Mid-Level Practitioners

Mid-Level Practitioners –
Nurse Practitioners & Physician Assistants

central to Advancing Practitioners’ approach to perioperative care

AP Mid-Level Practitioners (NPs and PAs) will provide care for surgical patients from admission to discharge – over the whole Perioperative Continuum. Mid-Level Practitioners (MLPs) will be involved in the history & physical, patient education, first assisting on surgical cases, completing post operative orders, entering information into the EHR, rounding on patients, taking call, triaging phone calls, communicating with families, discharging patients and other perioperative care as needed. An AP Physician will supervise the MLP on the units. For example, if a patient is having issues with blood pressure, the MLP will consult their supervising (AP) physician. If the patient is having wound issues, the MLP will consult with the surgeon.

Some of our NPs and PAs will work both in the OR and on the floor while others may specialize in just the OR or just on the floor.  Below are two general position descriptions for AP Mid-Level Practitioners.  One for an AP Perioperative Physician Assistant and another for a AP Perioperative Nurse Practitioner (these may vary according to a hospital client’s needs).

Perioperative Physician Assistant (PA)

Responsibilities…(click to read more)

Performs Surgical First Assist duties in all surgical specialties

  • Handles positioning and draping of patients
  • Suturing of all tissue layers
  • Demonstrates good knowledge of anatomy
  • Assists with room setup and turnover
  • Demonstrates ability to perform technical skills and procedures
  • Assists in intra-operative care of the patient by performing technical duties as assigned by the surgeon

Assists with pre-admission testing and other pre-operative care of surgical patients

  • Performs comprehensive and problem-focused histories and physical examinations
  • Orders and interprets laboratory and radiographic studies
  • Educates and counsels patients

Assists with unit-based, post-operative staffing for surgical patients under the supervision of an AP Physician and according to protocols provided by the surgeon and hospital,

  • Conducts daily hospital rounds
  • Performs admission history and physicals
  • Writes orders and progress notes
  • Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities
  • Orders appropriate laboratory and radiographic tests
  • Formulates and implements treatment and therapeutic plans for hospitalized patients
  • Coordinates discharge planning and dictates discharge summaries
  • Facilitates the patient’s transition within and between healthcare settings, e.g. admitting, transferring and discharging patients including discharge planning and summaries
  • Collaborates with multidisciplinary team members by making appropriate referrals

Minimum Qualifications…(click to read more)

  • Graduate of an approved PA program
  • Meets the standards set by the state
  • Board-certified by the NCCPA
  • Current in Basic Life Support (BLS)
  • Good computer skills
  • Minimum 2 years of experience preferably in a hospital or other surgery setting
“A good Mid Level Practitioner is like a good caddy on the golf course, except that surgeons can instruct our MLPs to make some putts and hit some tee shots.”

-J. Toby Gray, PA-C, CEO, Advancing Practitioners

Perioperative Nurse Practitioner (NP)

Responsibilities…(click to read more)

Performs Surgical First Assist duties in all surgical specialties

  • Handles positioning of drapes of patients
  • Does suturing of tissue layers
  • Demonstrates good knowledge of anatomy
  • Assists with room setup and turnover
  • Demonstrates ability to perform technical skills and procedures
  • Assists in the intra-operative care of the patient by performing technical duties as assigned

Assists with pre-admission testing and other pre-operative care of surgical patients

  • Performs comprehensive and problem-focused histories and physical examinations
  • Orders and interprets laboratory and radiographic studies
  • Educates and counsels patients

Assists with unit-based, post-operative staffing for surgical patients under the supervision of an AP Physician and according to protocols provided by AP

  • Conducts daily hospital rounds
  • Performs admission history and physicals
  • Writes orders and progress notes
  • Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities
  • Orders appropriate laboratory and radiographic tests
  • Formulates and implements treatment and therapeutic plans for hospitalized patients
  • Handles discharge planning and dictates discharge summaries
  • Facilitiates the patient’s transition within and between healthcare settings, e.g. admitting, transferring, and discharging patients and including discharge planning and summaries
  • Collaborates with multidisciplinary team members and surgeon by making appropriate referrals

Minimum Qualifications…(click to read more)

  • Graduate of an accredited school of nursing
  • Graduate of an accredited Nurse Practitioner Program
  • Current Advanced Practice Registered Nurse (APRN) Licensure
  • Current Nurse Practitioner certification in specialty area
  • Current in Basic Life Support (BLS)
  • Good computer skills
  • Eligible for hospital privileges
  • 2 years minimum experience
“We are all about rewarding people who perform and we promote from within.”

-J. Toby Gray, PA-C, CEO, Advancing Practitioners

Find out more about current Career Opportunities with AP, or contact us by email or phone (954) 791-6146 if you have any questions.

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