Advanced Practice Provider (NP/PA) - Emergency Medicine - MUSC Health PeeDee Division

MUSC Health Florence Medical Center is a leading regional acute care facility comprised of 396 patient beds and more than 1,500 employees and nearly 300 physicians representing all major specialties. We are dedicated to serving the health care needs of people living in northeastern South Carolina. MUSC Health Florence Medical Center combines advanced technology, medical innovation and proven treatment methods to benefit of our patients. Our extensive range of services include heart and vascular care, cancer treatment, minimally invasive orthopedic and general surgery, diagnostics, women’s health and rehabilitation services. When unexpected medical situations arise, our Emergency Department (ED/ER) is ready to respond. The hospital’s Chest Pain Center is the first in the region to have been accredited by the Society of Cardiovascular Patient Care (SCPC). MUSC Health Florence Medical Center’s advanced Primary Stroke Center, recognized by The Joint Commission, shows the hospital’s commitment to the highest standards in the country for stroke care. Candidates will provide diagnostic, therapeutic, and preventive healthcare services for patients in our PeeDee Division including Florence, Black River and Marion, SC.

 
Fair Labor Standards Act Status: Hourly/Non- exempt  
 
Hours per week: 40 
 
Scheduled Work Hours/Shift: Varies 

Patient Population Focus: Emergency Department Management  
 
Patient Population Age Range: 13 years-death  
 
Required Training and Experience
 
Required Minimum Training: Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN (Advance Practice Registered Nurse) as noted below. 

APRN License Type/Certification: 

• 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. 

Required Experience: 2 years of Emergency Room Experience as an APP or graduation from an Emergency Room Fellowship 

Preferred Training and Experience  
 
Preferred Training: Physician Assistant (PA) or if APRN, License Type/Certification identified below: 

• 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 

Preferred Experience: If APRN, 4 years as an Acute Care Nurse Practitioner in an Adult Emergency Department. 

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. 

Required Licensure, Certifications, Registrations 

All certifications must be current and complete prior to start date: 

• Basic Life Support (BLS) 
• Advanced Cardiovascular Life Support (ACLS) required for adult inpatient positions 

If applicable, DHEC and DEA license applications must be started prior to first day

Job Duties

Provides direct care to patients through the following activities: 

• Takes comprehensive history and performs physical examinations 
• Evaluates and treats based on 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 provides, 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 nearby 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.?