Neurosurgeon Job at Mary Washington Healthcare in Fredericksburg, VA

Job Summary:

• Responsible for Inpatient rounding, Outpatient clinic and will have an OR rotation. No call right now but may change in the future as the dept/organization grows. Looking for someone with a minimum of 1 year APP experience. Surgical (any) experience preferred. 

Essential Functions & Responsibilities: 

• In collaboration with physician, demonstrates ability to consul patients and family members about diagnosis, testing, surgery and risk of procedures.
• Performs comprehensive health assessments for the purpose of diagnosing and treating individuals.
• Formulates appropriate differential diagnosis, develop treatment plan to include appropriate diagnostics; identifies non-pharmacological interventions, appropriate pharmacological agents and education. The plan is based on mutually established priorities to maximize the heath potential of the patient.
• Provides relevant patient and family education; makes appropriate referrals to other professional and community agencies.
• Orders and provides preliminary interpretation of diagnostic studies.
• Prescribes non-pharmacological therapies and pharmacological agents within the defined scope of service and according to guidelines established by the supervising physician.
• Demonstrates the ability to use effective organizational/prioritization problem-solving and decision-making abilities in practice.
• Provides emergency treatments and initiates emergency life saving measures per ACLS guidelines.
• Meets all the requirements of the practice agreement with the supervising physician under the regulations and requirements of the Commonwealth of Virginia.

Delineation of Privileges:

• Obtain, record and dictate medical histories
• Perform, record and dictate physical examinations
• Make daily rounds, record progress notes, write routine comfort and diet orders, order laboratory tests and non-invasive examinations, write approved routine orders, and change dressings
• Prepare patients for discharge from the hospital
• Dictate discharge and transfer summaries
• Evaluate patients who require a surgical consult

Clinical procedures:

• Apply and change dressings
• Remove sutures and staples
• Perform venipunctures
• Insert IV needles and catheters
• Catheterize urinary bladder
• Pass nasogastric tubes
• Place and remove chest tubes and monitoring lines
• Irrigate chest tubes and catheters
• Remove intra-aortic balloon pump
• Debride, irrigate and pack surgical wounds
• Remove drainage catheters

Communication:

• Educate patient/family regarding disease, procedures, medication, nutrition, healthcare, and post-discharge care
• Dictate letters to physicians, patients
• Act as liaison between patients and physicians
• Act as liaison between nursing and physicians
• Request consults from health agencies and act as liaison
• Make and receive phone calls to/from patients, physicians and nurses for information, advise, triage

Other:

• Maintain statistics
• Complete insurance forms and home health forms
• Maintain written material; teach devices and special equipment for use of personnel and patients.

Qualifications:

• Registered Nurse licensed to practice in Virginia or eligible, required
• MSN, required
• Current Virginia state certification as an Adult Nurse Practitioner, required
• AHA BLS Provider CPR required
• Recent adult medical-surgical experience (5 years of experience), required
• Ability to work effectively in emergency situations and under stress
• Proficient leadership skills
• Ability to work cooperatively/collaboratively as part of a team, developing productive working relationships with diverse groups of people.