Advanced Practice Provider - APMS
Portland, ME
Part Time
Clinical
Experienced
COMPANY OVERVIEW
Spectrum Healthcare Partners is Maine’s largest multi-specialty, physician-owned and directed professional organization and is comprised of over 200 physicians practicing in the areas of anesthesiology, orthopaedics, pain management, pathology, radiation oncology, radiology, and vascular & interventional services. Spectrum provides services at many of Maine’s hospitals throughout the state and in eastern New Hampshire.
POSITION SUMMARY
This position is 30 hours per week, 3 days per week, three 10-hour days (Monday, Tuesday, and Friday).
ESSENTIAL FUNCTIONS – Pre- Anesthesia Evaluations
- Obtains complete medical, anesthesia and medication history for patients through an interview process.
- Develops relationships with surgeon’s offices that will aid in the development of protocols for the rapid and efficient transfer of information relevant to the patient’s anesthesia care
- Collates and reviews medical records of patients; obtains additional medical information as may be required.
- Prepares and organizes a clinical pre-anesthesia history and physical record prior to anesthetic event.
- Based on initial pre-anesthesia assessment, makes necessary recommendations for proper anesthesia care for an anesthesiologist who may suggest additional diagnostic studies.
- Provides patient education, reviews test results, and assists patient with procedural understanding for proper anesthetic experience.
- Makes recommendations to the anesthesiologist that helps to identify other diagnostic tests, as well as refers patients for specialist consultation and other therapeutic and diagnostic services, when necessary.
- Documents anesthesia and medication history legibly, neatly, and accurately for the anesthesia record. This includes other anesthesia data summary forms to support proper patient care.
- Make use of various electronic platforms / electronic medical records in accordance with facility policies on compliance and privacy.
- Interacts with patient primary care physician, attending surgeon as well as secretarial and nursing staff employed by the hospital.
- Helps to identify high-risk patients for an anesthesiologist interview prior to clinical procedures.
- Manages stable chronic disease in the scope of APPI expertise and refer patients with illness beyond the scope of expertise to the appropriate specialty or sub-specialty.
- Orders appropriate laboratory and diagnostic procedures.
- Administers medications and injections within scope of expertise.
- Maintains and reviews patient’s records, charts and other pertinent information. Posts test and examination results.
- Uses Universal Precautions including personal protective equipment for anticipated contact with blood or other potentially infectious materials.
- Maintains appropriate level of Company & facility HIPAA-related confidentiality
ESSENTIAL FUNCTIONS – Pain Management Services
- Provides clinical assistance and pre-administrative testing with all Block patient service: patient scheduling, pre-op & transport services, clinical prep (IV startup), IV sedation & monitoring,
- Reviews medical records of patients; obtains additional medical information as needed.
- Obtains and prepares appropriate anesthetic and sedation medication with oversight from medically directing Anesthesiologist.
- Prepares nerve stimulator and ultrasound machines.
- Oversees daily block patient scheduling and ensures designated block area is properly equipped for delivery of service.
- Coordinates patient flow and procedural activities with residents, clinical support staff, and sub-specialty anesthesiologists.
- Development and oversight for outpatient perineural catheter programs.
- Oversight and coordination of activities with the APMS service.
- Provides patient and program education to appropriate support staff (RN’s, CRNA’s Residents, Anesthesiologists, interested internal hospital staff.
- Provides support for various related research projects and may assist staff with various publications.
- Legibly, neatly, and accurately completes reports as well as other anesthesia data forms in support of proper patient care, billing, quality improvement and compliance initiatives.
- Make use of various electronic platforms / electronic medical records in accordance with facility policies on compliance and privacy.
- Uses Universal Precautions including personal protective equipment for anticipated contact with blood or other potentially infectious materials.
- Maintains appropriate level of Company/facility and HIPAA-related confidentiality
- Maintains competency by reading professional literature, participating in continuing education, and maintaining professional affiliations.
- Attends required hospital staff and anesthesiology-related meetings and may participate in various clinical committees as required.
- Administers special clinical-related projects or other duties as assigned by the PAU Physician Liaison or anesthesiologist.
- If necessary, notifies state authorities of any required reporting of potential domestic or child abuse situations.
- Maintains compliance with regulatory agencies and accrediting bodies both regionally and nationally.
- Maintains communication with physicians and staff regarding patient care.
- Demonstrates professionalism at all times
- Performs other duties necessary to maintain the overall efficiency and continuity of the division
- Keeps abreast of current issues involving patient care or practice issues by attending and participating in department, team and practice meetings
- Displays cooperative behavior and interacts positively and effectively with others to promote a team environment
- Is proactive in identifying, reporting and participating in the resolution of any potential or actual patient safety issues
- Graduate of an accredited school with a degree as a Physician Assistant or a Nurse Practitioner
- Current license issued by State of Maine or eligible for licensure
- 2+ years’ experience in a surgical, PAU or other specialized clinical setting
- Current DEA license
- Current Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) Certification
- Skilled in taking medical history, assessing medical condition and interpreting findings.
- Highly organized, personable and familiar with the process of preparing patients for surgery.
- Excellent communication and interpersonal skill with the ability to develop and maintain a productive working relationship with hospital staff and anesthesiology physicians.
- Knowledge of the professional medical practice and appropriate nursing care to deliver and evaluate patient care.
- Skills in preparing and maintaining records, writing reports, and responding to appropriate patient/physician correspondence.
- Proven communication skills.
- Skills in developing and maintaining department quality assurance
- Ability to work effectively in a fast-paced, multi-tasking environment.
- Proficient computer skills.
- Ability to maintain confidentiality.
PHYSICAL DEMANDS / WORK ENVIRONMENT
- Operation of various office equipment: fax machine, telephone and voice mail system, personal computer, e-mail system, cell phone, pager, and photocopier
- Exposure to blood borne pathogens, anesthetic-related agents and medications, communicable diseases, toxic substances, ionizing radiation, may occur. Use of appropriate measures is required for safety controls and techniques
- Operation of therapeutic and diagnostic medical equipment, administering therapeutic modalities
- May be required to sit or stand for long periods of time
- Frequent walking
- Occasional bending, reaching, twisting
- Lifting up to 50 pounds occasionally
- Occasional travel to various sites of service
BENEFITS
- Health Insurance (80% company paid)
- HSA Match ($3000 family plan / $1625 individual plan)
- Dental & Vision Insurance Plans
- 401(k) Match and Profit Sharing Plan
- Life and Accidental Death and Dismemberment Insurance
- Long-term Disability Insurance
- Short-term Disability Insurance
- Generous paid time off
- Voluntary, Employee-Paid Benefits
- Medical Reimbursement Plan
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