Entity/Organization: MUSCP- (MUSC Physicians)

Job Title: MUSCP Advanced Practice Provider (APP - NP/PA)- Department of Neurosurgery

Job Summary/ Purpose: The department of Neurosurgery is recruiting for an Advanced Practice Provider, who will be responsible for evaluating and managing inpatients on the Neurological Surgery Service. The successful applicant will be a Advanced Practice Provider interested in working full-time in the care of on the Neurological Surgery Service. The APP will join a busy Neuroscience ICU Division that includes 4 Neuro-intensivists and 7 Advanced Practice Providers with plans for further expansion.

Fair Labor Standards Act Status: Salaried/Exempt 

Hours per week: Hours vary

Scheduled Work Hours/Shift: (13) 13 hour shifts in a 4-week block which includes nights, weekends and holiday coverage.

Patient Population Focus
Neuroscience Intensive Care Unit (ICU)

Patient Population Age Range
13 years-death

Required Minimum Training: Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN as noted below.

APRN License Type/Certification: 

• AGPNP/ANP (Adult Gerontology Primary Care NP or Adult NP): Adult pts (13 years to death), stable chronic disease state management or primary care setting.
• FNP (Family NP): (birth to death) Stable chronic disease state management, primary care across the lifespan. 

Preferred Training: Physician Assistant or if APRN License Type/Certification: 

• AGACNP/ACNP (Adult Gerontology Acute Care NP/Acute Care Nurse Practitioner): Adult pts (13 years to death), acutely ill or injured, potentially unstable, or technologically dependent (vents, drips, monitors, etc.) 
  
  

Preferred Experience: at least 1 year of Neurosurgical care as a NP/PA-C experience is preferred. 

Degree of Supervision
Advanced Practice Registered Nurse or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician.

Required Licensure, Certifications, Registrations
All certifications must be current and complete prior to start date:
Basic Life Support (BLS).
Advanced Cardiovascular Life Support
If applicable, DHEC and DEA license applications must be started prior to first day.

Job Duties:

Provides direct care to patients through the following activities:

• Takes comprehensive history and performs physical examinations
• Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline
• Performs the following therapeutic procedures in accordance with procedural privileges, skill and proficiency as approved by the Clinical Division Chief. The Nurse Practitioner will assist/perform the following, but NOT limited to:
  • Lumbar Puncture
  • Central Venous line placement
  • Pulmonary Artery Catheterization
  • Arterial line placement
  • Endotracheal Intubation
  • Chest Tube placement
  • Bronchoscopy
  • thoracentesis
  • paracentesis
  • perform suturing/stapling, and removal of catheters/tubes/drains as needed.
• Initiates referrals to other health care provides, and/or consults with the attending physician or the collaborating physician
• Documents and bills for direct care provided
• Utilizes current research and evidence-based decision-making in all clinical practice
• Performs and participates in quality/performance improvement activities and clinical research
• Participates in and supports accreditation, compliance, and regulatory activities of the organization
• Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education
• Potential to precept students at MUSC enrolled as an advanced practice provider student; and facilitates the learning of other new team members
• APRN or PA must maintain licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law

Physical Requirements: Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces.