ARNP - Dept of Surgery - Pediatrics

The Advanced Registered Nurse Practitioner in the Department of Surgery's Pediatric Surgery division functions as an independent healthcare provider who, working collaboratively within a multidisciplinary health team, is responsible for providing comprehensive care to patients on the Pediatric Surgery Service. Demonstrates a high degree of clinical expertise in caring for Pediatric Surgery patients with acute and chronic illnesses commonly encountered within surgery, including pre- and post-operative surgical management and post-operative complications. Responsible for assessment, diagnosis, treatment, management, education, health promotion, care coordination, and admissions for patients and families with acute and chronic Pediatric Surgery health needs. Demonstrates an advanced level of clinical knowledge, communication, interdisciplinary collaboration, professionalism, and systems-based practice. Works within an interdisciplinary team with administration, nursing, physician, and other involved university faculty to assure safe, effective, quality patient care and to promote UI Health Care’s educational and research missions. Provides care within the scope of practice as outlined by state law, licensing, regulations, institutional policy, and practice agreements. May begin practice after credentialing and privileging process has been completed by the University of Iowa Health Care Clinical Staff Office. Active hospital privileges will be required and reviewed on a semi-annual basis to maintain employment within the Department.

Role Expectations:

Patient Care: Practitioners are expected to provide patient care that is compassionate, appropriate, and effective for the promotion of health, prevention of illness, treatment of disease, and care at the end of life.

• Provide patient care that is compassionate, appropriate, and effective for the promotion of health, prevention of illness, and treatment of disease.
• Develop and implement outpatient treatment plan with multidisciplinary team, including admissions, pre- and post-operative management, and procedures.
• Ability to write admission, history and physical, and postop clinic notes in an accurate and concise method with documentation for appropriate billing.
• Procedures in accordance with privileging process may include, but not limited to, anorectal dilatation, anoscopy, Broviac removal, carbon dioxide/intense pulse light, cecostomy/gastrostomy/jejunostomy tube change, incision and drainage of abscess, and sharp wound debridement.
• Education of patient and family, residents and medical students, nursing staff regarding treatment plan.

Medical/Clinical Knowledge: Practitioners are expected to demonstrate knowledge of established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others.

• Perform a comprehensive history and physical.
• Evaluate and interpret pertinent lab and imaging studies.
• Possess working knowledge of appropriate pharmacology, antibiotic stewardship, and narcotic prescriptive practices.
• Participate and meet or exceed metrics for OPPE as set forth by UI Health Care Chief Medical Officer and Department of Surgery.

Practice-based Learning and Improvement: Practitioners are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams.

• Participation in Quality Assurance and research endeavors.
• Development and implementation of clinical guidelines.
• Participation in educational and multidisciplinary rounds and conferences.

Interprofessional and Communication Skills: Practitioners are expected to demonstrate skills that enable them to establish and maintain professional relationships with patients, families, and other members of healthcare teams.

• Demonstrate respect when communicating with staff, patients, family, and visitors.

Professionalism: Practitioners are expected to demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession, and society.

• Support the vision, mission, and core values of UI Health Care.
• Comply with Code of Ethical Behavior, organizational and Departmental policies.
• Comply with Departmental guidelines for hours of work.
• Meet national and state Advanced Registered Nurse Practitioner or Physician Assistant continuing education requirements.

Systems-Based Practice: Practitioners are expected to demonstrate both an understanding of the contexts and systems in which health care is provided, and the ability to apply this knowledge to improve and optimize health care.

• Demonstrate an understanding of the contexts and systems in which health care is provided, and the ability to apply this knowledge to improve and optimize health care.

UI Health Care’s WECARE Values:

Welcoming: We have an environment where everyone has a voice that is heard; that promotes the dignity of our patients, trainees, and employees; and allows all to thrive in their health, work, research, and education.

• Demonstrates active listening skills in interactions.
• Seeks out opportunities to welcome new hires.
• Engages with patients and their families to build positive relationships.
• Offers constructive feedback and tactfully accepts feedback given.
• Explains why a suggested action should be taken.
• Models transparency to the highest degree possible.

Excellence: We achieve and deliver our personal and collective best in the pursuit of quality and accessible health care, education, and research.

• Contributes to a positive work environment through their interactions with others.
• Demonstrates concern for the larger community served by the organization.
• Takes initiative to learn higher level skills that enhance ability to contribute to the organization.
• Sets high goals and works to achieve them. Pushes self and others to reach milestones.
• Looks for opportunities to help move a project along; volunteers to help others with projects or assignments.
• Responds to setbacks with renewed and increased efforts; is persistent in the face of difficulty.
• Willingly puts in extra time and effort in crisis situations; goes the “extra mile” to ensure the goal is met.
• Thinks in terms of desired outcomes, not just reactive, quick solutions. Finds ways to turn the ideal into reality. Experiments with new ideas, methodologies, and procedures.
• Sees opportunities for creative problem solving while staying within the parameters of good practice. Generates unique but workable and useful solutions to difficult problems.

Collaboration: We collaborate with health care systems, providers, and communities across Iowa and the region as well as within our UI community. We believe teamwork—guided by compassion—is the best way to work.

• Promotes cooperation and commitment within a team to achieve goals and deliverables.
• Knows and supports teammates’ work and deliverables. Helps teammates who need or ask for support or assistance.
• Acknowledges and celebrates the achievements of teammates. Praises the team and its achievement to others.
• Encourages team unity through sharing information or expertise, working together to solve problems, and putting team success first.
• Responds in a prompt and friendly manner to requests and inquiries.
• Provides clear instructions and expectations.
• Demonstrates flexibility by adapting to changes in priorities and the work environment.

Accountability: We behave ethically, act with fairness and integrity, take responsibility for our own actions, and respond when errors in behavior or judgment occur.

• Meets assigned deadlines without additional prompting by supervisor or others.
• Adheres to established work schedule.
• Provides consistent, timely, high-quality work.
• Displays a positive and professional image of UI Health Care to others.
• Demonstrates initiative consistent with job expectations to improve performance.

Respect: We create an environment where every individual feels safe, valued, and respected, supporting the well-being and success of all members of our community.

• Treats others fairly and respectfully.
• Polite, courteous, empathetic.
• Does not initiate conflict and takes measures to ensure conflict does not occur.
• Demonstrates tact and diplomacy when resolving conflicts, addressing concerns directly with the individual(s) involved.
• Demonstrates appreciation, thanks others for their assistance.
• Works effectively with individuals from all backgrounds.
• Assumes positive intent in daily interactions.

Empowerment: We commit to fair access to research, health care, and education for our community and opportunities for personal and professional growth for our staff and learners.

• Exhibits ability to be fair and positively acknowledges similar efforts from others.

• Builds a work environment where each person is seen and acknowledged for their individual skills.

Percent of Time: 50%

Schedule: 40 hours during a two-week period. A 30-minute lunch is included. Hours may vary based on the operational needs of the Department.

Location: UI Health Care Main Campus

Benefit Highlights:

• Regular salaried position located in Iowa City, Iowa.
• Fringe benefit package including paid vacation; sick leave; health, dental, life, and disability insurance options; and generous employer contributions into retirement plans. For more information on benefits, please visit: https://hr.uiowa.edu/benefits