University of Colorado - School of Medicine
Nurse Practitioners Scope of Practice Guidelines
The successful preoperative management of patients has been shown to lead to better outcomes: reduced morbidity and mortality, decreased hospital lengths of stay, improved patient experience and a reduction in OR cancellations and delays. A talented group of engaged Nurse Practitioners (NPs) is essential to accomplish our goals of providing excellent clinical care to our pre-surgical patients in the Pre-Procedure Services (PPS) clinic.
The core component of the NP position is seeing patients in the PPS clinic. For each individual NP, five to ten patient visits will be scheduled per clinic day. The nurse practitioners currently see approximately 6,000 patients in clinic each year. Patients seen in clinic are medically complex, with multiple comorbidities. The goal of the clinic is to ensure patients are medically optimized for their procedures, in order to reduce the risk of complications in the perioperative period.
The PPS clinic is currently in the process of developing multiple clinical improvement pathways as well as collaborating with other specialties in order to improve patient care and outcomes. We are currently hiring additional NPs in order to expand the services we provide. These services include: inpatient medical consults, telemedicine visits, obstructive sleep apnea (OSA) screening and testing, anticoagulation management, treatment of anemia, support for smoking cessation, diabetes screening and furthering Enhanced Recovery After Surgery (ERAS) protocols. Therefore, a typical week may include outpatient consults as well as virtual visits and inpatient consults.
General scope of practice shall include but not be limited to the following;
- Assess the health status of individuals through chart review, history taking and physical examination.
- Use current, evidence-based knowledge to inform decision making.
- Appropriately order necessary diagnostic studies and tests, interpret the results and initiate appropriate follow up.
- Institute referrals to a physician or other care provider when deemed appropriate.
- Demonstrate clinical judgment by consulting with the covering Anesthesiologist when appropriate.
- Develop an appropriate treatment plan.
- Manage preoperative medications and prescribe drugs or devices when necessary.
- Communicate with patients and their surgeon or proceduralist the findings and plan.
- Partner with patients to enhance their understanding of how compliance with the therapeutic regimen can improve their perioperative outcomes.
- Provide instruction and counseling to individuals about the perioperative period and anesthesia.
- Complete daily consult notes in the Electronic Medical Record and submit patient charges in a timely fashion.
- Strong clinical assessment skills and knowledge base ability to read 12 lead EKG's is required.
- Ability to establish and maintain effective working relationships with requesting physicians, anesthesia care team, surgery check-in and pre-op holding, surgical and medical services, patients and their families.
- Ability to work independently with minimal supervision.
- Ability to teach both professional and lay persons formally and informally.
- Ability to assess patients and develop perioperative recommendations for formulation of a care plan.
- Ability to communicate effectively verbally and in writing.
- Knowledge of organizational policies and procedures of University of Colorado Hospital as they relate to patient care services.
Prefer someone with two years experience as Nurse Practitioner
Salary and Benefits:
Salary is commensurate with skills and experience. The University of Colorado offers a full benefits package. Information on University benefits programs, including eligibility, is located at Employee Services.
The University of Colorado Denver is dedicated to ensuring a safe and secure environment for our faculty, staff, students and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees.
The University of Colorado strongly supports the principle of diversity. We encourage applications from women, ethnic minorities, persons with disabilities and all veterans. The University of Colorado is committed to diversity and equality in education and employment.
The Immigration Reform and Control Act requires that verification of employment eligibility be documented for all new employees by the end of the third day of work. Alternative formats of this ad are available upon request for persons with disabilities.
Application Materials Instructions:
Applications are accepted electronically at CU Careers, refer to requisition ID: 12721
When applying, applicants must include:
- A letter of application which specifically addresses the job requirements and outlines qualifications
- A current Resume/CV
- The names, addresses, daytime telephone numbers and e-mail addresses for three professional references, either attached to your resume/CV or uploaded as a separate document
Please do not submit any of your application material (via email) to the job posting contact.
Job Category: Faculty
Primary Location: Aurora
Department: H0001 -- Anschutz Medical Campus - 20138 - SOM-Anesthesiology
Posting Date: Feb 22, 2018
Closing Date: Ongoing
Posting Contact Name: Haleigh Stout
Posting Contact Email: Haleigh.Stout@ucdenver.edu
Position Number: 00743989