.

6.3 Participates in clinical trials and research studies with the Principal Investigator.

6.4 Assists surgery Faculty, Administrators, and Directors in the collection of outcome measures.

7.0 Other duties/projects as assigned.

Performance Standard: Adheres to the established Performance Expectations for UHA Employees in the areas of People, Service, Performance Improvement, and Shared Values & Culture.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The environmental factors and fundamental physical requirements essential to perform all the expected and potential duties of the APP role are as follows:

Physical Requirements

*Heavy/Hard work: Work requires strength and/or stamina, lifting, moving, stooping, reaching, positioning of patients, standing, walking, and carrying of patients, materials and equipment weighing 40+ pounds.

Environmental Factors

*Working closely with others

*Protracted or irregular hours

*Working around biohazards

*Working around infectious diseases

*Working with or near the deceased

*Working with hands in water

*Electrical hazards associated with patient care equipment

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Knowledge, Skills and Abilities:

*Proficiency with computers.

*Strong communication skills.