Physician Assistant-Peri Anesthesia PAC Clinic

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below.

GENERAL PURPOSE OF JOB

The Peri anesthesia APRN facilitates professional leadership and related specialized care to the pre-operative patient population, with the intent of optimizing patient outcomes and improving the pre-operative preparation of patients to decrease or prevent surgical delays or cancellations. Responsibilities include performing pre-operative physical assessments, obtaining history and physical information for MRI cases, assessing the need for and ordering appropriate pre -operative laboratory testing or pre-operative clearances, collaborating with an anesthesiologist to determine pre-operative medication orders, and managing data for the pre-op program for research, outcomes and/or reporting purposes.

ESSENTIAL FUNCTIONS AND BEHAVIORAL EXPECTATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.

• Maintains utmost level of confidentiality at all times.
• Adheres to hospital policies and procedures.
• Function within scope of practice, under the supervision of an attending.
• Have excellent communication and customer service skills, proven excellence in clinical care and supervisory skills.
• Participate and assist with coordination and continuity of care.
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• Assist with physician directed care including: 1) Write appropriate orders (e.

g., nursing care, medication orders, laboratory, and imaging/radiological examinations). 2) Review pertinent abnormal findings in the patient's history, physical examination, radiological and laboratory data with supervising physician, obtain appropriate referral/consultation, additional laboratory or radiological studies as needed, and initiate appropriate medical intervention(s). 3) Performing pre-operative physical assessments, obtaining history and physical information for procedures (invasive/non-invasive), assessing the need for, and ordering appropriate pre-operative laboratory testing or pre-operative clearances, collaborating with an anesthesiologist to determine pre-operative medication orders, and managing data for the pre-op program for research, outcomes and/or reporting purposes. 4) If applicable, performs and records history and physical examinations (initial admissions and consults will be seen by attending prior to implementing plan of care). 5) If applicable, completes consultations approved by the supervising physician with follow-up as indicated. Ensure testing has been completed, results verified, review labs/studies and vital signs. Complete progress note as indicated. 6) Advise supervising physician of unexpected events, providing an accurate synopsis of events related to a major change in the patient's condition and describing corrective measures already taken. 7) Daily assessment of patient's hospital course, write note of patient's progress in chart as it pertains to the supervising physician and implement indicated therapy as determined by the supervising physician. 8) Serve as a resource for clinical staff. Interpretation and findings for both patient and family, family orientation and resources information; coordination of meetings; communication between the pre-op clinic and primary care physicians and / or specialist; review and recommend specialty services if needed to patient's primary care provider. 9) Coordinates all activity necessary for the pre-operative program.

• Schedule and perform face-to-face patient interviews for high-risk patients (ASA 3+, high risk procedures)
• Coordinate high-risk patient anesthesiologist review as deemed necessary.
• Consult with anesthesiologist for decisions related to postponement/cancellation of a procedure.
• Assure that all patient testing is completed, assessed, and reported three days prior to date of surgery.

10) Acts as a liaison between the physicians and other staff 11) Maintains a database of current patients. 12) Assists with the coordination of discharge planning and/or follow-up.

EDUCATION AND/OR EXPERIENCE

• Master's or Post Master's Degree, required.
• Graduation from a Nurse Practitioners Program with practice authority in the State of Texas, required.
• 1-2 years of pediatric experience, preferred.
• 1-2 years in peri-operative or peri-anesthesia, preferred.

CERTIFICATES, LICENSURE, REGISTRATION

• Advanced Practice Certification X
• Family Nurse Practitioner, Board Certified (FNP-C or FNP-BC)
• Neonatal Nurse Practitioner, Board Certified (NNP-BC) X
• Pediatric Nurse Practitioner, Board Certified - Primary Care (PNP or CPNP-PC) X
• Pediatric Nurse Practitioner, Board Certified - Acute Care (CPNP-AC)
• Active and unencumbered nurse practitioner and registered nurse license in the State of Texas, required.
• Advanced specialty courses and ongoing education requirements as required by DCH.
• DCH Credentialing obtained within time frame required and continuously maintained ongoing.
• Must obtain DCH credentialing as an active member of medical staff and appropriate medical privileges, required.

Until all children are well. Driscoll Children's Hospital and its specialty centers, urgent care centers, and after-hours facility serve a vast area covering 31 South Texas counties. The hospital is a 191-bed tertiary care center offering 32 medical and 13 surgical specialties. Combined with our non-profit, community-based Health Plan, Driscoll Health System is an exceptional workplace for anyone with a big heart and a drive for success. Smiles, hugs and a soothing touch are as much a part of Driscoll's approach to treating children as is its advanced medical treatments and technologies. The core values at Driscoll Heath System are: Compassion, Advocacy, Respect, Excellence, and Stewardship. These values are exemplified through every position - from treating the most critical patients hands-on, to maintaining a clean environment, to keeping the organization running from behind the scenes. We invite you to learn about Driscoll's rich history and explore the laidback lifestyle South Texas has to offer.