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Mercy Medical Center Clinton NP / PA - Acute Pain in Saint Joseph Mercy Health System Hospital Campus - Ann Arbor, Michigan

Employment Type:

Full time


Day Shift


The Acute Pain APP provides health care services under the direction of collaborating Anesthesiologists in the Department of Anesthesia. Collaborates with the Department Chair, Department Manager, and Director of Anesthesia to achieve the departmental goals and objectives. Under the direction of the collaborating anesthesiologist, the NP/PA is responsible for coordinating the health care plan for the assigned patient population by collaborating with consulting physicians and health care professionals. The NP/PA carries out physician orders and maintains the continuum of care through the coordination and integration of patients on acute pain service, guided by progress notes, consults, care plans, critical pathways, managed care guidelines, best practice protocols, evidenced based care, and the utilization review processes. In partnership with the supervising physician the NP/PA evaluates care based on quality and core measures, access and cost effectiveness. The NP/PA contributes to excellence in patient care by focusing on age specific, developmental and spiritual needs and serving as a role model in patient care, consulting, teaching, and leadership.


Clinical care for surgical patients: Formulates and implements medical plans of care for acute pain management of all acute pain service patients with collaborating physicians. Assists with evaluation and triage of acute pain service patients. Provides direct clinical services for acute pain service patients according to established protocols, using evidence-based practice and clinical practice standards, under the supervision of the collaborating physicians. Assessment and discontinuation of epidural and regional anesthesia catheters Completion of daily hospital work rounds including charting of progress notes, order entry and modification as required under the direction of the supervising physician. Dictation of discharge summaries, chart rounds, staffing conference summaries and consults as directed by service needs. Participation in the care of off-service patients as indicated by consulting (supervising) physician request. Review appropriate diagnostic and laboratory data under the direction of the supervising physician and communicates results to physicians and other health care providers. Assesses changes in patient status and institutes routine and emergency interventions to stabilize patients under the direction of the supervising physician. Documents plan of care and patient progress in medical records and narrative summaries. Evaluates and documents patient outcomes and revises the plan under the direction of collaborating physicians in association with other specialty consultants. Helps facilitates discharge planning along with patients, families, other members of the health care team and referral agencies.

Collaborative role with other disciplines:

Acts as the daily central liaison to all health care team members regarding acute pain service concerns. Participates in patient care conferences and peer quality review with collaborating physician, consulting medical teams, and other health care disciplines

Education Focus:

Explains the purpose, preparation and potential effects of the to patient and families

Provides pre-operative teaching and discharge planning to patients and families.

Designs, instructs, and reviews information and programs pertinent to the acute pain service population.

Participates on hospital, nursing and medical committees as designated.

Serves as a hospital resource to staff, patients, and families.

Develops and implements a personal continuing education program to maintain current knowledge of acute pain service management and associated medical concerns.


Education: Master’s Degree in clinical nursing from an accredited Nurse Practitioner Program with emphasis on area of certification/licensure. Requires graduation from an ARC-PA accredited PA program.

Experience: Surgical experience preferred

Certification/Licensure: Current Registered Nurse and Nurse Practitioner license in the State of Michigan. Current License/Certification as Physician Assistant with the State of Michigan. ACLS Certification.


Interpersonal skills necessary to initiate and maintain collegial relationships with coworkers and therapeutic relationships with patients and families. Analytic skills necessary to perform principal duties and responsibilities of job description. Ability to concentrate and pay close attention to detail for up to eighty percent of work time when planning and performing professional nursing care. Ability to walk and stand continuously for 50% of time, ability to sit for 50% of time.

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation, serving diverse communities that include more than 30 million people across 22 states. Trinity Health includes 94 hospitals, as well as 109 continuing care locations that include PACE programs, senior living facilities, and home care and hospice services. Its continuing care programs provide nearly 2.5 million visits annually.

Based in Livonia, Mich., and with annual operating revenues of $17.6 billion and assets of $24.7 billion, the organization returns $1.1 billion to its communities annually in the form of charity care and other community benefit programs. Trinity Health employs about 133,000 colleagues, including 7,800 employed physicians and clinicians.

Committed to those who are poor and underserved in its communities, Trinity Health is known for its focus on the country's aging population. As a single, unified ministry, the organization is the innovator of Senior Emergency Departments, the largest not-for-profit provider of home health care services — ranked by number of visits — in the nation, as well as the nation’s leading provider of PACE (Program of All Inclusive Care for the Elderly) based on the number of available programs. For more information, visit www.trinity-health.org . You can also follow @TrinityHealthMI on Twitter.