The Department of Emergency Medicine at OHSU is home to over 150 faculty and adjunct faculty under the direction of Mary Tanski, M.D., M.B.A., associate professor and Department Chair. Our clinician's staff at OHSU's Level 1 Trauma Center and Doernbecher Pediatric ED as well as our three community Emergency Departments (Hillsboro Medical Center, Adventist Health Portland, and Columbia Memorial Hospital), three ED Observation Units, the Immediate Care Virtual Visits Program, and the Oregon Poison Center. The Department of Emergency Medicine at OHSU has always been highly ranked in NIH Funded Research and is home to the Center for Policy and Research in Emergency Medicine (CPR-EM). Our residency program currently trains 33 residents and offers a diverse training environment through partnerships at several area hospitals. OHSU offers EM specialty training in the form of select fellowships in: Research, Education, Pediatric Emergency Medicine, Administration, EMS, Toxicology, and Ultrasound. We are proud to serve OHSU's mission of Healing, Teaching, and Discovery. 

 

The Advanced Practice Provider (APP) is a faculty member credentialed and privileged as a Physician Associate (PA) or an Advanced Practice Nurse (APN) (in a respective Specialty area; i.e., Acute Care Nurse Practitioner (ACNP)). The APP is a member of the OHSU Professional Staff practicing in accordance with the respective bylaws. The APP shall provide services as assigned by the supervisor in furtherance of the university’s missions and goals of teaching, research, patient care, outreach and public service. The APP is expected to comply with scope of practice, other laws, regulations, OHSU policy, and other applicable professional standards of practice.

 

The Nurse Practitioner or Physician Associate Instructor participates in providing observation services as an advanced practice provider, according to the parameters of the written practice agreement (separate document) with the Chair of the Department of Emergency Medicine. The Instructor is supported by the designated Emergency Medicine attending.

1. Clinical Activities (not related to teaching or research):

• Assessing and managing Observation/Emergency patients.
• Collaborate with other members of the team to communicate with and transition care back to the patient’s PCP and DC patients in a timely manner.

For the observation unit, specific duties include:

• Obtaining an H&P on admission to the Observation Unit.
• Ordering appropriate diagnostic studies and laboratory tests to aid in the diagnosis of known or suspected injuries or illnesses.
• Interpreting results of diagnostic laboratory procedures.
• Prescribing therapy based on clinical, radiologic, and laboratory indications.
• Dictating and/or documenting patient care in a clear and concise manner.
• Communicating with the Emergency Medicine attending regarding patient variations from the care plan or deterioration in patient condition.
• Providing patient and family teaching regarding their disease process, follow up care, appropriate use of prescribed medication, and assessing the need for consultations and referrals.

2. Scholarly Activities (research/writing, abstracts, grant supported work, presentations, etc.):

• Additional non-clinical duties may also include participation in research activities and scholarly activities such as writing manuscripts.

3. Education (include types of teaching and types of students taught):

• Provide clinical instruction to residents and medical students related to the delivery of observation services in the emergency department.
• May teach medical students, residents, nursing students, nurse practitioners, and paramedic students.

4. Administrative Activities:

• Assistance in decreasing cost through the development and use of protocols and practice guidelines.
• Administrative and other duties may be assigned based on department needs and your areas of expertise and interest, including opportunities to participate in departmental management and to serve on institutional committees.

5. Other Activities:

• Participating in Emergency Department quality assurance activities.
• Enhancement of cost effectiveness and quality of care.
• Increase patient satisfaction indicated by an improvement in satisfaction scores.

Education: Master’s Degree as required by specific Advanced Practice Provider role.

Experience: Prefer 2-3 years clinical experience as an APP that demonstrates ability to fulfill responsibilities for the specific role or 2-3 years nursing or other experience providing clinical care in an emergency setting.

 

Job Related Knowledge, Skills and Abilities:

• 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 records, word processing, and spreadsheet software.
• Regular and consistent attendance at work.

Registrations, Certifications and/or Licenses:

• Current licensure as required by specific Advanced Practice Provider governing board(s), must have a current Oregon NP or PA license prior to start date
• Current Advanced Cardiac Life Support (ACLS).
• A qualified candidate must be a certified Nurse Practitioner or certified by the National Commission on Certification of Physician Associates.
• The Instructor must complete the credentialing process and be approved by the OHSU Professional Board to practice as an independent practitioner in an acute care/emergency setting.
• The Instructor must be registered with Federal Drug Enforcement Administration and be authorized to prescribe medications according to the Oregon State Board of Nursing Formulary for Nurse Practitioners or the Oregon Medical Board Physician Associate Practice Description.

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.