• Nurse Practitioner/Physician Assistant

    Job Locations US-NE-Lexington
    ID
    2018-1029
    Category
    Healthcare
    Type
    Regular Full-Time
  • Overview

    Days, evenings, and rotating weekends

    *Job duties will vary depending on scope of practice (APRN vs PA)

     

    Title: Nurse Practitioner/Physician Assistant                                                                                              

                       

    Supervisor: Urgent Care Director

     

    Department: Urgent Care           

    Minimum hours worked per week: 40 hours per week

     

    Working conditions: Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc. Spends up to 20% of day completing various desk/computer work, and the rest of shift moving around facility completing patient care activities. Patient transferring may be required, lifting up to 35 pounds to assist a stand pivot transfer. Completes various upper extremity gross motor functions for completing various patient care related activities, such as suturing, bracing, performing examinations, etc. Required to help assist in the event of emergency situations (including traumas in the ER, 1st assist in C-sections, and other emergency situations in other areas of the hospital), including performing CPR which may require getting onto floor to assist.

     

    Management responsibilities: None

    Responsibilities

    Principle duties and responsibilities

     

    1. Assesses health status as per the process of care:
      1. Obtains a relevant health and medical history;
      2. Performs a physical examination based on age and history;
      3. Conducts preventive screening procedures based on age and history;
      4. Identifies medical and health risks and needs;
      5. Updates and records changes in health status

     

    1. Performs a physical examination as pertinent, modifying the examination for the nature of the complaint or problem, age/sex of patient and physical condition of patient, and determines patient's mental status (e.g. level of consciousness, orientation, mood, etc.). Differentiates between normal and abnormal (including variations of normal) information obtained from history, physical and screening examination of the following:
      1. Adult patients
      2. Pediatric patients
      3. Obstetrical patients
      4. Newborn patients/infants
      5. Geriatric patients

     

    1. Orders laboratory, x‑ray and diagnostic studies appropriate for complaint, age, race, sex and physical condition of patient. Completes preliminary interpretation of diagnostic tests with consultation as necessary (such as routine x-rays of chest and extremities, lab studies, EKG, etc). Develops initial impression as to severity, etiology and immediacy of patient's problem based on analysis of data obtained from history, physical, laboratory and x-ray studies.

     

    1. Records and transmits findings from data base into medical record:
      1. Summarizes pertinent aspects of history.
      2. Summarizes pertinent aspects of physical exam.
      3. Documents patient visit summaries/progress notes.

     

    1. Formulates the appropriate differential diagnosis based on the history, physical examination and clinical findings. Develops a management plan considering patient's problem, age, sex, race and condition, conferring with the patient, patient's family and other health professionals as appropriate.  Applies established therapeutic practices to patient's problem.

     

    1. Development of a Treatment Plan:
      1. Orders appropriate diagnostic tests
      2. Identifies appropriate pharmacologic agents
      3. Identifies non-pharmacologic interventions
      4. Develops a client education plan

     

    1. Implementation of Plan of Care: Interventions are based upon established protocols.  Actions by the nurse practitioner are consistent with the appropriate plan of care, based on scientific principles, theoretical knowledge, and clinical expertise; individual to the specific situation and consistent with teaching and learning opportunities.  Actions include:
      1. Accurately conducts and interprets diagnostic tests
      2. Prescribes pharmacologic agents
      3. Prescribes non-pharmacologic therapies
      4. Provides relevant patient education
      5. Makes appropriate referrals to other health care professionals and community agencies

     

    1. Provides patient education services in areas such as:
      1. Explains patient's condition/disease its etiology, course and prognosis.
      2. Explains treatment rationale, side effects, risks and special instructions.
      3. Provides, where appropriate, information necessary for informed consent.
      4. Instructs patient, family and community about health related topics, preventive health care and self-care.

    2. Patient Counseling:
      1. Identifies mental health problems through accepted techniques such as: interviewing, observation for behavioral/mood changes, identification of outside factors influencing psychological state and relation of physical condition/problems to mental health disorders.
      2. Counsels patient concerning non‑referral type mental health problems such as: anxiety reactions, non‑psychotic depression, adjustments to aging, developmental problems of children and adolescents, adjustment to chronic disease/terminal illness and psychological influences on physical condition.
      3. Supports and counsels family in dealing with patient's condition

     

    1. Interdisciplinary/Collaborative Responsibilities:
      1. Participates as a team member in the provision of medical and health care
      2. Interacts with professional colleagues to provide comprehensive care
      3. Discusses care with the healthcare team to ensure appropriate care and services are provided.

    2. Responsibility as client advocate: Interprets the role of the Nurse Practitioner to individuals, families, and other professionals. As an advocate, participates in health policy activities at the local, state, national, and international levels.

    3. Quality Assurance: participates in self-directed continued learning including:
      1. Participation in quality assurance review on a periodic basis, including systematic review of records and treatment plans;
      2. Maintenance of current knowledge by attending educational programs;
      3. Maintenance of certification on compliance with current state law.

     

    1. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
    2. Regular attendance at the assigned work location is required.

     

    1. Performs all other duties as assigned.

    Qualifications

    Minimum knowledge, skills, and abilities

    1. Medical knowledge about established and evolving biomedical, clinical and cognate sciences and the application of this knowledge to patient care; knowledge and understanding of patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health as is typically acquired through the completion of a Nurse Practitioner license by the State Board of Nursing and advanced education and clinical competency necessary for the delivery of health and medical care. The State Board of Nursing authorizes the Nurse Practitioner to practice in Nebraska. Authorization by the State Board of Nursing entitles the Nurse Practitioner to use the credential APRN (Advanced Practice Registered Nurse).
      *License required for Physician Assistant as well.
    2. Must hold a current active Nurse Practitioner license from the State of Nebraska and all duties performed shall be approved by the Medical Staff of Lexington Regional Health Center. The Medical Staff will review charts of sample patients seen by Nurse Practitioner.

    3. Current Basic Life Support certification via American Heart Association required. Advanced Cardiac Life Support certification via American Heart Association required.  Pediatric Advanced Life Support certification via American Heart Association required.  Neonatal Resuscitation Program certification required.
    4. Department of Transportation (DOT) certification required within six (6) months of hire.

    5. Attention to detail for up to 90% of work time when assessing, diagnosing and treating patients, synthesizing information related to patient care and accurately documenting care.

    6. Ability to maintain strict confidentiality with regard to protected and sensitive information.

    7. Ability to complete medical record and related reports, and to complete correspondence at a professional level.

     

    1. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.

    2. Ability to effectively communicate with individuals from diverse backgrounds.

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