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MedStar Georgetown University Hospital has been ranked by U.S. News & World Report as a "high performing" hospital for cancer, diabetes and endocrinology, geriatrics, gynecology, nephrology, neurology and neurosurgery, orthopedics, pulmonology and urology.

MedStar Georgetown's centers of excellence include neurosciences, transplant, cancer and gastroenterology. Along with Magnet® nurses, internationally recognized physicians, advanced research, and cutting-edge technologies, MedStar Georgetown's healthcare professionals have a reputation for medical excellence and leadership.

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Nurse Practitioner, NP - Orthopaedics
Category: Nurse Practitioners
Job Requisition: 8761
Department: Physician Services - Orthopaedics
Facility: MedStar Georgetown University Hospital
Geographic Region: Washington, DC
Schedule: Full Time
Shift: Monday-Friday, 7am-3:30pm
Hours per Week: 40.00
Location: Washington, DC

General Summary of Position:
As defined by the American College of Surgeons (ACS), the surgical nurse practitioner provides aid in exposure, hemostasis, closure, and other intra-operative technical functions that help the surgeon carry out a safe operation with optimal results for the patient. The surgical nurse practitioner is under the direction and supervision of the attending surgeon. These functions are performed in accordance with all applicable laws and regulations and
MedStar Georgetown University Hospital’s philosophy, policies, procedures, and standards.

  • EDUCATION AND/OR TRAINING REQUIRED: BSN from an accredited school of nursing. Successful completion of an approved Nurse Practitioner program
  • LICENSURE AND/OR CERTIFICATION: State license in D.C., MD or VA as a Registered Nurse and Nurse Practitioner. CPR certification.
  • EXPERIENCE: Three years of nursing experience inclusive of at least one year of directly related experience in orthopaedics.
  • SPECIAL KNOWLEDGE/SKILLS/ABILITIES: Knowledge of professional nursing theory, practice and medical care to give to and evaluate patients. Knowledge of organizational policies, regulations and procedures to administer patient care. Skill in applying and modifying the principles, methods and techniques of professional nursing to provide ongoing patient care.Skill in taking medical histories to assess medical condition and interpret findings. Ability to establish and maintain effective working relationships with patients, medical staff and the public. Ability to maintain and control standards. Ability to remain calm and effective in emergency situations. Excellent interpersonal and communication skills.
Consideration will be given to an appropriate combination of education/training and experience.

Primary Duties and Responsibilities:

  • When necessary, obtains complete medical history and physical data on patients.
  • When necessary, orders and evaluates appropriate evaluatory diagnostic studies and procedures.
  • When necessary, records and documents assessment data, interventions, results, and patient outcomes, per established clinical protocols.
  • Administers medications and injections as directed.
  • Instructs patients and family regarding medications and treatment instructions. Provides patient education and serves as resource to other clinical team members regarding particular expertise.
  • Exemplifies guest and staff relations standards in all activities.
  • Performs as a first or second assistant to the attending surgeon during surgical procedures in the operating room.
  • Ensures/maintains a sterile field during surgical procedures by adhering to Association of Operating Room Registered Nurses (AORN) standards and other regulatory standards.
  • Adheres to all MGUH Orthopaedics, Perioperative and Operating Room Policies & Procedures.
  • Positions the patient during surgical procedures. Surgeon shall convey the exact position that will give the best exposure for the surgical procedure, and the surgical nurse practitioner will assist in moving and positioning the patient. The surgical nurse practitioner must be familiar with common positions related to the surgical procedure and be able to use the necessary equipment to provide the position. Competencies would include fracture tables, head stabilizers, body stabilizers, C-arm extensions, and any other positioning equipment necessary.
  • Drapes patients per surgeon’s specific instructions.
  • Provides visualization of the operative site by the following: appropriate placement and securing of retractor with or without padding; packing with sponges; digital manipulation of tissue; suctioning, irrigating or sponging; manipulation of suture materials (e.g., loops, tags, running sutures); and proper use of body mechanics to prevent obstruction of the surgeon’s view.
  • Assists in maintaining hemostasis by direct pressure, use and application of appropriate surgical instrument for the task, placement of ties, placement of surgical ligatures, application of chemical hemostatic agents, utilizing appropriate techniques to assist with hemostasis, or other measures as directed by the attending surgeon.
  • Clamps, ligates and cuts tissue per surgeon’s directive.
  • Utilizes appropriate techniques to assist with closure of body planes; utilizes running or interrupted subcutaneous sutures with absorbable or nonabsorbable material; utilizes subcuticular closure technique with or without adhesive skin closure strips; closes skin with method indicated by surgeon (suture, staples, etc.); performs postoperative subcutaneous injection of local anesthetic agent as directed by the surgeon; and participates in count processes as appropriate.
  • Selects and applies appropriate wound dressings under the direction of the attending surgeon, including the following: liquid or spray occlusive materials, absorbent material affixed with tape or circumferential wrapping, and immobilizing dressing (soft or rigid).
  • Provides assistance in securing drainage systems to tissue.
  • Performs other duties and responsibilities that are appropriate to the position and area.
The above responsibilities area general description of the level and nature of the work assigned to this classification and are not to be considered as all-inclusive.
About MedStar Health

MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation and research. Our 30,000 associates and 5,400 affiliated physicians work in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest visiting nurse association in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar is dedicated not only to teaching the next generation of doctors, but also to the continuing education and professional development of our whole team. MedStar Health offers diverse opportunities for career advancement and personal fulfillment.

MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations.

A qualified individual with a disability will be considered for employment on the same basis as non- disabled applicants if he/she can perform the essential functions of the job sought, with or without a reasonable accommodation, and without imposing a direct threat to the health or safety of others or him/herself.

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