Advanced Practice Provider Wound Care

Posted:
5/21/2024, 5:00:00 PM

Location(s):
Missouri, United States ⋅ Lee's Summit, Missouri, United States

Experience Level(s):
Junior ⋅ Mid Level ⋅ Senior

Field(s):
Medical, Clinical & Veterinary

Job Description​

Our growing wound care department is looking to add another advanced practice provider to the team. This provider will conduct ambulatory clinic at our Saint Luke's East location twice a week and a half day of clinic at our Saint Luke's south location once a week. This position will also consist of an occasional weekend hospital commitment and occasional call responsibility.

Accountable for advanced nursing practice in the care of assigned patient populations. Responsible for collecting and analyzing client health data identifies appropriate expected outcomes development and implement plan of care provide comprehensive clinical coordination of care and case management provide consultation to influence plan of care for clients enhance the abilities of others and effect change in the system uses prescriptive authority procedures and treatments in accordance with state and federal laws and regulations evaluate clients progress in attaining expected outcomes conduct nursing research provide education to patient family and nursing staff and case manages high risk patients. See department policy regarding scheduling requirements.

Responsibilities of the APP:

Deliver comprehensive care to new and established patients, including (but not limited to): inquiring about the patient’s history, performing a physical examination, documenting, ordering diagnostic testing, treating, and charging appropriately. Prescribing drugs within the scope of practice. Performing or assisting in the performance of procedures that are documented on the CPA, and consistent with the education, training, and experience of both the APP and their collaborating physician. Hold independent clinic Round on inpatients if deemed necessary and have hospital privileges Providing education to the patient and/or their caregivers. Referring patients to other specialties as needed. If prescriptive authority for controlled medications is determined necessary by the collaborating physician based on clinic needs, it is the responsibility of the APP to maintain all requirements for their DEA and BNDD. They are also responsible for maintaining the correct DEA information in the CPA and notifying their APP manager and collaborating physician of any concerns. All controlled medication prescriptions should be limited and appropriate for the diagnose(s). Participate in employer sponsored or affiliated activities and pursuing continuing education to maintain proficiency. Follow CME reimbursement guidelines and enter expense reports in Workday. Serve as a consultant to staff on clinical and technical matters, as well as managing difficult patient circumstances. Participate in the call schedule (if applicable) and ensure proper functioning of telephone devices. Stay informed for clinic initiatives and changes in billing. Meet the standards for quality measures and monitor their own reports through the EPIC dashboard. Consider functioning as a preceptor for students as able. Consider developing the APP fellowship program for this department if necessary for new hires. Follow the Attendance and Rules of Conduct Policies. Notify the clinic practice manager if unable to work, at least 2 hours prior to start of shift. Also notify the APP Manager to update Workday within 24 hours. Complete all patient encounters and charges within 48 hours of appointment time, per policy. Stay current with in-basket messages, results, and medication refills. Delegate a provider to cover their in-basket when out of the office. Meet or exceed the system’s goal for full-time APPs RVUs or higher in a calendar year. Prorated amounts for staff less than full-time. Utilize APP tracking codes correctly and where appropriate. Maintain required licenses and certifications per system policy and job profile. Follow all Saint Luke’s Health System policies and procedures applicable to position. Maintain BLS, ACLS, ATLS, etc. as deemed necessary by the position. Maintain licenses in MO and KS as deemed necessary by the position. Any other responsibilities deemed necessary by clinic leadership. Be able to evaluate and treat the following conditions: List is not all inclusive:

Diabetic Foot ulcer

Venous stasis ulcers

Arterial insufficiency ulcers

Ulcers/wounds with underlying osteomyelitis

Surgical wounds with delayed healing or complicating sequelae

Pressure ulcers

Moisture associated skin damage

Soft tissue radionecrosis

Ulcers related to underlying autoimmune disorders such as scleroderma, pyoderma gangranosom

Calciphylaxis

Skills required for addressing wounds:

Mechanical debridement (selective/excisional)

Proper assessment, measurements, and appropriate documentation

Superficial abscess I&D

Ability to identify underlying etiology related to delayed wound healing (pressure, infection, arterial insufficiency, venous insufficiency, malnutrition, uncontrolled DM, associated incontinence, neuropathy..etc.

Ability to follow evidenced based practice regarding standards for prescription of therapy ( HBO, referrals, lower extremity compression)

Ability to connect with patients, establish rapport and provoke patient to desire to change wound healing.

Job Requirements

Applicable Experience:

1 year

Advanced Practice Provider - Various, Basic Life Support - American Heart Association or Red Cross

Master's Degree

Job Details

Part Time

Day (United States of America)

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