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Orthopedic Trauma Surgery Physician Assistant/Nurse Practitioner - PRN

Requisition R086055 Market Mechanicsville, Virginia Department Orthopedic Institute - St. Francis - Richmond Shift Days/Nights Schedule Part-time

Thank you for considering a career at Bon Secours!

***Relocation assistance available!

Primary Function/General Purpose of Position      

  • The Physician Assistant/Nurse Practitioner shall have collaborative practice agreements with the attending Orthopaedic Surgeon and practice in accordance with established written protocols and best practice guidelines described in the medical staff privileges for PAs/NPs in Orthopaedics.
  • The PA/NP will be responsible for the performance of and subsequent documentation of history and physical examinations provide surgical assistance in the operating room (OR), perioperative management of Orthopaedic patients, Orthopaedic consultation to the Emergency Department (ED) and inpatient services at the direction of the attending Orthopaedic Surgeon per established protocols and standards of care.
  • The PA/NP will utilize advanced clinical skills and knowledge to assess patients and manage all aspects of care.  He/she will communicate clinical issues to the physicians as appropriate, write orders according to standardized procedures/protocols, perform daily patient-care rounds, and facilitate arrangements for discharge/transfer with his or her patients.  The PA/NP will collaborate with the care team to coordinate and manage the process of patient care from the point of admission to the hospital, through discharge and hand-off to an outpatient care provider to ensure continuity of care where applicable.

Employment Qualifications

  • Completion of a PA training program accredited by the ARC-PA, or completion of a Nurse Practitioner program with board certification as a Family Nurse Practitioner (FNP).
  • PA must be certified by the National Commission on the Certification of Physician Assistants, and maintain current certification.
  • PA/NP must be licensed or eligible for licensure in the state of Virginia.
  • PA/NP should have three year’s experience in patient care as an APC and have collaborated with hospital and community based personnel.
  • Two years Orthopaedic PA/NP experience preferred.
  • Current Advanced Cardiac Life Support Certification (ACLS).

Essential Job Functions


  • PA/NP acts as first responder to the ED when Orthopaedic consultation is requested by ED Physician or Hospitalist.
  • Perform history and physical examinations including admissions to the Orthopaedic inpatient service.
  • Order and interpret diagnostic studies.
  • Write daily progress notes.
  • Carry out treatment plans.
  • Provide Orthopaedic consultations for hospital inpatients, and in the ED as delineated by medical staff clinical privileges.
  • Act as first or second assistant in the OR as needed or requested.
  • Have the ability to communicate with and treat all age groups.
  • Performs various procedures as delineated by the medical staff clinical privileges for PAs/NPs such as, but not limited to; fracture and joint dislocation reduction, extremity splinting/casting/bracing, application of skeletal traction, joint aspiration/injection, irrigation and debridement, laceration repair and dressing changes.
  • Ongoing consistent communication and collaboration with Orthopaedic attending surgeons, Hospitalists, community Physicians, ED Physicians, Radiologists, Pharmacy, case management, Nursing personnel, Physical Therapists, laboratory personnel, Occupational Therapists, medical staff and medical executives.
  • Attendance and participation in collaborative practice groups, service line meetings, department of Orthopaedics meetings, strategic planning, and ad-hoc committees.
  • Collaborates with members of the interdisciplinary team in the evaluation, planning, and delivery of comprehensive care with the goal of continuous improvement of quality care, and patient satisfaction experience.
  • Implements clinical training and education of clinical staff as needed, or requested.
  • Provides perioperative education to Orthopaedic surgery patients and their families.
  • Maintains accurate records, medication lists, problem lists, documentation of care and follow up information for medical and reimbursement services.
  • Maintains clinical competency.
  • Supervises and intervenes with clinical issues and supports/directs triage by clinical staff whenever necessary.
  • Demonstrates regard for dignity and respect for all patients, their families, guests, and representatives of other organizations, as well as fellow employees, volunteers, and medical staff in support of the Bon Secours mission to provide consistent quality health care services in a professional, caring and responsive environment.
  • Demonstrates responsibility for individual performance and efficient utilization of products, supplies, equipment, and time to ensure the timely completion of duties and to promote financial viability through provision of services at a reasonable cost.
  • Must conduct one’s self in a professional, responsible, reliable, caring and ethical manner at all times.
  • Follows established safety precautions and procedures in the performance of all duties in order to ensure a safe environment.
  • Identifies, recognizes and reports issues that require administrative of physician attention and/or intervention. Collaborates with administrators and physicians to resolve such issues.
  • Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served.
  • Utilizes critical thinking skills in the formulation and implementation of a patient’s plan of care.
  • Assists in developing departmental goals and objectives and policies.
  • May develop or provide input into hospital wide policies and participate on hospital committees. Provides continuous high quality inpatient services
  • Assists with enforcement of inpatient compliance.
  • Assists with community educational programs.
  • Consults with administration and medical staff on budget, rules and regulations when requested.
  • Reports all potential liability claims to Risk Management.
  • Represents the interests of the service line to hospital administration and medical staff. 
  • Represents the program and initiatives of the service line to the community and within the Bon Secours organization.
  • Adheres to all laws, regulations, by-laws and licensure requirements.

Potential discharge needs are identified, documented and communicated according to policy Delivers care with respect to the individual’s spiritual and cultural needs. Notifies attending physician of any changes in patient condition. Provides patient care in an ethical and professional matter. Demonstrates and understanding of and appropriately applies policy. Prioritizes and delegates tasks/assignments based on patient need and skill level of staff. Provides leadership in developing and implementing appropriate measures to improve quality services for Orthopaedic patients. Participates in the quality improvement initiatives, utilization review process and risk management program to ensure the Hospital’s continuing compliance with regulatory and accreditation requirements.

  • The PA/NP will practice within their scope of practice, and highest levels of competency commensurate with their experience and training. The PA/NP will not attempt to render patient care outside their scope of practice, delineated privileges or beyond their ability, or capacity.

Preference: Looking for candidates with 2-3 years' experience as PA/NP and experience caring for Orthopaedic patients.

Bon Secoursis an equal opportunity employer.

We’ll also reward your hard work with:

  • Comprehensive, affordable medical, dental and vision plans
  • Prescription drug coverage
  • Flexible spending accounts
  • Life insurance w/AD&D
  • An employer-matched 403(b) for those who qualify
  • Paid time off
  • Educational Assistance
  • And much more

Scheduled Weekly Hours:


Work Shift:



Orthopedic Institute - St. Francis - Richmond

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for  Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at

Apply Now
Luis F., RN

I wanted to get into a career where I’m happy to go to work.

Luis F. Registered Nurse
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