NURSE PRACTITIONER / PHYSICIAN ASSISTANT # General Summary of Position: The Advanced Practice Provider (APP) is responsible for the health outcomes of an assigned patient population in collaboration with the physician. Functions as a member of a multidisciplinary health care team to ensure high quality, cost-effective care to patients in their area of clinical expertise and within the scope of their licensure and credentialed privileges.# Follows established standards, procedures and practices and gives specific patient management directions to nursing and other staff.# Incumbents in this position may be required to perform all or a significant combination of duties depending on their specialty area. The Advanced Practice Clinician reflects the mission, vision and values of the organization and adheres to the organizations Code of Ethics, Corporate Compliance program and all relevant policies, procedures, guidelines and other regulatory and accreditation standards.
A Bachelor#s degree in Nursing plus completion of an accredited Physician Assistant or Nurse Practitioner program. For inpatient settings, the Nurse Practitioner program must be in an Acute Care/ Acute Adult certification. Master#s degree is preferred. Experience: One year experience preferred. # Certification/Registration/Licensure: Current certification as a Physician Assistant (PA) or Nurse Practitioner (NP) through their national certification bodies. Licensure as a Registered Nurse and Nurse Practitioner (NP) or Physician Assistant (PA) in the District of Columbia. #
Assumes total clinical management of specific patients in collaboration with the physician. Follows established standards, procedures and practices and gives specific patient management directions to nursing and other staff. Incumbents in this position may be required to perform all or a significant combination of duties depending on their specialty area.
A Bachelor's Degree in Nursing plus completionof an ANA accredited Nurse Practitioner Program is required.
One year experience.
On The Job Experience
Approximately six to twelve months to gainfamiliarity with the Hospital environment, department routines and procedures,and the full range of job duties.
Licensure as a Registered Nurse and Nurse Practitionerin the District of Columbia and Certification as a Nurse Practitioner by the
American Nursing Association are required.
Knowledge, Skills & Abilities
PROBLEM SOLVING: Job requires a high level of problem-solving due to the complexity of the situations encountered.
INTERNAL CONTACTS: Internal contacts necessary to effectively advise, consult or counsel others to gain cooperation and acceptance of ideas or actions.
INDEPENDENT JUDGEMENT: Work assignments are generally received in the form of broad goals for area(s) of responsibility and requires considerable judgement regarding the interpretation of policies, development of procedures, and selection of appropriate courses of action.
Primary Duties and Responsibilities
Organizes and plans preoperative assessment and post operative management of patient care. Participates with attendings on patient rounds in SICUs and on the patient/nursing units. Recognizes when to refer patient to physician or other health care provider.
Performs complete history and physical on preoperative patients and notifies physicians of any potential problems. Evaluates and examines inpatients or outpatients on a daily basis. Consults with physician(s) concerning patient evaluations. Refers complex patient care problems to a physician for assessment and advice.
Performs pre-employment physical to determine the ability of the individual to perform the job for which they have been hired. Screens for infectious disease symptoms, serious medical conditions or disabilities. Conducts annual physical examinations for current employees.
Requisitions and interprets diagnostic laboratory tests and x-ray examinations when appropriate.
May coordinate employee ""wellness"" or other programs. Procures, develops, implements and evaluates these programs throughout the hospital. Assesses risk factors for specific diseases and discusses health promotion and disease prevention.
Counsels individual patients regarding exam findings, abnormal lab results, the appropriate follow-up, any implications for personal health and the impact on job performance. Guides patients in nutrition, common and non-routine illnesses, accidents.
Participates in formal and informal patient teaching activities aimed at promoting positive health practices and an understanding of the individual's medical problems.
Maintains required unit records, reports and statistics. Maintains accurate patient records, charts documentation for administrative purposes and reimbursement of services. Records orders and progress notes in patients or employees charts and maintains medical records and files according to departmental standards.
Prepares referral letters to appropriate consultants to address any concerns regarding patient job limitations, restrictions, reasonable accommodation, etc.
Interacts with outside agencies, insurance carriers, workmen's compensation, etc., regarding the care and prognosis of patients and/or employees.
Attends hospital wide committees as required (Infection Control, ADA Task Force). Confers with physician(s) concerning assigned patients. Keeps physician(s) and director informed as is appropriate of needs and problems related to patient care.
Performs ET intubations, venipuncture arterial and central lines, chest tubes, and spinal taps. Requisitions and interprets diagnostic laboratory tests and x-ray examinations when appropriate.
Assesses need for continued treatment for scar control or referral to Burn Center physician for potential surgical intervention.
Manages post transplant patients including standard immunosuppressive drug management acute treatment of rejection and infection wound and general medical care.
Participates in continuing education programs as requested.
Medstar Research Institute