The trauma, critical care and acute care surgery advanced practice provider (APP) is a faculty member in the Division of Trauma, Critical Care & Acute Care Surgery. In this role, the selected candidate will work as part of a high-performing Trauma team in the Level I Trauma program at Oregon Health & Science University. The hospital is a tertiary referral center with a robust group of consultants and specialists. The selected candidate will have the option to fulfill a critical role on the Trauma team as an ICU APP providing patient care in the Trauma/Surgical Intensive Care Unit (TSICU). The appointee works in partnership with faculty physicians, fellows and residents to provide excellent clinical care and customer service to patients; works in conjunction with physician faculty and OHSU leadership to provide services to further the University’s missions and goals of teaching, research, patient care, and public service as well as the department’s and OHSU’s goal of providing effective and efficient care. This position will work cooperatively with nursing staff to provide education, continuity, and quality improvement initiatives. 

Clinical Responsibilities:

• Provide medical and advanced practice management independently and/or in conjunction with attending physicians. Works in conjunction with attending physicians to provide continued clinical care in the inpatient and outpatient settings.
• Communicate with attending physicians, patients and families regarding patients’ conditions, treatment plans, and urgent medical needs.
• Assure appropriate setting of care (inpatient, critical care, acute care).
• Document subjective and objective findings, assessment and plan clearly and accurately in daily progress notes.
• Identify discharge needs early and communicate plan to patients, families, nurse case manager, and other healthcare team members.
• Work with nurses, social workers, nutrition services, pharmacy and others as needed to assure optimum patient care.
• Make appropriate referrals to specialty care service within OHSU and outside of OHSU.
• Consult with specialty care providers when appropriate.
• Maintain communication with external providers and other individuals and agencies (e.g. skilled nursing facilities) as appropriate.
• Perform clinical procedures as indicated (e.g. central venous access, chest drains, intubation).
• Adheres to best practice protocols and policies.
• Respond to and manage adverse infusion reactions and other emergencies, and review patient labs and physical conditions in order to override treatment parameters as appropriate.
• Ordering as needed (PRN) medications.
• Review urgent EKG’s, imaging, laboratory studies and other ancillary tests prior to start of treatment.
• Review investigational study EKG’s, imaging, labs and other ancillary tests prior to start of treatment.
• Provide consultation to OTU nurses.
• Consult with pharmacists on treatment changes and PRN medications.

Quality and Research:

• Work with clinic and hospital staff to optimize order sets, patient instructions, and other infrastructure that supports patient care.
• Identify and engage in opportunities to improve the quality and efficiency of care provided to trauma patients.
• Promote use of appropriate research findings in practice to exceed the standards of care.
• Work with the physician leadership, nurse managers, nursing staff and social workers to prevent and/or respond to patient complaints.
• Effectively manage resources.
• Participate as coinvestigator in clinical research studies.

PA Qualifications:

• Completion of an accredited Physician Assistant training program.
• Current registration with the Oregon Board of Medical Examiners as a licensed Physician Assistant. 
• Current ACLS certification.
• DEA certification.
• Require previous PA experience in critical care. 
• Interest in learning advanced clinical skills required to practice in the ICU environmnet.  

NP Qualifications:

• Master Degree in Nursing or Master of Science in Nursing in the speciality of Acute Care Nurse Practitioner (ACNP) from an accredited program.
• Current RN and NP licensure with the Oregon State Board of Nursing.
• Current ANCC Board Certification.
• Current ACLS certification.
• DEA certification.
• Require previous experience in critical care either as a nurse or nurse practitioner.
• Interest in learning advanced clinical skills required to practice in the ICU environment.

Required skills and experience: Prior experience in critical care; preference for trauma or surgical critical care APP experience. Must be able to manage complex critically ill patients with senior back-up.

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.