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APRN Job Description:

G ENERAL P URPOSE OF J OB :
The Peri anesthesia APRN facilitates professional leadership and related specialized care to the pre - operative patient population, with the intent of optimizing patient outcomes and improving the pre - operative preparation of patients to decrease or prevent surgical delays or cancellations. Responsibilities include performing pre - operative physical assessments, obtaining history and
physical information for MRI cases, assessing the need for and ordering appropriate pre - operative laboratory testing or pre - operative clearances, collaborating with an anesthesiologist to determine pre - operative medication orders, and managing data for the pre - op program for research, outcomes
and/or reporting purposes.

ESSENTIAL FUNCTIONS AND BEHAVIORAL EXPECTATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all - inclusive; employees
will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.
• Maintains utmost level of confidentiality at all times.
• Adheres to hospital policies and procedures.
• Function within scope of practice , under the supervision of an attending.
• Have excellent communication and customer service skills, proven excellence in clinical care and supervisory skills.
• Participate and assist with coordination and continuity of care.
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• A ssist with physician directed care including:
1) Wri te appropriate orders ( e.g., nursing care , medication orders, laboratory, and imaging /radiological examinations).
2) Review pertinent abnormal findings in the patient's history, physical examination, radiological and laboratory data with supervising physician , obtain appropriate referral/consultation, additional laboratory or radiological studies as needed, and initiate appropriate medical intervention(s).
3) Performing pre - operative physical assessments, obtaining history and physical information for procedures (invasive/non - invasive) , assessing the need for, and ordering appropriate pre - operative
laboratory testing or pre - operative clearances, collaborating with an anesthesiologist to determine pre - operative medication orders, and managing data for the pre - op program for research, outcomes and/or reporting purposes.
4) If applicable, performs and records history and physical examinations (initial admissions and consults will be seen by attending prior to implementing plan of care).
5) If applicable, c omplete s consultations approved by the supervising physician with follow - up as indicated. Ensure testing has been completed, results verified, review labs/studies and vital signs. Complete progress note as indicated.
6) Advise supervising physician of unexpected events, providing an accurate synopsis of events related to a major change in the patient’s condition and describing corrective measures already taken.
7) Daily assessment of patient’s hospital course, write note of patient’s progress in chart as it pertains to the supervising physician and implement indicated therapy as determined by the supervising physician.
8) Serve as a resource for clinical staff. Interpretation and findings for both patient and family, family orientation and resources information; coordination of meetings; communication between the pre - op
clinic and primary care physicians and / or specialist; review and recommend specialty services if needed to patient’s primary care provider.
9) Coordinates all activity necessary for the pre - operative program.
• Schedule and perform face - to - face patient interviews for high - risk patients (ASA 3+, high risk procedures)
• Coordinate high - risk patient anesthesiologist review as deemed necessary.
• Consult with anesthesiologist for decisions related to postponement/cancellation of a procedure.
• Assure that all patient testing is completed, assessed, and reported three days prior to date of surgery.
10) Acts as a liaison between the physicians and other staff
11) Maintains a database of current patients.
12) Assists with the coordination of discharge planning and/or follow - up.

E DUCATION AND / OR E XPERIENCE :
• Mas ter’s or Post Master’s Degree, r equired.
• Graduation from a Nurse Practitioners Program with practice authority in the St ate of Texas, r equired.
• 1 - 2 years of pediatric experience , preferred.
• 1 - 2 years in peri - operative or peri - anesthesia , pre ferred.

CERTIFICATES, LICENSURE, REGISTRATION:
• Advanced Practice Certification
X • Family Nurse Practitioner , Board Certified ( FNP - C or FNP - BC )
• Neonatal Nurse Practitioner , Board Certified (NNP - BC )
X • Pediatric Nurse Practitioner , Board Certified - Primary Care ( PN P or CPNP - PC)
X • Pediat ric Nurse Practitioner , Board Certified - Acute Care (CPNP - AC)
• Active and unencumbered nurse practitioner and registered nurse license in the State of Texas, required .
• Advanced specialty courses and ongoing education requirements as required by DCH.
• DCH Credentialing obtained within time frame required and continuously maintained ongoing.
• Must obtain DCH credentialing as an active member of medical staff and appropriat e medical privileges, required.

Physician Assistant Job Description:

G ENERAL P URPOSE OF J OB :
The Physician Assistant is a skilled individual, qualified by academic and clinical
education who provides assistance in the conduct of clinical research. The APP will utilize medical knowledge and experience, under the direction of the principal investigator, research manager and/or clinical director, to oversee and direct clinical course of pediatric research participants. Assess physical health and administer treatments throughout the study aligned with scope of practice delegated responsibilities. Oversee study conduct and assure study participant safety and work with clinical research coordination and reporting.

ESSENTIAL FUNCTIONS AND BEHAVIORAL EXPECTATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.
• Maintains utmost level of confidentiality at all times.
• Adheres to hospital policies and procedures.
• Function within scope of practice, under the supervision of an attending.
• Have excellent communication and customer service skills, proven excellence in clinical care and supervisory skills.
• Participate and assist with coordination and continuity of care.
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• If applicable, performs and records history and physical examinations.
• Assist with physician directed care including:
1) Write appropriate orders (e.g. nursing care, medication orders, laboratory and
imaging/radiological examinations).
2) Review pertinent findings in the patient's history, physical examination, radiological and laboratory data with supervising physician, obtain appropriate
referral/consultation, additional laboratory or radiological studies as needed, and initiate appropriate medical and/or protocol-directed intervention(s).
3) If applicable, completes consultations approved by the supervising physician with follow-up as indicated. Ensure testing has been completed, results verified, review labs/studies and vital signs. Complete progress note as indicated.
4) Review of laboratory and radiologic data. Make appropriate interventions as
indicated.

5) Advise supervising physician of unexpected events, providing an accurate synopsis of events related to a major change in the patient’s condition and describing corrective measures already taken.
6) Oversee and, as needed, administer medications and treatments per study protocol and scope of practice.
7) Collaborate with clinical staff, researchers, outside vendors, and other staff to
administer treatment and study protocol-directed interventions and assessments.
8) Identify, recruit, and enroll study participants, as well as maintain study participant records; determine study participant criteria.
9) Assists with the coordination of discharge planning and/or follow-up.
10) Serve as a resource for clinical and research staff.
11) Assess, perform, and document parent/patient education.
12) Ensure the safety of study participants, and maintain communication with the patient/family and clinicians.
13) Participates in investigator meetings and monitoring visits.
14) Completes protocol-specific training as required by study sponsors.
15) Conducts informed consent discussions and obtains informed consent / assent for research in accordance with applicable regulations, IRB requirements, and institutional standards.

E DUCATION AND / OR E XPERIENCE :
• Master’s or Post Master’s Degree, Required.

• Completion of an Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) approved program (prior to January 2001 - Commission on Accreditation of Allied Health Education Programs), required.

2-3 years of relevant experience, or combination of education and relevant

experience in Pediatrics, Required.
Experience with clinical trials, Preferred.

CERTIFICATES, LICENSURE, REGISTRATION:
• Current certification by the National Commission on Certification of Physician
Assistants (NCCPA),
• Physician Assistant, Certified (PA-C), required.
• Active and unencumbered license in the State of Texas, required
• Advanced specialty courses and ongoing education requirements as required by DCH.
• DCH Credentialing obtained within time frame required and continuously
maintained ongoing.
• Must obtain DCH credentialing as an active member of medical staff and appropriate medical privileges, required.
• Collaborative Institutional Training Initiative (CITI Program) Training in Good
Clinical Practice, Protecting Human Research Participants, and Conflict of Interest in Research, required.