The Division of Trauma, Critical Care and Acute Care Surgery is one of the largest divisions within the Department of Surgery, comprised of a team of dedicated faculty in support of OHSU as a Level 1 trauma center. Our trauma surgeons provide expert care to the most seriously injured patients in the state, instruct future generations of trauma surgeons, and conduct research into improving and advancing the treatment of trauma patients. Its surgical critical care fellowship program sponsors four fellows each year.

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.

Education: 

• Support OHSU’s academic missions by participating in the design, development and assessment of program curricula for professional specialty area; including course objectives, instructional methods, learning outcomes, projects and assessment measures.
• Assist in meeting the educational needs of staff, residents, fellows, students, patients, family members, and others as appropriate.
• Collaborate with OHSU team members to establish or revise clinical pathways and patient education materials.
• Attends and participates in Grand Rounds, trauma conferences, fellow lectures, national conferences and other learning opportunities as available.

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. 

NP Qualifications:
Master Degree in Nursing or Master of Science in Nursing in the specialty 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

Required skills and experience: 2 years of experience as a PA or NP in critical care; preference for trauma/surgical critical care experience. Interest in learning advanced clinical skills required to practice in the ICU environment.

The shift length is set at an average of 13 hours 3 times per week that includes nights, weekends and holidays.

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.