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The Pre-Operative Medicine Clinic APP delivers care aligned with a defined scope of practice in outpatient comprehensive, evidence-based, patient-centered preoperative/pre-procedural medical evaluations and risk reduction/optimization counseling visits, with work expectations operationalized through departmental workflows, productivity standards, and performance expectations consistent with the CBA and institutional policies.

This role is structured to meet contract-defined work expectations of 208 shifts, inclusive of daytime coverage, aligned with the clinical coverage model and patient care needs of the service.

The Pre-Operative Medicine Clinic APP will participate in departmental scheduling processes, with scheduling practices aligned to contract provisions, equitable distribution of coverage, and maintenance of safe, consistent clinical operations.

Direct

• The APP delivers preventive, primary and acute healthcare services to individuals of all ages; provide advanced education to students, peers and others; and, contribute to new knowledge and/or technology by conducting or participating in research.
• Daytime clinical coverage, Monday-Friday 7am-7pm.
• Patient Care: Assure the safe, efficient, high quality and customer oriented management of patient care to identified patient populations, including but not limited to completing a comprehensive assessment of the patient's status; developing, monitoring and revising, as appropriate, an evidence-based treatment plan that addresses diagnoses, patterns of disease, risk factors, and treatment alternatives; treat many common acute and chronic health problems; interpret diagnostic tests prescribe and manage medications and other therapies, provide health teaching with an emphasis on prevention of illness and health maintenance; and, refer patients to other healthcare professionals as necessary.
• The PMC APP performs preoperative risk assessment on pre surgical patients by obtaining an H and P and ordering appropriate diagnostic studies and laboratory tests. You will collaborate with other members of the team regarding pre-op instructions, medication management, and patient education.
• The APP is expected to function independently but also work in close collaboration with providers from other departments (cardiology, anesthesiology, internal medicine, etc.) to coordinate medical optimization of the patient prior to surgery. This includes but is not limited to following up on lab tests, cardiac testing, referrals to other specialties and documenting plan of care in EMR.
• APPs also communicate with the surgical team (surgeons, surgery schedulers) when necessary to share concerns about patient readiness for scheduled surgeries. Timely, focused documentation with the referring surgeon, PCP and anesthesiologist when appropriate to ensure quality patient care.
• The APP will review the patient's history, via patient's verbal report and the review of previous medical records from internal and external sources, and perform a complete physical exam on each patient- including but not limited to auscultation of the heart and lungs. Consistent patient education about good preparation for surgery.

Indirect

• Activities supporting direct patient care, including but not limited to EPIC in-basket management/coverage & mychart messages, closing charts, reviewing results, phone calls, patient care coordination, caseload management, legal appearances, care conferences, work group huddles, non-RVU generating patient care, non-billiable patient care, covering order placements for Patient Anemia Management team, patient care coordination with surgical teams and anesthesia, covering department based support systems (RN Reviews Teams Chat, PMC Reviews outlook inbox).

Nursing Advanced Practice Provider

• Master Degree in Nursing or Master of Science in Nursing in the specialty of Acute Care Nurse Practitioner (ACNP), or Adult-Gerontology Acute Care Nurse Practitioner (AG ACNP) from an accredited program.
• Current RN and NP licensure with the Oregon Board of Nursing.
• Current ANCC Certification in the area of specialization.
• Current ACLS certification.
• DEA certification

Physician Assistant Advanced Practice Provider

• Master Degree in Physician Assistant Studies from an accredited program.
• Current PA licensure with the Oregon Medical Board.
• Current NCCPA Certification.
• Current ACLS certification.
• DEA certification
• 3-5 years of previous experience as provider in critical care setting, ideally with experience in a medical intensive care setting.
• interest in learning advanced clinical skills required to practice in the ICU environment

• Previous experience as provider in critical care setting, ideally with experience in a medical intensive care setting.
• Education directed at critical care.
• Interest in learning advanced clinical skills required to practice in the ICU environment.
• Interest in further developing leadership skills.
• For Lead APP role: Leadership experience.

We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu