Inpatient Neurosurgery - APP
Listed on 2026-03-10
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Nursing
ICU Nurse, Nurse Practitioner, Clinical Nurse Specialist, Emergency Medicine
Overview
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The Physician Assistant or Nurse Practitioner is a licensed professional provider who functions in collaboration with an attending physician in a variety of practice settings vides exceptional direct diagnostic and therapeutic patient care to the highest standards of the organization as part of a multidisciplinary team. Cultivates a patient‑centric environment which focuses on the whole individual inclusive of physical, psychosocial, spiritual and functional needs of the patient, family, and significant others.
Serves as the focal professional for the continuity of care in patient care within scope of practice standards, as well as specialty‑specific standards to address and resolve problems that may arise.
The Advanced Practice Provider (Nurse Practitioner or Physician Assistant) on the Inpatient Neurosurgery Service delivers high‑quality, evidence‑based care across the continuum—from the Emergency Department and OR to step‑down and acute care floors. Covering a 24/7 service
, the APP performs initial evaluations, daily management, and consultations for patients with cranial, spinal, trauma, and functional neurosurgical conditions in collaboration with neurosurgeons, intensivists, hospitalists, nursing, and interprofessional teams. The role emphasizes clinical excellence, procedural competency (per privileging), patient safety, efficient workflows, and clear communication with patients, families, and teams.
- Perform comprehensive history, neurologic and neurosurgical examinations for admissions, transfers, and daily rounding.
- Develop and implement plans of care for postoperative and non‑operative cranial and spinal conditions (e.g., tumor, hemorrhage, hydrocephalus, spine trauma/degeneration, vascular lesions, Chiari, functional disorders).
- Manage neurosurgical emergencies and high‑acuity conditions in collaboration with attending neurosurgeons and intensivists.
- Order, interpret, and integrate diagnostics (CT/MRI, CTA/MRA, ICP data, CSF studies, labs).
- Manage postoperative care, pain, DVT prophylaxis, wound and drain care, steroid and anticonvulsant protocols, antibiotics, and glycemic and hemodynamic targets.
- Coordinate care transitions (ED → ICU/floor, OR → ICU/floor, ICU → floor, inter‑facility transfers) and discharge planning with robust patient/family education.
- 1–2+ years of neurosurgery, neurocritical care, trauma, or ICU experience.
- ENLS (Emergency Neurological Life Support),
NIHSS certification;
FCCS or ATLS (for trauma centers) exposure preferred. - Experience with CSF device management, postoperative spine pathways, and neurosurgical consult triage.
- Proficiency with EMR documentation and order entry; familiarity with structured handoff tools.
EEO/AA/Disability/Veteran
ResponsibilitiesThe Physician Assistant (PA) or the Nurse Practitioner (NP) provides assessment, triage, and therapeutic management of patient/family needs throughout the disease process as an integral part of an interdisciplinary team. The NP/PA, whether the practice setting is the inpatient, ambulatory, or outpatient settings, provides optimal patient care, from diagnostic to prognostic matters. This individual works in collaboration with the attending supervising/collaborating physician(s) in accordance with state law and hospital regulations, hospital policy, protocols and clinical pathways and may provide autonomous team‑based care.
Obtains medical histories, performs physical examinations, reviews and orders diagnostic/theric tests and radiologic results, formulates and manages patient treatment plans. The NP/PA may perform procedures, prescribe treatment and medications in accordance with institutional and state guidelines, as well as, when necessary for scope within specialty or professional competency standards. In some clinical specialties, the NP/PA may have autonomous practice managing…
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