Intraoperative Advanced Practice Provider (APP) – All Services (Including Robotics)

Trinity-Health

$90K — $120K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Master’s degree in clinical nursing from an accredited Acute Care Nurse Practitioner Program OR graduation from an ARC-PA accredited Physician Assistant program
  • Current RN and Acute Care Nurse Practitioner license in Michigan OR current Physician Assistant license in Michigan
  • Experience in surgical scrub preferred
  • Ability to adapt quickly to varying surgical procedures and technologies
  • Strong communication skills for collaboration with surgical teams

Responsibilities

  • Assist in surgeries as first or second assist across various surgical specialties
  • Support robotic surgeries with docking, instrument exchange, and troubleshooting
  • Perform surgical tasks like tissue handling, suturing, and wound closure
  • Ensure compliance with sterile techniques and perioperative safety protocols
  • Perform intraoperative procedures like line placements and device insertions
  • Anticipate and prepare for surgical needs to optimize case flow
  • Document intraoperative occurrences and adhere to quality standards

Benefits

  • Full-time employment with a stable schedule
  • Participation in advanced surgical techniques, including robotics
  • Opportunity to collaborate with a multidisciplinary surgical team
  • Investment in continuing education and training
  • Support for maintaining a high standard of patient care
Full Job Description
Employment Type:
Full timeShift:

Description:

The hospital has 8 Operating Rooms, 3 are dedicated to Robotics.


Job Summary:

The Intraoperative Advanced Practice Provider (Nurse Practitioner or Physician Assistant) delivers comprehensive surgical support across all service lines, including robotic-assisted procedures. This role functions as an integral member of the operating room team, providing expert intraoperative care, adapting to a wide variety of surgical specialties, and ensuring safe, efficient, and high-quality procedural outcomes.

Key Responsibilities:

  • Serve as first or second assist across all surgical specialties, including open, laparoscopic, and robotic-assisted procedures
  • Provide robotic support, including docking/undocking assistance, instrument exchange, and troubleshooting in collaboration with the surgical team
  • Perform surgical assisting tasks such as tissue handling, retraction, exposure, suturing, hemostasis, and wound closure
  • Maintain strict adherence to sterile technique and perioperative safety protocols
  • Perform intraoperative procedures within scope (e.g., line placement, device insertion, graft harvesting where applicable)
  • Rapidly adapt to varying surgeon preferences, procedures, and technologies across service lines
  • Collaborate with surgeons, anesthesia, and OR staff to optimize workflow, case progression, and turnaround times
  • Anticipate operative needs and ensure appropriate instruments, supplies, and robotic equipment readiness
  • Assist with patient positioning, site verification, and surgical time-out processes
  • Recognize and respond to intraoperative changes in patient condition in coordination with anesthesia
  • Ensure accurate intraoperative documentation and compliance with regulatory and quality standards
  • Support OR efficiency initiatives, including throughput and schedule adherence
  • Preop/PACU order entry
  • Postoperative rounding as requested

REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE

 

Education:

NP Education: Master’s degree in clinical nursing from an accredited Acute Care Nurse Practitioner Program with emphasis on area of certification/licensure.

PA Education: Requires graduation from an ARC-PA accredited PA program.

  

Certification/Licensure:

NP Certification/Licensure: Current Registered Nurse and Acute Care Nurse Practitioner license in the State of Michigan.

PA Certification/Licensure: Current License/Certification as Physician Assistant with the State of Michigan.


Experience: 

Surgical Scrub experience is strongly preferred.


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