This APP role includes performing pre-operative consultations, preparing patient histories, performing physical examinations, following laboratory and radiology results, educating patients and families with regards to procedures and peri-operative care, wound checks, directing outpatient care via multiple modalities (phone calls, MiChart communication, etc.) along with performing clinic procedures. Procedures include suction rectal biopsies, appendicostomy/cecostomy/gastric tube exchanges, rectal dilations, rectal washouts, incision and drainage, Broviac catheter repair, seton/vessel loop/drain/chest tube/suture removal, circumcisions, NG tube placement, and bridling of NG tube. The APP will also be involved in medical management of pilonidal disease (with referral to a surgeon when needed). Duties are not limited to the above description, and the APP will become facile with all the above with appropriate training and oversight.
The Subspecialty and Rapid Access Nutrition Clinics involve longitudinal care of patients. The APP will counsel families between visits, provide management as necessary, and facilitate timely access for patients. Additionally, close collaboration with our Pediatric Subspecialists team (e.g. Pediatric Pulmonary, Pediatric Endocrinology, Dietician, etc.) will be an important part of our multi-disciplinary care.