Advanced Practice Provider - Emergency Medicine
On-siteHilton Head Island, South Carolina, United States
Hilton Head Island, South Carolina, United StatesOn-siteFull TimeDoctorate Or Professional Degree
Full TimeDoctorate Or Professional Degree
Job Summary
Conduct comprehensive emergency assessments, formulate differential diagnoses, and manage acute to high-acuity patient populations within the Provider-in-Triage model. Order, interpret, and act on diagnostic tests including labs, EKGs, and imaging, while performing ED procedures such as wound care, splinting, and incision and drainage. Stabilize patients with emergency medical conditions per EMTALA regulations, arrange appropriate transfers, and ensure all encounters are accurately documented in the electronic medical record. Collaborate with physicians, nurses, and ancillary staff to maintain seamless patient flow and throughput. Nocturnist with rotating or fixed schedules, including weekends and holidays.
Required Qualifications
- Bachelors Degree
- CAAHEP approved program
- national certifying examination given by NCCPA
- Masters or Doctorate Degree in Nursing
- approved NLN or equivalent nursing program
- Minimum 1–2 years of emergency medicine or acute care experience
- current SC PA licensure
- Current unrestricted SC Advance Practice Registered Nurse (APRN) license with Prescriptive Authority
- Current BLS
- Current ACLS
- Current PALS
- good manual dexterity
- vision
- hearing
- Nocturnist position with night-shift schedule, including weekends and holidays as needed
- Rotating or fixed schedules depending on service needs
- Exposure to acutely ill patients and high-stress situations
- Rapid evaluation and prioritization of patients based on acuity
- Accurate application of triage scoring systems (e.g., ESI)
- Identification of high-risk presentations requiring immediate intervention
- Initiation of early diagnostic and treatment orders in PIT
- Correct interpretation of EKGs, imaging results, and laboratory data
- Recognition of life-threatening abnormalities and critical findings
- Appropriate escalation to attending physicians when clinically indicated
- Wound assessment, repair, and closure (sutures, staples, tissue adhesives)
- Incision & drainage of abscesses
- Splinting and orthopedic injury management
- Foreign body removal
- Basic ultrasound-guided procedures (if credentialed)
- Airway management basics: bag-mask ventilation, adjunct placement; ETI if within scope
- IV access or ultrasound-guided IV placement
- Formulation of differential diagnoses across all age groups
- Evidence-based management of common ED presentations (chest pain, abdominal pain, respiratory complaints, injuries, infections, behavioral health)
- Safe discharge planning with appropriate instructions and follow-up
- Safe ordering, dosing, and monitoring of ED medications
- Familiarity with sepsis bundles, pain management protocols, and sedation requirements
- Knowledge of pediatric dosing if applicable to your ED
- Complete and accurate charting within required timeframes
- Documentation that supports medical necessity, risk level, and regulatory compliance
- Understanding and adherence to CMS, EMTALA, and hospital policies
- Effective communication with ED physicians, RNs, techs, and consult teams
- Clear patient communication, shared decision-making, and expectation setting
- Ability to manage difficult conversations, de-escalate conflict, and deliver patient-centered care
- Efficient patient handoffs from PIT to main ED
- Awareness of departmental metrics such as door-to-provider time, LWBS/LWOT, and length of stay
- Appropriate use of rapid orders and early interventions to improve flow
- Participation in quality improvement initiatives (e.g., sepsis pathway adherence, stroke metrics, antibiotic stewardship)
- Maintenance of procedural competencies (annual or per hospital requirement)
- Consistent review of safety events and incorporation of learning into practice
- Annual Review of Fire/Safety/Disaster Plan
- Completion of required CME/CE hours
- Maintenance of certifications (BLS/ACLS/PALS/ENPC as required)
- Participation in departmental education, workshops, and simulations (airway, trauma, pediatric resuscitation)
- Engagement in peer review and self-assessment
Desired Qualifications
- New graduates with strong ED rotations and clinical references
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