Advanced Practice Intern - Req #: 35483 - location: Cleveland, OH - facility: Cleveland Clinic Main Campus - professional area: Advanced Practice - department: Cerebrovascular Center - jobcode: T99221 - schedule: Full time - shift: 7:00pm-7:30am - Job Details Job Summary: Advanced Practice Intern to APRN III Inpatient - Neurosurgery Dept Physician Assistant Nurse Practitioner Adult Certified Nurse Practitioner Acute Care Certified Full Time - 3rd shift ( 7p to 7a) 1 weekend per month ( 7a- 4pm) No Holidays / No Call The Cleveland Clinics Neurological Institute has an exciting opportunity for a Physician Assistant or Nurse Practitioner to join our team of extremely supportive caregivers, serving the adult and pediatric population with our outstanding neurosurgical teams. Care for Pediatric through Geriatric population with neurosurgical needs across the spectrum from emergency room to ICU, stepdown and floor. Patient populations include those from our spine, cerebrovascular, tumor, functional epilepsy, and congenital surgical teams. Duties/procedures involved include standard hospitalist duties (admissions, history and physicals, discharges, consults, triage and respond to emergencies) and procedures including (but not limited to) lumbar punctures, sutures, staples, and shunt adjustments. Newly licensed considered and welcome to apply. Overview Overview Inactive No Effective Date 08/29/2018 Date of Last Change 08/27/2018 11:15:37.140 AM Job Profile Name T99221 - Advanced Practice Intern Job Code T99221 Include Job Code in Name No Job Profile Summary Begins orientation to the department, functioning under the direction of the midlevel manager and supervising physician and under an RN scope of practice until credentialed and privileged by Cleveland Clinic. Job Description Responsibilities: Completes patient history and performs patient assessment. Identifies, organizes and interprets relevant data according to RN scope of practice. l l Discusses findings with responsible provider. l Works as part of an interdisciplinary care team along with patient, family and significant others to develop plan of care. l Focuses on cost-effective ways to maximize wellness, prevent illness, disease and disability. l Develops and implements the nursing component of the plan of care as appropriate. l Provides health education to patients and families. l Evaluates learning needs and abilities of patients and families and adapts education to meet those needs. Documents education and participates in the development of the educational plan. Assists in the preparation of department specific education for patients and/or colleagues. l l Provides care for patients of all ages as per scope of practice. l Utilizes the health care resources appropriately. l Other duties as assigned. Education: Effective 05/01/2014: MSN required upon hire or within 5 years of hire for external hires and internal hires moving from a non- APN licensed role to an APN licensed role, eligible to sit for national graduate nursing certification exam leading to a certificate of authority in the State of employment. l Certifications: Cleveland Clinic Foundation Use Only 04:22 PM 08/29/2018 Page 1 of 4 T98577 - APRN/PA III - Job CodeJob CodeT98577 - Include Job Code in NameInclude Job Code in NameNo - Job Profile SummaryJob Profile SummaryAPRN: Nationally certified licensed healthcare provider who provides primary and/or specialty nursing and/or medical care in a variety of healthcare settings. Functions in collaboration with a physician according to a standard care arrangement and specialty certification. Provides advanced nursing care to patients with complex acute, critical, and chronic health conditions, including the delivery of acute care services. Practice with a variety of specialty-based populations including neonatal, pediatric, and adult. Practices in any setting in which patients require complex monitoring and therapies, high intensity nursing intervention, or continuous nursing vigilance within the range of high-acuity care. PA: Nationally certified licensed healthcare provider who provides primary and or specialty medical care (the practice of medicine) in a variety of healthcare settings. Functions the collaboration agreement of a Physician, (as per O.R.C. 4730) performs complete histories and physicals on patients of all ages to establish and record patient's current health status and to develop a working diagnosis and treatment plan to provide continuing medical care, including daily examinations, writing orders, chart notes, discharging patients and completing discharge summaries. This medical care may be in a variety of clinical settings. PA's are privileged by the Board of Governors. PA's in this role provide advanced care to patients with in any setting in which patients require complex, acute, critical and chronic health conditions. Practice in a setting that requires complex monitoring and therapies and high intensity medical/surgical interventions and/or continuous vigilance within the range of high-acuity care. - Job DescriptionJob Description Job Responsibilities: Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data on new and former clinic patients and hospital admissions to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan. Must be able to work with collaborating physician. Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. Performs routine procedures such as injections, immunizations, suturing and wound care, managing simple conditions produced by infection or trauma, assisting in the management of more complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in response to life-threatening situations, as privileged by CCF Credentialing Board. May prescribe and monitor medications as allowed by prescriptive authority through applicable state Board of Nursing/Medicine and CCF policy. Performs specialized procedures, including bone marrow aspirations, biopsies and harvest, blood draws, designated IV starts, spinal taps, thoracentesis and paracentesis as well as other specific procedures as directed by the physician, following approval by CCF Credentialing Board. Provides information and answers routine questions of patients regarding their disease, including preventive health maintenance topics such as diet, weight, smoking and topics related to medical specialty, with basic recommendations. Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards. Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment. Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary. Performs research follow-up studies. Assists in data analysis. Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care. Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management. May serve as clinical preceptor for PA/APRN students and other health professionals. May serve as Faculty for onboarding new employees. Demonstrates a high standard of moral and ethical behavior. Demonstrates compassion and professionalism and a commitment to excellent patient care. Routinely takes call and works some off shift hours: Weekends/holidays, possibly nights Some special procedure privileging is required Other duties as assigned. Education: - APRN: EDUCATION: Effective 05/01/2014: MSN required upon hire or within 5 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role. - Graduate of an accredited ARPN training program. - PA: EDUCATION: Graduate of an A.R.C.-approved Physician Assistant Program. - Master's degree in Physician Assistant Studies and/or applicable state license through the State Medical Board for certificate to practice. Certifications: - APRN: Currently licensed as a Registered Nurse and Advanced Practice Registered Nurse in applicable state. - National certification as Advanced Practice Registered Nurse by nationally accredited organization recognized by state Board of Nursing, current licensure by applicable state Board of Nursing, (including certificate to prescribe if applicable). - Basic Life Support (BLS) through the American Heart Association (AHA) required. - Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting. - PA: Current certification as a Physician Assistant through the NCCPA (or successor). - Must have Prescriptive authority or eligible to apply for licensure to prescribe from the State Medical Board within the first 6 months of hiring. - Must have a Physician Supervision Agreement (listed on State Medical Board website) and/or signed addendum to Physician Supervision Agreement. - Must be privileged by CCF's Credentialing Board. - If candidate has held a license to prescribe within another jurisdiction and needs to obtain a Master's degree in order to apply for CT prescribe from applicable state, the candidate will be subject for review for eligibility for hiring within our system. - Basic Life Support (BLS) through the American Heart Association (AHA) required. - Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) may be required based upon work setting. Competencies (Complexity of Work): - APRN/PA: Excellent analytical and decision making skills are required. - Strong written and verbal communication skills. - Ability to work as a member of a multi-disciplinary team. - Demonstrated competency and the ability to perform advanced assessment and diagnosis. - Demonstrated ability to utilize the electronic medical record. - Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. - Must be able to work in a stressful environment and take appropriate action. - Depending on practice, surgical fields may require surgical experience. Work Experience: - APRN: Two years clinical advanced practice nursing experience preferred. - Will consider new graduates - PA: Two years relative clinical experience preferred. - Will consider new graduates Physical Requirements: - APRN/PA: Typical physical demands include the ability to walk and stand for long periods of time. - Manual and finger dexterity and eye/hand coordination to perform physical examinations. - Requires corrected vision and hearing to a normal range. - Occasionally lifts and carries items weighing up to 50 pounds. - May require exposure to communicable diseases and/or body fluids. Personal Protective Equipment: - Follows standard precautions using personal protective equipment as required. - Additional Job DescriptionAdditional Job Description The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinics Smoking Policy will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility. Cleveland Clinic is pleased to be an equal employment employer: Women/Minorities/Veterans/Individuals with Disabilities