NP or PA -- NEUROSURGERY INPATIENT NIGHTS-PPC

Job Description

The Advanced Practice Provider in Neurosurgery provides advanced, evidence-based care for critically ill patients with complex neurological and neurosurgical conditions. In collaboration with attending physicians, residents, and the inter-professional care team, the APP delivers comprehensive care that includes patient assessment, diagnosis, treatment planning, and continuous management in the hospital setting. The APP plays a vital role in patient stabilization, critical decision-making, and family support during high-acuity situations.

Applies advanced knowledge of acute care medicine and neuroscience to critically ill patients.

Skilled in evaluating unstable conditions, interpreting diagnostic data, and initiating life-sustaining interventions.

Maintains quality assurance standards while responding effectively in emergent and rapidly changing clinical situations.

Demonstrates strong communication skills with patients, families, and the healthcare team, particularly in high-stress environments.

The APP functions as a clinician, educator, consultant, and collaborator in the delivery of neurosurgical care. The role requires in-depth knowledge of neuroanatomy, neurophysiology, critical care management, and evidence-based guidelines. The APP is expected to:

Manage patients with acute stroke, intracerebral hemorrhage, subarachnoid hemorrhage, traumatic brain injury, post-operative neurosurgical conditions, and other neurological emergencies.
Partner with physicians to develop and implement individualized treatment plans.
Provide ongoing assessment and timely interventions in the critical care environment.
Support patients and families through education, communication, and advocacy.

Perform comprehensive histories and physical exams on critically ill patients.

Order, interpret, and act on diagnostic tests including CT, MRI, EEG, and laboratory studies.

Develop, implement, and evaluate treatment plans in collaboration with the supervising physician(s).

Manage and interpret intracranial pressure devices.

Prescribe medications, therapies, and interventions in accordance with licensure and collaborative agreement.

Respond to emergencies and acute neurological deteriorations.

Provide education and guidance to patients, families, and inter-professional staff.

Document all care provided in the electronic medical record.

Uphold HIPAA standards and ethical guidelines in all patient interactions.

Two (2) to three (3) years of acute/critical care nursing experience preferred

Prior critical care, neurocritical care, or neurosurgical ICU experience preferred

Advanced understanding of neurological and neurosurgical critical care

Proficiency in advanced diagnostic interpretation and invasive monitoring

Excellent clinical judgment and ability to manage high-acuity patients

Strong organizational, multitasking, and critical thinking skills

Effective communication and teamwork skills in high-pressure environments

Computer literacy including Excel, Word, Outlook; EMR experience required

Defined by the APPs scope of licensure and certification. The APP provides neurosurgical care services to patients with acute and life-threatening neurological or neurosurgical conditions, ensuring safe, effective, and compassionate care.

Completion of an Acute Care Nurse Practitioner program required or Completion of an Physician Assistant Program Required

Current licensure as a ACNP or PA in the State of Ohio

Current licensure as a Physician

Valid license to practice as an Acute Care Nurse Practitioner in the State of Ohio

Current BLS and ACLS certification required

National certification as an Acute Care Nurse Practitioner (ANCC or equivalent) or Physician Assistant (NCCPA)

Certificate to Prescribe must be current and maintained at all times

PHP Standard Care Arrangement (SCA) required prior to engaging in practice