MUSC Health - Florence Medical Center is seeking an Advanced Practice Provider for its Neurological Surgery practice located in Florence, SC. The ideal candidate will be interested in hospital- and office-based support, preparing discharges, pre- and post-op patient care, and providing support to the Neurosurgeon in all aspects of care. Call coverage will be required via phone and in person, as appropriate, in alignment with the physicians call schedule.

Fair Labor Standards Act Status: Salaried/Exempt

Hours per week: 40

Scheduled Work Hours/Shift: Monday-Friday; hours will vary depending on physicians schedule.
Typical shift is 8:00am-5:00pm, but shift may start earlier or end later. The APP will take first call, in alignment with the physicians call schedule. The APP can be compensated for call coverage over and above the minimum.

Patient Population Focus
Inpatient, Outpatient, Operating Room/First Assist, Procedural Unit, Emergency Department Management/Consultation

Patient Population Age Range
13 years-death

Required Minimum Training and Experience
Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN as noted below.

APRN License Type/Certification:
FNP (Family NP): (birth to death) Stable chronic disease state management, primary care across the lifespan
The NP must hold a Registered Nurse First Assistant (RNFA) certification upon hire to first assist in the operation room

Preferred Training and Experience
Physician Assistant or if APRN License Type/Certification:
AGACNP/ACNP (Adult Gerontology Acute Care NP/Acute Care Nurse Practitioner): Adult pts (13 years to death), acutely ill or injured, potentially unstable, or technologically dependent (vents, drips, monitors, etc.) The NP must hold an RNFA certification upon hire to first assist in the operation room.

Experience: Previous neuro-surgery experience, orthopedic spine, or surgical experience

Degree of Supervision
Advanced Practice Registered Nurse or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician.

Required Licensure, Certifications, Registrations
Basic Life Support (BLS)
Advanced Cardiovascular Life Support (ACLS)
DHEC and DEA license applications must be started prior to first day

Job Duties
Provides direct care to patients through the following activities:
Takes comprehensive history and performs physical examinations
Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline
Initiates referrals to other health care provides, and/or consults with the attending physician or the collaborating physician
Documents and bills for direct care provided
Utilizes current research and evidence-based decision-making in all clinical practice
Performs and participates in quality/performance improvement activities and clinical research
Participates in and supports accreditation, compliance, and regulatory activities of the organization
Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education
Potential to precept students at MUSC enrolled as an advanced practice provider student; and facilitates the learning of other new team members
APRN or PA must maintain licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law
First or second assistant in the operating room. Assist with use of monitoring devices
Initiate appropriate emergency care in the inpatient and outpatient setting until the arrival of the supervising physician
Manage discharge of patients with appropriate disposition, follow-up planning, adjunctive therapy management and education
Make assessment of emergency conditions and, in conjunction with attending physician, implement management
Provide pre-and post-operative patient education to patients and their families
Communicate with referring or primary care physicians regarding patient care and treatment
Provide follow-up and health maintenance care including the appropriate adjustment of medications in accordance with established protocols or in response to specific instructions from the Attending Physician

Physical Requirements
Continuous requirements are to perform job functions while standing, walking, and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces.