The OHSU Department of Emergency Medicine (DEM) is a system of 5 emergency departments, which creates an opportunity for providers to develop ata singleprimary site or practice across 2 or more sites. Since each site has a different patient population and workflow, this provides an opportunity to further develop clinical skills and experience. With the hybrid nature of community practice within an academic setting and department, leadership is continuing to support clinical development as well as career development.
The DEM is seeking a part-time (0.00FTE) nurse practitioner or physician assistant to join our team to be staffed in the emergency departments at Hillsboro Medical Center and Adventist Health Portland for relief shift work.
Hillsboro Medical Center (HMC) is a classic community emergency department with 31,000 visits annually, on the west side of Portland/Hillsboro in an agricultural based region. The department sees a wide variety of pathology and serves a large Latino and pediatric population. The hospital is a stroke center and also has a cardiac catheterization lab. The hospital staff is undergoing major transformation and many OHSU Marquam Hill departments are now providing specialty services at HMC. Unlike most community Emergency Departments, there is an academic blend to HMC. Currently, upper level emergency medicine residents rotate through HMC as an elective, with family and internal medicine resident residencyprogram plans in process. There is one daily, 10-hour Advanced Practice shift.
The Adventist Health Portland (AHP) emergency department serves largely an urban environment on the east side of Portland, caring for over 50,000 patient visits per year. There are many communities at risk around the hospital including diversenationalities as well as recent immigrants. AHP receives the most cardiac arrest resuscitations in Multnomah County (metro PDX) and has a very active stroke and cardiac program. There is excellent engagement and interaction with hospitalist service. The ED has initiated a research agenda and is currently participating in the ICE-CAP study, research on CNS cooling and recovery from cardiac arrest. This is also an academic site with a regular rotation of medical students, allowing for teaching opportunities.There are three, 10-hour daily Advanced Practice shifts.
As part of our emergency services team you will have autonomy as well as support with immediate access for advice and assistance. Maintain and raise your clinical skills in this learning organization through involvement in skills labs, peer review and CME support. Monthly education meetings allow for a focused group discussion and a process of care standardization.
The Advanced Practice Provider (APP) is credentialed and privileged as a Physician Assistant (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 universitys 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 Assistant APP participates in providing services as an advanced practice provider, according to the parameters of the written practice agreement with the Chair of the Department of Emergency Medicine. The APP is supported by the designated Emergency Medicine attending. Primary duties include:
Clinical Activities (not related to teaching or research)
Assessing and managing patients
Collaborating with other members of the team to communicate with and transition care back to the patients PCP and DC patients in a timely manner
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
Assessment and treatment of low acuity patients and initiating work-ups on more complex patients staffed with and attending physician in the Acute Emergency Area
Assistance in decreasing cost through the development and use of protocols and practice guidelines
Participating in Emergency Department quality assurance activities
Enhancement of cost effectiveness and quality of care
Increasing patient satisfaction indicated by an improvement in satisfaction scores
Masters Degree as required by specific Advanced Practice Provider role
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 record, word processing and spreadsheet software
Regular and consistent attendance at work
Current licensure as required by specific Advanced Practice Provider governing board(s)
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
Please be sure to upload a cover letter and Resume or CV.
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 firstname.lastname@example.org.
As the state's only health and research university, OHSU brings together patient care, research, education of the next generation of health care providers and scientists and community service to improve the health and well-being of all Oregonians.The university is a conduit for learning for more than 2,800 students, providing training to interns, residents and fellows in postgraduate medical and research. It is the only place in Oregon that grants doctoral degrees in medicine, dentistry and nursing. OHSU cares for more than 251,000 patients each year from around the region and takes a leadership role in contributing to solutions involving the health of the state and the nation, such as health care access and transparency, ethics and workforce shortage. Beyond providing critical health care services, quality education and cutting-edge research, OHSU also is a key economic and social force in the Northwest. With an annual operating budget of $2.06 billion and more than 14,000 employees, OHSU is Portland?s largest employer. Its size contributes to its ability to provide... many services and community support activities not found anywhere else in Oregon. For more information visit http://www.ohsu.edu/xd/about/index.cfm