The Advanced Practice Provider (APP) is a faculty member credentialed and privileged to serve as a Nurse Practitioner (NP) with an appointment in the Division of Interventional Radiology, in the Healthcare Department of Interventional Radiology. The APP practices in accordance with the respective bylaws of OHSU Hospital and the OHSU Practice Plan. The APP delivers preventive and primary healthcare services to individuals; provides advanced education to students, peers and others; and, contributes to new knowledge and/or technology by conducting or participating in research.

The Adult Sedation Team advanced practice provider reports to the Nurse Manager of Interventional Radiology. The Adult Sedation Team APP functions under and is held accountable to the Professional Practice Standards for Nurse Practitioners. 

In addition to key job responsibilities, qualifications and other job requirements listed below, the APP is expected to comply with scope of practice, other laws, regulations, OHSU policy, and other applicable professional standards of practice.  

PATIENT CARE

• Perform pre-procedural sedation risk assessment on surgical patients
  • Including, but not limited to, carpal tunnel release, D&C, D&E, and dental procedures referred for moderate sedation.
• Collaborate with other members of the team regarding pre-procedural instructions, medication management, and patient education.
• Function independently but also work in close collaboration with providers from other departments (OBGYN, anesthesiology, internal medicine, etc.) to coordinate medical optimization of the patient prior to procedure.
  • This includes but is not limited to following up on lab tests, cardiac testing, referrals to other specialties and documenting plan of care in EMR.
• Communicate with the surgical team (surgeons, surgery schedulers) when necessary to share concerns about patient readiness for scheduled moderate sedation surgeries.
• Ensure timely, focused documentation and communication with the referring surgeon and PCP when appropriate to ensure quality patient care are expected.
• Review the patient’s history, via patient’s verbal report and the review of previous medical records from internal and external sources, and perform a complete physical exam on each patient.
• Provide consistent patient education about good preparation for procedure.
• Documentation in the EMR of the clinical assessment will be executed according to documentation standards for licensed providers at OHSU.
• Chart documentation will be accurate and timely. Perform peer reviews on a yearly basis including peer chart audits.
• The medical director will review peer chart audits and provide the APPs with feedback about documentation completeness.
• Charts will be forwarded to coding professionals for billing.
• All encounters will be closed by the end of the work day and submitted for billing within 24 hours of each patient encounter.

PERFORMANCE IMPROVEMENT

• The APP will attend quarterly AST QI meetings.
  • May be asked to participate in special projects as assigned by the medical director and/or clinic manager.
• The focus on these projects may include but will not be limited to improving quality of patient care, procedural workflow, diversity/equity/inclusion efforts and/or customer service.

EDUCATION

• Master’s degree or Doctorate from an accredited graduate school of nursing.
• Current unencumbered Oregon license with Prescriptive Privileges  and DEA license.

REGISTRATIONS, CERTIFICATIONS & LICENCES

• Current licensure as required by specific Advanced Practice Provider governing board(s).
• ANCC, AANP Board Certification
• BLS Certification
• ACLS Certification
• OHSU Credentialing completed within 90 days of hire 
• Current prescription privileges and DEA license
• Credentialing process completed within 90 days of hire.
• New graduates -must obtain national certification within 60 days of hire (prior to initiation of  credentialing process)
• Must be credentialed to bill for services.

EXPERIENCE

• Ability to fulfill responsibilities for the specific role of an Advanced Practice Provider.
• Recent graduates of an advanced degree program will be considered IF the following requirements are met:
  • A minimum of 5 years RN or other licensed healthcare experience in one of the following areas: ER, ICU, Interventional Radiology, Endoscopy, or Cardiac Catheterization.

COMPETENCIES

• Demonstrated ability to satisfy standards of performance delineated by law and associated professional practice standards, the latter set forth as an addendum to the position description.
• Ability to manage heavy workload with multiple priorities and inflexible deadlines.
• Ability to communicate effectively verbally and in writing.
• Proficient in the use of computing hardware and software, including personal computing equipment, electronic medical record, word processing and spreadsheet software.
• Regular and consistent attendance at work.
• Experience with procedural moderate sedation.
• Ability to be an accountable, communicative  member of a team made up of a MDs, other APPs, and RNs.
• Demonstrated strong service excellence skills.

Must be able to perform the essential functions of this position with or without accommodation.

• 3 – 5 years clinical experience as an Advanced Practice Provider.
• Previous experience with Epic and/or Centricity.
• Computer/word processing skills.
• Experience with the AIDET service excellence process.
• Credentialed at OHSU-current
• National certification- current

WORKING CONDITIONS

• Hours vary.
• Frequent interruptions in an environment of frequent change and fluctuations.
• May be exposed to excessive auditory and visual stimulation.
• May be required to attend out of town conferences according to hospital travel and reimbursement policies.
• May be exposed to body fluids, tissue, possible radiation exposure, and infectious processes.
• Subject to computer work for several hours, as needed.
• Able to use all appropriate patient care equipment and office equipment within work area.
• Ability to ride the aerial tram throughout the day.

PHYSICAL DEMANDS & EQUIPMENT USAGE

• Standing: On concrete, vinyl, or carpeting up to 4 hours per day and intermittently.
• Sitting: Chair or stool continuous up to 8 hours per day and intermittently.
• Changing Position: Intermittently, as needed.
• Walking: Intermittently up to 4 hours per day on concrete, vinyl, and carpeting.
• Carrying: Up to 50 pounds (supplies, equipment, books, papers, etc) for intermittent periods and distances.
• Lifting: Up to 50 pounds (patients, equipment, supplies, books, etc) Intermittent throughout the day.
• Pushing/Pulling: Up to 100 pounds, intermittent, throughout the day.
• Bending: From the waist and knees, frequently throughout the day.
• Reaching/Handling: Fine manipulation, repetitive, gross motor requiring full ROM in upper extremeties, including overhead reaching.
• Twisting: All ROM required, intermittent periods, throughout the day.
• Climbing: Staircase, intermittently throughout the day; Crawling: Infrequent but possible on vinyl, carpet surface.

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.