Description

Indiana Joint Replacement Institute (“IJRI”) is developing an outpatient perioperative environment which aims to guide patients safely and thoroughly through their surgical procedure. IRJI uses a team-based approach to identify surgical need, optimize medical management, safely provide anesthesia, and perform surgical procedure, with the intent of returning the patient to their home post-operatively to allow for maximal healing. This partnership is in collaboration with Physicians, Nurse Practitioners, Physician Assistants, Nurses, Medical Assistants, Physical Therapist, Occupational Therapists, and others to ensure a smooth transition out of the ambulatory surgical center and back to their own home.

Reporting to the medical director of Peri Operative Medicine, the Nurse Practitioner would leverage progressive and critical thinking skills to provide a comprehensive medical assessment and risk stratification of patients prior to undergoing surgery. The goal of this assessment is to identify comorbid conditions that could lead to complications perioperatively, with the intent of medical optimization, and includes a shared decision-making conversation with patients regarding possible complications related to their chronic medical problems. In appropriate settings, the Nurse Practitioner may recommend referral for further workup and testing prior to planned procedure, with the goal of driving key performance indicators (ex: reduction in cancelled procedures, reduction in 30-day readmissions, reduction in urgent care visits post op, minimizing unneeded referrals and testing, increase patient engagement) 

Requirements

Clinical Duties

• Work as part of a multidisciplinary clinical care team to provide a comprehensive medical risk assessment for patients undergoing elective surgical procedures in the outpatient setting.
• Use critical thinking skills and follow evidence-based standards of practice, with particular attention to up-to-date perioperative guidelines and recommendations. 
• Use clinical guidelines to risk stratify medically complex patients and minimize unnecessary medical testing in the perioperative environment.
• Analyze test data to diagnose and/or arrange appropriate follow up or testing for patients, if necessary, prior to undergoing surgical procedure
• Communicate individual risks of undergoing surgery and carry out shared-decision making conversation around modifiable and non-modifiable risks.
• Anticipate obstacles and create a plan for pre and post-operative management of medical problems, including medication management plan.
• Educate patients and families on management of medications and health conditions in the perioperative setting. 
• Accurately and thoroughly document your patient encounter using clinically appropriate billing and coding metrics. 
• Effectively navigate difficult conversations related to goals of care. 
• Communicate effectively with patients, family, MPOA, PCP and the other members of the clinical team (Surgeon, Anesthesiologist, RNs, MAs, PT, etc).
• Provide inpatient care as needed.
• Adhere to clinical and safety standards, protocols, and performance metrics and Indiana state law. 
• Provide care with compassion, empathy, and cultural competency. 
• Attend team meetings and education/training sessions.
• Maintain professional etiquette and serve as a representative for M2 Orthopedic Partners.
• Keep patient safety at the forefront of your clinical practice.
• Other duties as assigned.

Minimum Requirements

• Master's degree in nursing from an accredited school/college of nursing required
• NP licensed in State of Maryland (required) and Virginia (preferred)
• Minimum 2 years’ experience
• Active FNP or Acute Care NP licensure
• Active Basic Life Support certification
• Eligible for independent practice
• Eligible for DEA
• Preferred experience: Hospital Medicine/Internal Medicine/Perioperative Medicine/Family Practice, member of the Society of Perioperative Assessment and Quality Initiative (SPAQI)