• Nurse Practitioner - Post-Operative Care (ARJR)

    Location US-NY-New York
    Posted Date 1 month ago(4/20/2018 7:44 AM)
    Job ID
    2018-10038
    Category
    Advanced Practice Nurses
    Emp Status
    Regular Full-Time
    Hours per Week
    35
    Shift
    Days
  • Overview

    The Nurse Practitioner (NP) is an advanced practice nurse with training in both the nursing model and medical model of care, Hospital for Special Surgery (HSS) NPs are committed to personalized, high-quality healthcare and are held to the same legal and ethical standards of care as physicians and surgeons. Autonomously and in collaboration with healthcare professional and other individuals, the NP provides a full range pf primary, acute, and specialty healthcare services, including:

    • Diagnosing and treating acute and chronic conditions such as diabetes, high blood pressure, infections, and injuries
    • Ordering, performing and interpreting diagnostic test such as lab work and x-rays
    • Prescribing medications and other treatments
    • Managing patients’ overall care
    • Counseling
    • Educating patients on disease prevention and positive health and lifestyle choices

     

    HSS NP’s serve pediatric and adult patients in an extensive range of practice settings throughout the hospital and its local and regional ambulatory sites. Their specialty and subspecialty areas include: Adult Reconstruction and Joint Replacement (ARJR), Anesthesia (PACU/OSCU/SDU), Anticoagulation, Cardiology, Diabetes Care, Intensive Care, Metabolic Bone, Occupational Health, Pain Management, Pediatric Orthopedics, Post-Operative Care, Radiology, Spine, Trauma, Wound Care, and private practice (physician and surgeon offices).

     

    The nurse practitioner-led post-operative care service proactively and reactively manages patients’ clinically- related concerns, issues, or questions pertaining to their surgery. The service focuses particularly on issues arising within the first 90 days after discharge from the hospital, but also supports the management of surgically-related matters and annual follow up visits in coordination and collaboration with surgeon’s and their offices. Patients are predominantly from the Adult Reconstruction & Joint Replacement (ARJR) service, but also participate from Sports, Hand & Foot, and Spine services. NPs bill for their services, when applicable.

    The Post-Operative Care NP role includes:

    • Triaging post-operative patients to determine the appropriate course of treatment
    • Evaluating and treating patients with conditions related to their recent surgery in collaboration with the patient’s attending surgeon
    • Managing patient concerns and issues (reactively) via phone during the 90-day post-operative period and beyond when related to the surgical intervention
    • Managing potentially high-risk patients for surgical complications (proactively) via phone during the 90-day post-operative period
    • Assessing necessary clinical concerns via physical examination and diagnostic testing
    • Ordering and interpreting x-rays, ultrasounds, CT, MRI
    • Referring to primary care providers (PCPS) and medical specialists (e.g., cardiology, dermatology) based on clinical findings
    • Referring to emergency departments or initiating hospital admission, when clinically necessary
    • Conducting annual follow up visits for patients who previously had surgery with an HSS surgeon
    • Performing steroid injections, wound vac applications/removal, suture/staple removal, cast/splint removal, splint/brace application, pin care etc.
    • Most post-operative issues and complaints involve:
      • pain
      • swelling (incision & wound care; r/o infection)
      • joint dislocation, fracture; range-of-motion assessment
      • cellulitis, DVT, hemarthrosis, hematoma
      • medication refills; side effects
      • rehabilitation/ physical therapy
      • patient education
      • coordination of care

     

    The Post-Operative Care service is the largest service utilizing NPs at HSS. This NP position is based at the main hospital in the Upper East Side of Manhattan (New York, NY).  This is a full time position, working 10 hour days (four per week) with weekend call 5-10 times a year.

     

    This positon requires a motivated NO who is able to function autonomously within established practice protocols and a collaborative agreement.

     

    Requirements:

     

    • master’s or doctoral degree from an accredited school of nursing
    • licensure as an NP and RN in the state of NY
    • board certification as an NP
    • DEA
    • CPR certification: BLS
    • three (3)+ years of related experience as an NP in an outpatient setting; experience in orthopedics preferred
    • experience with an EMR (preferably Epic)

     

    All NPs are supported by HSS Center for Advanced Practice Nursing. The center is dedicated to promoting and cultivating the role of the advanced practice provider (APP) within HSS as well as among the medical community in New York City and nationally. The center develops policy and processes, provides resources, and guides the utilization and management of all advanced practice nurses-NPs and CRNAs- practicing throughout the hospital and at its local and regional sites.

     

    Hospital for Special Surgery (HSS) offers a unique work environment, diverse job types and extraordinary careers opportunities. HSS encourages and supports professional growth and development, recognizes individual contributions, and offers unique and highly competitive compensation packages. This is how we attract and retain highly skilled professionals, renowned for their leadership and vision in clinical care, teaching, research & development.

     

    Founded in 1863, HSS is a world leader in orthopedics, rheumatology, and rehabilitation. In the most recent U.S News & World Report “American’s Best Hospitals” issues, HSS ranks #1 in orthopedics and #2 in rheumatology. In addition, the American Nurses Credentialing Center has honored HSS with four consecutive designations of Magnet recognition. HSS has one of the lowest infection rates in the country.

    Other Requirements

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