Nurse Practitioner or Physician Assistant - Emergency Medicine

• Pay: MUSC does not post a pay range for this role (competitive compensation per MUSC pay grade)
• Employment: Part time (PRN), 8 hours/week
• Location: MUSC Health University Medical Center
• Employer: University Medical Associates (UMA) Only Employees and Financials
• MUSC Job ID: R-0000068067

Fair Labor Standards Act Status: Hourly/Non-Exempt

Hours per week: PRN – shifts are based on staffing vacancies and availability of open shifts

Scheduled Work Hours/Shift

• 10-hour shifts which could include weekdays, nights, weekends and holiday coverage
• PRN APPs are required to work a minimum of 1 shift per month (or 3 averaged per quarter), provided sufficient qualified shifts are posted or otherwise offered by the department
• Continued PRN status requires reasonable participation in filling available shifts
• The APP must maintain sufficient clinical activity to demonstrate continued competency in the assigned patient population, clinical setting, procedures, and privileges

Required Training

Required Minimum Training: Completion of an accredited Physician Assistant program and currently licensed as a Physician Assistant or;

Completion of an accredited Nurse Practitioner Program and currently licensed as an APRN as noted below.

• AGPNP/ANP (Adult Gerontology Primary Care Nurse Practitioner or Adult Nurse Practitioner): Adult pts (13 years to death), stable chronic disease state management or primary care setting.
• FNP (Family Nurse Practitioner): (birth to death) Stable chronic disease state management, primary care across the lifespan.

Preferred APRN Training

• AGACNP or ACNP (Adult Gerontology Acute Care NP/Acute Care Nurse Practitioner): Adult pts (13 years to death), acutely ill or injured, potentially unstable, or technologically dependent (vents, drips, monitors, etc.)
• FNP with current Emergency Room Nurse Practitioner (ENP) Certification
• AGPNP/ANP with current Emergency Room Nurse Practitioner (ENP) Certification

Required Experience: Minimum of 1 year experience as a PA or APRN in an Emergency Department setting or completion of an Emergency Medicine Fellowship/Residency

Degree of Supervision

Advanced Practice Registered Nurse or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician.

All certifications must be current and complete prior to start date

• Basic Life Support (BLS).
• Advanced Cardiovascular Life Support (ACLS)
• DHEC and DEA license applications must be started prior to first day.

Preferred Licensure, Certifications, Registrations

• Advanced Trauma Life Support (ATLS) as required by our Level I Trauma Center

Provides direct care to patients through the following activities

• Takes comprehensive history and performs physical examinations
• Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline

Performs the following therapeutic procedures in accordance with procedural privileges, skill and proficiency as approved by the Clinical Division Chief:

• Administration of Local and Digital Anesthesia
• Complicated and Uncomplicated Repair of Lacerations
• Removal of Foreign Bodies from Eyes, Ears, Nose, Skin, and Wounds
• Trepanation of Subungual Hematomas
• Incision and Drainage of Abscesses
• Urethral Catheterization
• Placement of Peripheral Venous Access
• Placement of Central Lines [with proof of competency]
• Placement of Thoracostomy
• Endotracheal Intubation [with proof of competency]
• ACLS
• Arterial Puncture
• Venipuncture
• Lumbar Puncture [with proof of competency]
• Application of Splints
• Arthrocentesis
• Initiates referrals to other health care providers, and/or consults with the attending physician or the collaborating physician
• Documents and bills for direct care provided
• Utilizes current research and evidence-based decision-making in all clinical practice
• Performs and participates in quality/performance improvement activities and clinical research
• Participates in and supports accreditation, compliance, and regulatory activities of the organization
• Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education
• Potential to precept students at MUSC enrolled as an advanced practice provider student; and facilitates the learning of other new team members
• APRN or PA must maintain licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law

Physical Requirements

Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs(+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces.