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Posted: 08-Jan-23
Location: Grapevine, Texas
Salary: Open
Internal Number: 22025106
JOB SUMMARY
The Neurosurgery Nurse Practitioner actively renders direct patient care and possesses delegated prescriptive authority, is credentialed and privileged, and whose service is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare systems, and in accordance with the appropriate board. The Advanced Practice Provider provides medical care based upon the scope of practice as delineated by the supervising physician. These providers work in a specialty clinic, and may specialize in surgical neurology.
ESSENTIAL FUNCTIONS OF THE ROLE
- Neurosurgical general consultations and diagnose (clinic and hospital): acute/chronicback pain, neck pain, cervical/lumbar radiculopathies, herniated disc diseases, degenerative spine disease, lumbar scoliosis, discitis/osteomyelitis of spin; carpal tunne syndrome, ulnar nerve compression; normal pressure hydrocephalus, brain/spine tumors (metastatic brain tumors, schwannoma, glioma, meningioma, CNS lymphoma, etc.)
- Neurotrauma consultations: C1/2 fractures from MVA or falls, burst/compression/chance fractures; acute/chronic SDH, SAH, ICH, emergent head and spine traumas; Cauda equina syndrome, Conus Medullaris
- Preop management: obtaining imaging (MRI, CT, x-rays), labs (CBC w/ diff, BMP/CMP, PT/PTT, INR, UA w/ culture + sensitivity), surgical clearance (pulmonary, cardiology, anesthesia, etc.), explaining surgical details, and starting medication to prevent risk of intra/postop infections.
- Postop management: removing staples, sutures, JP drain, EVD catheters. Reviewing postop lab values (CBC w/ diff, BMP/CMP, intra-op cultures). Obtaining follow up imaging to evaluate postop hardware placements, SDH/ICH/IPH, tumor monitoring. Measuring/correcting VP shunt levels. Referral to physical therapy and/or occupational therapy, pain management.
- Experience with interpreting head, C/T/L-spine MRIs, CT, CT myelograms, and x-rays (AP, lateral, flexion, extension views), and EMG/NCV studies. Ordering diagnostic imaging (MRI/CT with contrast vs non-contract studies).
- Assesses the physical and mental condition of patients by performing and obtaining comprehensive or problem-focused physical examinations and medical histories.
- Orders, collects, interprets, and evaluates laboratory and other diagnostic tests to assess patient problems and health care needs.
- Prescribes, recommends and/or employs medical drug therapies or other forms of related therapeutic treatments and procedures or performs indicated procedures in accordance with approved protocols/policies with attention to efficacy, safety, and cost. Recommends interventions to modify behavior associated with health risks.
- Formulates and implements comprehensive outcomes-based patient treatment plans based on patient assessments, evidence-based medicine, standards of care, professional practice guidelines and in collaboration with physicians and other interdisciplinary team members when appropriate. Evaluates patient’s response to health care provided and the effectiveness of care.
- Counsels patients and families regarding medical processes, management of the health illness/condition, medication, nutrition, and health promotion. Counsels patients about drug regimens and possible side effects or interactions with other substances such as food supplements, over the counter medications and herbal remedies.
- Maintains appropriate records detailing the patient’s treatment plans and outcomes. Initiates timely consultation and referral when the problem exceeds scope of practice and/or expertise.
- Provides consultation level services for conditions/problems related to the Provider’s specialty and training.
- Manages patients in a healthcare setting(s) other than primary clinic setting (e.g., inpatient, emergency services, procedural, etc.).
- Performs invasive procedures specific to scope of practice and competency of the provider as delegated by supervising Physician.
- May be required to perform patient care duties beyond regular schedule based on coverage needs of the department.
KEY SUCCESS FACTORS
Knowledge of information and techniques needed to diagnose and treat human injuries, diseases, and deformities to include symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures
Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions
Verbal and written communication skills
Interpersonal skills
Critical thinking and complex problem-solving skills
Skill in the use of computers and related software applications
Ability to develop and implement comprehensive outcomes-based patient treatment plans
Ability to counsel patients concerning medical and psychological/psychiatric conditions, treatment plans, and behavior modification
Ability to interpret and evaluate laboratory and other diagnostic tests
Texas RN licensure or RN licensure with compact privilege from a state that is party to the Nurse Licensure Compact for RNs and LVNs & Texas APRN
Current license to practice as a Nurse Practitioner in the state of Texas
Basic Life Support (BLS) within 30 days of hire or transfer
Certification from an accredited board as an APRN for the patient population of focus required
BENEFITS
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
- EDUCATION - Grad of an Accredited Program
- EXPERIENCE - Less than 1 Year of Experience
- CERTIFICATION/LICENSE/REGISTRATION -
Nurse Practitioner (NP)
Registered Nurse (RN)
Basic Life Support (BLS): Basic Life Support (BLS) within 30 days of hire or transfer.
