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APP - Pediatric Neurosurgery - Arnold Palmer Hospital New

Orlando, FL


Hiring Company

Orlando Health - Arnold Palmer Hospital

Positions Available

Full Time

Apply now

Position Description

Position Summary

The Pediatric Neurosurgery Advanced Practice Provider (APP) works collaboratively with supervising physicians and other APP colleagues to co-manage the pediatric neurosurgical patient, according to established practice guidelines and utilizing evidence-based clinical practice standards. The APP is responsible for managing patients within the inpatient setting, outpatient clinic visits, consultations, first-assists within surgical cases, and takes trauma call on a rotating basis.



  • Graduate of accredited physician assistant program or has obtained an MSN or DNP degree from an accredited nursing school.


  • Two years of pediatric or general surgery experience desired.
  • Surgery, Critical Care, Trauma, or ED Fellowship trained APP desired.


  • Current licensure in State of Florida renewed every two years to include prescriptive authority.
  • Maintains NCCPA (National Commission on Certification of Physician Assistants).
  • Maintains APRN License and Certification as required by the state of Florida.
  • Maintains BLS, ACLS & PALS certification as required by department.


Job duties include:

  • Inpatient Coverage: Daily hospital rounds, progress notes, admissions, consult notes and discharge summaries. Pre-admissions for surgery and H&Ps. First call for all nursing questions, Floor consults, ER Consults and Trauma Consults. Communicate plan of care for floor patients to medical service. Enter in all daily charge notes, responsible for patient education for discharge, set up follow up appointments, and write prescriptions for discharged patients. Responsible for all bedside procedures i.e. shunt reprograms, shunt taps, reservoir or ventricular taps, EVD or ICP monitor insertions and removals
  • Surgical Coverage: Pre op all surgical patients, set up, and position in OR. Ensure all equipment for OR is ready i.e. surgical navigation. Make sure neurosurgical bundle is being followed. First or Second Assist in OR and be proficient at knot tying, multilayer closures, skin closures and removal of patient in fixating pins. Responsible for post op dressings and head wraps. Write all Post op admission orders, Post op Notes and Medication Reconciliation. Transport patient from OR to PACU or direct admit to ICU. Communicate with medical team regarding post op care. Perform post op exams and review post op diagnostic studies/lab work. Ensure all EVDs, Lumbar Drains and ICP monitors are functioning appropriately. Be available for bedside procedures as necessary. Assists with other clinical roles as needed where attending neurosurgeon or senior neurosurgical APP feels appropriate.
  • Outpatient Coverage: Run daily APP Clinic which includes annual follow ups, new patient appointments, and postoperative exams. Rotates through Head Shape Clinic, Spina Bifida Clinic, Spasticity Clinic, Brachial Plexus, Neuro-oncology clinic and any other specialty clinics including future satellite clinics. Available for walk-ins or patients requiring same day appointments as needed. Peer to Peer Reviews, Patient Phone Calls, Letters of Medical Necessity, and Radiology/lab Review.  Available to office team to answer questions regarding patient concerns or clinical questions. Set up pre admits for preoperative planning and schedule pre surgical Stealth imaging as needed. Performs various outpatient procedures i.e. baclofen pump refills and reprograms, shunt reprograms, shunt or reservoir taps, wound care
  • Call: Provide overnight call coverage rotating with other APPs averaging 7-8 days per month with fully staffed APP positions. With a full staff of 4 APPS, the proposed call schedule template is one night per week and rotates every 4th weekend providing 24/7 call coverage with extra coverage as needed to accommodate PTO, sick leave, etc.
  • Quilty Improvement, Research and Extracurricular- Each APP is expected to participate in a Quality Improvement Initiative, Research Project, and Educational Project etc. of their choosing with the guidance of supervising physicians or senior APP.
  • Holiday Coverage: All 4 minor and 3 major Holidays will require APP coverage and be rotated equally amongst the APP clinical staff. Four minors include Easter, Memorial Day, July 4th and Labor Day. Three Majors include Thanksgiving, Christmas and New Year’s
  • Education: Attends all educational opportunities offered for neurosciences in person or virtually to include Tumor Board and Epilepsy Conference unless on PTO or leave. Attends at least 1 neurosurgical CME conference per year and actively participates in Journal club every quarter.
  • Operations: Attends all neurosurgical provider meetings, staff meetings and Neuroscience department meetings unless on PTO or leave. Encouraged to attend surgical department meetings quarterly, Surgical PIPS review and APP council meetings when scheduled.

Essential Functions

  • Manages patients with the highest degree of independence in provision of patient care services with minimal physician supervision and in a highly specialized area and across the continuum.
  • Assesses the physical and psychosocial status of patients by means of interview, health history, physical examination, diagnostic studies and recognizes deviations from the normal.
  • Develops a diagnosis and works collaboratively with the interdisciplinary team to formulate and implements the treatment plan.
  • Surgically close wounds, incision and drainage, debridement, dressing (the surgeon must remain in the immediate area).
  • Scrub with collaborating surgeon in operating room.
  • Performs complex diagnostic and therapeutic procedures, as credentialed, in diagnosing medical and surgical problems and prescribing necessary treatment and services for quality patient care.
  • Implements appropriate management based on laboratory results, physical assessment, routine diagnostic and follow-up studies, therapeutic measures, admission and discharge care in accordance with evidence based medicine.
  • Identifies, analyzes, and resolves patient care issues to foster significant improvement in patient care and outcomes.
  • Dictates and documents in an accurate and timely manner.
  • Performs patient education and maintains provision of preventive health services.
  • Conducts or participates in multidisciplinary rounds.
  • Participates in the department call rotation and/ or weekend/ holiday rounding as required.
  • Prescribe medication.
  • Participates in quality initiatives to ensure consistent attainment of key quality indicators.
  • Supports IRB approved clinical research/trials through a variety of activities including but not limited to: ordering diagnostic tests, prescreening patients, recording laboratory and diagnostic results, administering therapeutic interventions per trial protocols and documenting outcomes per hospital and trial protocols.
  • Acts as an advanced resource for the specialty area
  • Perform minor bedside procedures that are appropriate to the specialty patient population and independent of the physician
  • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
  • Maintains compliance with all Orlando Health policies and procedures

Other Related Functions

  • Acts as a role model and resource person for staff.
  • Assists in teaching students, residents and interns in complex techniques and procedures.
  • Participates in review and revision of policies and procedures.
  • Establishes relationships with professional and other health-related groups within the community.
  • Demonstrates effective verbal and written communication with diverse populations, including physicians, employees, patients, and families.

Apply now

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