The Orthopedic Trauma Advanced Practitioner provides medical services to assigned patients according to the Scope of Practice for Nurse Practitioners as identified by the American Academy of Nurse Practitioners OR as a Physician Assistant performs selective medical services and procedures under the direction of the Orthopedic Trauma Surgeon and the Trauma Medical Director. In addition to diagnosing and managing acute and chronic illnesses, the Orthopedic Trauma Advanced Practitioner emphasizes health promotion and disease prevention; orders, conducts and interprets diagnostic and laboratory tests, and prescribes pharmacologic agents and non-pharmacologic therapies.

PRINCIPAL JOB FUNCTIONS:

1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.

2. *Performs and documents medical history and physical examinations on patients; establishes presumptive diagnosis which are to be countersigned by the responsible physician; reviews patient records.

3. *Completes tertiary assessment on all newly diagnosed orthopedic trauma patients; alerts physicians to any changes in findings.

4. *Makes complete chart entries on patient transaction, writes orders and records progress notes which will be reviewed and countersigned by the responsible physician within 24 hours.

5. *Available for consultative visits with the patient and their family; serves as a resource person to the staff and physician; recommends changes in plan of care to facilitate optimum patient outcome.

6. *Interprets and integrates data to determine appropriate diagnostic and therapeutic procedures as needed; alerts physician to test results requiring attention.

7. *Orders appropriate laboratory and diagnostic procedures; keeps physician informed of changes requiring intervention.

8. *Synthesizes data to determine preliminary diagnosis and therapeutic plan utilizing principles of prevention.

9. Works with members of the interdisciplinary care team to coordinate family conferences and resolve family care problems.

10. *Sutures wounds; assists with other operative procedures as directed by the physician.

11. Prepares written prescription orders for drugs and controlled substances; may prescribe medications, including Schedule II controlled substances, in the name of the sponsoring physician, if the sponsoring physician has assigned the authority.

12. *Prepares and completes patient discharge summaries of patient hospital care within 24 hours of dismissal; has summaries cosigned by the responsible physician.

13. *Participates in code traumas; makes rounds with the orthopedic trauma surgeon on a daily basis and as called upon within current scope of professional practice.

14. *Completes follow up communication with sending/attending physician.

15. *Triages patients and other referral center(s) telephone calls and provides consultation; may request consultation at the direction of the sponsoring physicians.

16. Performs independent evaluations and treatment procedures in emergency situations; teaches/counsels individuals regarding follow-up care and activities as needed.

17. *Provides monitoring and continuity of care between physician visits.

18. Attends required meetings and participates in committees as requested; assists with trauma outreach activities related to education, site visits, etc.

19. Advances work knowledge by participating in continuing education in-services, reading periodicals/literature and seeking ongoing development opportunities; maintains professional affiliations.

20. *Complies with CLIA and OSHA clinical safety practices as well as administrative and facility regulations.

21. Assists in verifying physician charges for orthopedic trauma patient care.

22. Performs other related duties as assigned.

(Essential Job functions are marked with an asterisk "*". Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed.

EDUCATION AND EXPERIENCE:

Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Master of Science degree in Nursing with current Advanced Practice Registered Nurse licensure from the State of Nebraska required. Certification with the U.S. Drug Enforcement Administration for prescriptive authority required within 2 months of hire. Certification as Adult Nurse Practitioner or Family Nurse Practitioner preferred. Prior adult, trauma, orthopedic, or family practice experience preferred. Completion of Bryan credentialing and re-credentialing process required for employment.

OR

Graduate degree from a Physician's Assistant program required. Current licensure as a Physician Assistant required. Completion of Bryan credentialing and re-credentialing process required for employment. Certification with the U.S. Drug Enforcement Administration for prescriptive authority required within 2 months of hire. Prior adult, trauma, orthopedic, or family practice experience preferred. Integrated practice agreement with the Medical Director for Trauma or Orthopedic Trauma Surgeon as required by Nebraska State law is mandatory.

OTHER CREDENTIALS / CERTIFICATIONS:

Basic Life Support (CPR) certification, Advanced Cardiac Life Support (ACLS) certification, Pediatric Advanced Life Support (PALS) and Advanced Trauma Life Support (ATLS) certification required.