Advanced Practice Provider Neurovascular

SUMMARY

The Nurse Practitioner/Physician Assistant is accountable to facilitate a quality hospital experience and outcome for patients within a highly specialized team in Neurointerventional Radiology and Vascular Neurology. The Nurse Practitioner/Physician Assistant will be responsible to the Medical Director of Patient Services and responsible for overseeing the progress of a specific caseload of patients across the care continuum. Acts as an educator, consultant, and liaison to healthcare providers caring for the patients across the care continuum.

The Advanced Practice provider (APP) hired for the Neurovascular Center (NVC) will be an integral part of the team caring for ischemic and hemorrhagic stroke patients, as well as other cerebrovascular disease. Assists in the care of these patients throughout their hospitalization, including the hyperacute phase. The work performed will primarily be in three locations:
The Emergency Department, Stroke Service and in Neurointerventional Radiology.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:
Instill Trust and Value Differences, Patient and Community Focus and Collaborate.

• Demonstrates a fundamental knowledge in the field and manages a caseload of patients in partnership with the healthcare team to optimize health status and coordinate care over time and across healthcare settings.
• Oversees care coordination in acute, home care, and ambulatory care settings as feasible and assists the healthcare team to achieve mutually agreed upon healthcare goals by providing necessary support, education and encouragement.
• Demonstrates advanced physical and psychosocial assessment skills and knowledge of family dynamics and provides direct care to patients in acute care settings.
• Performs advanced practice skills under the supervision of the Medical Director and provides expert consultation for clinical issues promoting increased knowledge and skills for the consultee.
• Participates in the education, clinical research and mentoring of healthcare providers and facilitates patient/family education in area of expertise.
• Annually completes mandatory safety infection control, BLS, and ACLS/PALS and Prescriptive privileges per licensure.
• Emergency Department - Hyperacute patients:
  Responds to all code strokes, obtains and maintains NIHSS certification, obtains and maintains certification for Modified Rankin Scores, communicates and coordinates hyperacute care with ED, Neurology & NIR, obtains consent and performs pre-procedure evaluation if patient is going to NIR, off hours begin NIR preparing room for the procedure, scrubs and participates in the procedure, assists Neurology resident with admission H&P orders, assists in hyper-acute MRI process when indicated.
• Stroke Unit - Ischemic and Hemorrhagic stroke patients on Stroke Unit and ED Evaluation:
  Rounds with Vascular neurology team, performs H&P, daily exams, progress notes, discharge summaries and hospital course; acts as resource to Neurology resident with other issues on Stroke service patients as needed.
• NIR Service - Prior to, During and after neurointerventional procedures:
  Assist NIR attending with consent, pre-procedure H&P, discharge summaries, discharge instructions for outpatients and any other pre-, intra- or post-procedural issues as needed; become proficient at sterile technique, radiation safety, fluoroscopic equipment, prepare sterile tray, obtain arterial and venous access, assist primary operator in interventional cases, proficiency at arterial and venous access closure using closure devices.

• Masters of Science Degree, Graduate of accredited Nurse Practitioner or Physician Assistant program; specialty certification required for Nurse Practitioners.
• Baccalaureate in Nursing.
• Certified in Basic Cardiac Life Support (BLS) and Advanced Cardiac Life Support (ACLS).
• One to two years related experience as an APP in acute care hospital setting preferred.
• Performs independently within department policies and practices, refers complex problems to supervisor when clarification required.

Pay Range: $-$

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903

M-F 7:00am-7:30pm, occasional weekend, occasional night

Variable

12 hours

No