Physician Assistant or Acute Care Nurse Practitioner for Urology

Tucson Medical Center is currently recruiting for an acute care nurse practitioner or physician assistant to help support our up and coming urology program. This program is designed to work with several employed and community urologists in an inpatient setting to address common issues associated with the genitourinary tract, such as kidney stones, urinary/bladder issues and potentially previously diagnosed prostate cancer. The role would include pre-op/post-op rounding on units, as well as visiting the emergency department for urology consults. Qualified candidates will be required to work 4-10 hour shifts, for 5-8 hour shifts, with no call requirements outside of these hours! 

Experience as a urology RN or any previous urology experience is strongly preferred, but not required!

SUMMARY:

Assists the physicians in the management of patients.  Performs diagnostic and therapeutic procedures under the supervision of the physician.   Works closely with and assists the physician in providing quality, efficient, ongoing, cost-effective care in-patient, out-patient, and within the designated departmental setting under the direction of the supervising physician.

ESSENTIAL FUNCTIONS:

Examine patients, prescribe medicine, and order diagnostic tests.

Assists in discharge or chronic planning and patient education regarding expectations for recovery and illness.

Orders labs and x-rays per protocol and ensures the results are viewed and acted on under the guidance of the physician.

Completes physical exam, including past history, major medical intervention, medication history, and pertinent family history.  

May perform urgent procedures including intravenous or arterial line placement, chest tube placement and bronchoscopy in an emergency situation and after contacting attending physician.

Reviews all scheduled patients on a weekly basis with the physicians or surgeons to ensure completeness of evaluation.

Performs history and physical exam on any direct admission or transfer when no resident is available.

Documents each patient visit including findings, outcomes, and course of treatment.

Dictates history and physical according to TMC standards of time and format.

Documents medical information as provided by reference source and physician.

Confers with supervising physician regarding difficult and complex issues of patient care.

Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards. 

Performs related duties as assigned.

Operating Room:

Assists the surgeons in the management of general surgical patients, performs diagnostic and therapeutic procedures under the supervision of the surgeon.   Works closely with and assists surgeon in providing quality, efficient, ongoing, cost-effective care in-patient, out-patient, and within the operating room setting under the direction of the supervising physician. Serves as first or second assistant to the surgeon in the operating room involving opening and closing, and other procedures which require assistance, such as suctioning, tying, stapling or suturing.  Prepares radiology imaging in the room at the start of the procedure, operates imaging system and cameras to provide adequate visualization of the operative field for the surgeon procedures.  Completes daily rounds on all patients including physical exam, review of labs and medications with written documentation.  Orders daily labs and chest x-rays per protocol and ensures the results are viewed and acted on under the guidance of the supervising surgeon.

Rheumatology (TMC One):

Provides care as appropriate to rheumatology patients in an ambulatory out-patient setting with the oversight of the physician.  Assists the rheumatologist in the management of general rheumatology patients, performs diagnostic and therapeutic procedures under the supervision of the physician.   Works closely with and assists the physician in providing quality, efficient, ongoing, cost-effective care in-patient and out-patient, under the direction of the supervising physician.  Completes follow-up visits, and coordination care for adult rheumatology patients in an outpatient setting under supervision of an established rheumatologist.  Assists rheumatologist with small office procedures, joint and bursa injections.  Participates in peer reviews, chart reviews, staff education, clinical guideline development and other continuing education.

MINIMUM QUALIFICATIONS

EDUCATION:  Bachelor’s Degree with a major in Nursing, completion of an approved nurse practitioner program, or completion of an approved physician assistant program, or an equivalent combination of relevant education and experience.

EXPERIENCE:  Internship and three (3) years’ experience required.  Rheumatology (TMC One), open to reviewing new graduate applicants on a case by case basis.

LICENSURE OR CERTIFICATION: A current Physician’s Assistant license in state of Arizona and Cardio Pulmonary Resuscitation (CPR) and DEA certifications required. Dept Specific: Advanced Cardiac Life Support (ACLS) certification.

KNOWLEDGE, SKILLS, AND ABILITIES: 

• Knowledge of physician assistant regulations and practices along with prescribing regulations

• Skill in applying medical care.

• Skill discharge planning or chronic care planning.

• Ability to apply use of Code via CPT and ICD-10.

• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.

• Ability to write reports, business correspondence, and procedure manuals.

• Ability to effectively present information and respond to inquiries or complaints from employees, patients and/or their representatives, and the general public.

• Ability to calculate figures and compute rate, ratio, and percent and to draw and interpret bar graphs.

• Ability to define problems, collect data, establish facts, and draw valid conclusions; ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.