The advanced practice clinician (Nurse Practitioner/Physician Assistant) collaborates with and is an integral member of a multidisciplinary healthcare team in the ambulatory and inpatient settings. The APC provides comprehensive care in the Department of Otolaryngology-HNS, Sleep Surgery subspecialty outpatient practice.

Assessment & Management

• Provides emergent, inpatient and/or outpatient medical care with the supervision but not necessarily the presence of a qualified physician member of the medical staff
• Performs complete history & physicals and documents in the medical record.
• Works in collaboration with staff physicians, house officers, nurses, and other members of the medical care team to ensure that patient outcomes are achieved in a safe and efficient manner.
• Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
• The APP may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
• Assesses for risks associated with the care of the acute and complex chronically ill patient including medication side effects, immobility, impaired nutrition, fluid, and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.

Diagnosis

• Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
• Manages diagnostic tests through ordering, interpretation, performance, and supervision.
• Formulates differential diagnoses by priority.
• Diagnoses complications and orders appropriate interventions

Procedures

• Flexible Fiberoptic laryngoscopy
• Nasal Endoscopy
• Non Surgical control of Epistaxis
• Tracheostomy changes

Plan of Care

• Manages the plan of care through evaluation, modification, and documentation according to the patient’s response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes.
• Identifies expected outcomes from diagnosis and formulates and documents a plan of care to address complex acute and chronic health care needs.
• Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.

Documentation

• Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable. (h&p, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, in medical record, patient unit or service, death summary)
• Documentation is timely, meets acute care compliance standards and captures patient acuity.
• Navigation of the electronic health record system.
• Ability to locate and review specific patient data in various clinical information systems.
• Effectively uses clinical decision support tools.

Communication and Collaboration

• Maintains ongoing communication and collaboration with interdisciplinary health care team.
• Facilitates and communicates with patient, family, and staff to promote continuity of care across the inpatient and outpatient continuum of care.
• Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members.

Professional Practice

• Maintains CEUs, and membership in a professional organization.
• Ability to work in an inter-professional team setting with multiple responsibilities.

• Master’s Degree
• National Board Certification as an Acute Care Nurse Practitioner or Physician Assistant
• BLS certification
• First Assistant Certification – Preferred but not needed

About Jefferson

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 42,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top healthcare systems in the country and the largest provider in the Philadelphia area, serves patients through millions of encounters each year at 17 hospitals and more than 160 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.