General Surgery Advanced Practice Provider
Saint Luke's
General Surgery Advanced Practice Provider
Saint Luke's
Nonprofit integrated health system
Our quickly growing Saint Luke's East General surgery group is seeking a Physician Assistant or Nurse Practitioner who has successful completed a Physician Assistant program or Nurse Practitioner program and meets the requirement of the Board of Healing Arts of Missouri and Kansas.
This APP will work in outpatient clinic, first assist in the OR, and do inpatient hospital rounding. This is a Monday through Friday schedule, eight hour shifts with a weekend rounding commitment once every 9 weeks. Holiday coverage for the 6 major holidays is also a requirement. This is on a rotation among the team. This APP may also cover for another general surgery APP at another location as needed to include SLS, SLH, and SLN.
Supervision/Collaboration:
The APP will report to the APP manager for their division. The APP will work in collaboration with the primary collaborating physician as well as the alternate collaborating physicians when deemed necessary. The APP may consult with physicians on other services and work in collaboration with the attending physician when working on the inpatient service if that applies.
Consultation with the collaborating physician in a timely manner is needed for:
Emergent situations, particularly if considering need for a transfer to the Emergency Department Uncontrolled chronic medical conditions Conditions that are not improving in the expected time frame. Any instance where the APP feels it is necessary.
Responsibilities of the APP:
The physician(s) delegate to the APP the authority to deliver those health care services and treatments and to administer, dispense and prescribe drugs within the scope of practice of the specialty and consistent with the education, training, and experience of both physician and APP subject to the terms of this agreement and applicable laws which are specific to the clinic conditions to be treated by the APP and physician, including, but not limited to the following:
Elicit and record complete and pertinent medical history of new and established patients. Perform and record the pertinent physical examinations of new and established patients. Utilizing the information obtained in the history and physical exam, the APP will order appropriate diagnostic tests to assess the health state, define, evaluate, and appropriately manage the health of new and established patients. Interpret diagnostic tests, prescribe appropriate pharmacological and non-pharmacological interventions based on results. Develops comprehensive education plans Identifies and orders appropriate consultation and referrals With prescriptive authority delegated from the collaborative physician by means of collaborative practice agreement or PASA as specified by the state of Missouri and/or Kansas, the APP may write and sign prescriptions for any medications needed to manage problems identified, including controlled substances agreed upon by the collaborative physician and allowed by the state of Missouri and/or Kansas. Treat and provide follow-up care for acute, self-limiting illnesses, and stable chronic conditions. Instruct and counsel patients regarding mental and physical health including but not limited to the topics of diet, disease, treatment and normal development using procedures reviewed and approved by the collaborating physician. Refer to appropriate community health facilities, agencies and resources after consultation with the physician. Consider functioning as a preceptor for students as able Participate in the call schedule, if applicable, and ensure proper functioning of telephone devices Stay informed for clinic initiatives and changes in billing Meet the standards for quality measures and monitor their own reports through the EPIC dashboard Complete all patient encounters and charges within 48 hours of appointment time, per policy. Stay current with in-basket messages, results, and medications refills, Delegate a provider to cover the in-basket when out of the office. Meet or exceed the system’s goal for full time APPs of __50% MGMA Rvus or higher in a calendar year. Prorated for staff less than full time. Participate in appropriate employer sponsored or affiliated activities and pursuing continuing educations programs of education to maintain proficiency. Perform other related duties directed within the scope of APPs training and licensure, that are not prohibited by law. Dictate discharge summaries if working in the hospital Perform or assisting in the performance of procedures that are documented in the CPA or PASA and consistent with the educations, training, and experience of both the APP and their collaborating physician. Such as, but not limited to:
See attachment
Maintain licenses and certifications per system policy and job profile. Follow all Saint Luke’s Health System policies and procedures applicable to position.
APP will use the following resources:
CDC website
Up to Date
PDR
Sanford guide to antimicrobial therapy
Nurse practitioner prescribing reference
See attachment
General Surgery
Surgical Procedures: Bedside
-I&D
-Wound debridement/Wound care including wound vacs, dressing changes etc
-NGT insertion and removal
-Colostomy/Ileostomy Care/troubleshooting
-G and J tube management
I would add drain removal
G and J tube management to include tube exchange and removal.
JP
Surgical Procedures: OR first assist
-Bariatric: Lap Sleeve and Robotic Bypass
-Nissen Fundoplication, Hiatal Hernia, Heller Myotomy, and LINX procedure
-Colectomy Lap and Robotic: Right, left, total, APR, LAR, etc
-Colostomy/Ileostomy Closure
-Appendectomy
-Lap cholecystectomy
-Melanoma removals (McNally)
-Lymph node dissections
-Lymph node biopsy
-Liver Biopsy
-Exploratory Laparotomy
-Diagnostic Laparotomy
-Peritoneal Dialysis Catheter Placement
-Mass excision
-Hernia Repair Open, Lap, and robotic: Inguinal, umbilical and ventral
-Total and Partial Thyroidectomy and Parathyroidectomy
-Hemorrhoidectomy
-Pilonidal cyst Excision
-Temporal Artery biopsy
-Adrenalectomy (rare)
-Splenectomy (rare)
-Distal Pancreatectomy (rare)
-G and J Feeding Tube insertions
-I&D
Diseases/Conditions (These are the most common, but this is a hard list to make complete...)
-Small Bowel Obstructions
-Cancer (colon, gastric, GIST, small bowel, melanoma, rectal)
-Inflammatory Bowel Disease
-Gallbladder: Acute cholecystitis, cholelithiasis, etc
-Appendicitis
-Post-Op Complications
-Hernias
-Peptic Ulcer Disease, perforated viscous
-Diverticulitis
-Obesity (Bariatric)
Outpatient Clinic
-I&D
-Lipoma and sebaceous cyst removals
-Wound debridement/Wound care including wound vacs, dressing changes etc
-Skin shaves and biopsies
-Port Removal
-Be able to follow up any of above mention surgical procedures in post-op
Applicable Experience:
1 yearAdvanced Practice Provider - Various, Basic Life Support - American Heart Association or Red CrossMaster's DegreeNonprofit integrated health system
Saint Luke's operates a nonprofit health system serving Kansas City and surrounding Missouri and Kansas counties, now part of BJC Health. It runs 10 hospitals, physician practices, home care and hospice, imaging centers, behavioral health, and senior living services, plus specialty institutes for heart, neuroscience, cancer, and rehab care. What sets Saint Luke's apart is its Mid America Heart Institute and Marion Bloch Neuroscience Institute, both nationally recognized. The goal is to improve the health and well-being of the communities it serves.
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