Purpose of Job
- Provides quality of care and safety to our patients and employees.
Job Requirements
- Education
  - Graduate of Master of Science in Nursing (MSN)/Doctor of Nursing Practice (DNP) program.
  - Satisfactory completion of annual mandatory education requirements.
  - Must be a graduate of an accredited Advanced Registered Nurse Practitioner (ARNP) program.
  - NIH Stroke Scale training required at hire or within 6 months of hire.
- Experience
  - N/A
- License/Certifications
  - Current valid Registered Nurse (RN) License, valid compact multi-state license , or a temporary permit while awaiting licensure required for the work state.
  - Advanced Practice Registered Nurse - Nurse Practitioner (APRN.NP) required.
  - Current American Heart Association Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
  - Maintain current American Heart Association Pediatric Advanced Life Support (PALS) Certification required.
  - Must stay current with Continuing Medical Education (CME) requirements to maintain Advanced Registered Nurse Practitioner (ARNP) licensure.
- Skills/Knowledge/Abilities
  - Strong leadership, problem-solving and nursing judgement skills required.
  - Skill in the use of personal computers, patient care/EHR applications and standard office equipment.
  - Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel and co-workers.
  - Ability to multi-task and prioritize work assignments.
  - Ability to maintain composure in highly stressful or adverse situations.
Physical Requirements
- Weight Demands
  - Medium Work - Exerting up to 50 pounds of force.
- Physical Activity
  - Occasionally Performed (1%-33%):
    - Climbing
    - Crawling
    - Kneeling
    - Sitting
  - Frequently Performed (34%-66%):
    - Balancing
    - Crawling
    - Crouching
    - Distinguish colors
    - Keyboarding/typing
    - Lifting
    - Pulling/Pushing
    - Repetitive Motions
    - Stooping/bending
    - Twisting
  - Constantly Performed (67%-100%):
    - Fingering/Touching
    - Grasping
    - Hearing
    - Reaching
    - Seeing/Visual
    - Speaking/talking
    - Walking
- Job Hazards
  - Not Related:
    - Electrical Shock/Static
    - Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
  - Rare (1-33%): - Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
  - Occasionally (34%-66%):
    - Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
    - Equipment/Machinery/Tools
    - Explosives (pressurized gas)
  - Frequent (67%-100%):
    - Chemical agents (Toxic, Corrosive, Flammable, Latex)
    - Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
    - Mechanical moving parts/vibrations
Essential Job Functions
- Essential Functions I
  - Performs primary health care for patients by utilizing the processes of assessment and diagnosis of health status.
    - Obtain patient's medical and history information, data collection is prioritized according to immediate condition or needs.
    - Perform physical exam and determine patient's mental status.
    - Develops and implements treatment, follow-up and evaluation plans for patient outcomes.
    - Collaborates with physicians and other disciplines as appropriate and provides regular and consistent feedback.
    - Uses appropriate assessment techniques & diagnostic information.
    - Performs tests relevant to patient condition and record findings.
    - Order appropriate ancillary tests.
    - Derives diagnosis from the assessment data and diagnostic information as data becomes available.
    - Uses new or additional data to form a treatment plan.
    - Performs telephone triage to determine patient condition and provides appropriate consultation scheduling appointments when needed.
    - Incorporates research into clinical practice as appropriate.
  - Implement interventions consistent with the established plan of care in a safe and appropriate manner.
    - Apply established therapeutic practices to patient's problem.
    - Administer medications and immunizations using the appropriate method and with physician oversight if applicable.
    - Prescribe medications according to Controlled Substance Registration Certificate issued by the DEA.
    - Generates referrals to appropriate services as needed to further diagnose and/or progress of care.
  - Evaluates patient care to determine response to care/interventions for optimal patient outcome.
    - Evaluates the patient's capabilities and/or limitations related to nursing and medical interventions.
    - Recognizes and addresses patient and family capabilities and limitations (physical and mental).
    - Return patient telephone calls.
    - Monitors outcomes and documents patient response to interventions.
    - Seeks out new treatment methods necessary to ensure patient progress.
  - Provides patient and family teaching and education specific to the patient's health care.
    - Proper use of medication and health/illness prevention to ensure adequate knowledge/awareness.
    - Interviews and advises specific to patient needs.
    - Demonstrates sensitivity to family regarding need for patient information on a timely basis.
    - Works collaboratively with the physician to provide appropriate patient education geared to the patient's needs and family's ability to provide care.
    - Uses adult learning principles for teaching purposes being careful to check for understanding and being available for follow-up questions.
    - Recommends references and resources such as printed materials, online, community and other information sources to fulfill the family's need for education.
  - Maintains a professional behavior in attitudes, demeanor, and interactions to achieve organization's mission.
    - Communicates effectively with physicians, staff and patients.
    - Is approachable and professional in working with other health professionals, patients and their family.
    - Maintains a professional appearance, behavior, and work environment.
    - Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital/clinic employees (i.e. falls, needle sticks, patient concerns).
    - Communicates to appropriate personnel regarding unresolved issues.
    - Serves as a role model in the provision of emerging care.
    - Serves as a reliable/knowledgeable resource for staff.
    - Participates in meetings, research on special projects and professional organizations.
  - Complies with the bylaws, rules and regulations of the organization as they pertain to Nurse Practitioners.
    - Knows and follows organization policy & procedures.
    - Follows Medical Protocols for Nurse Practitioners.
    - Maintains certification/licensure.
    - Follows guidelines of regulatory bodies (FDA etc.).
  - Maintains complete patient records.
    - Documents data appropriately.
    - Documents treatment plan of care that is individualized, appropriate and reflects patient's needs.
    - Documents interventions.
    - Documents consultations with other practitioners/physicians.
  - Participates in performance improvement and outcome management.
    - Meets regularly with medical director for chart reviews.
    - Identifies concerns in patient care & follows up according to hospital policy.
    - Participates in patient satisfaction and other quality improvement initiatives.
    - Participates in tracking of variances in care.
  - Provides appropriate care specific to the age of the patient to ensure understanding and comfort level of treatment as outlined in the "Age Specific Criteria".
    - Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
    - Right Task
    - Right Person
    - Right Communication (clear, concise, correct, complete)
    - Right Feedback
- Essential Functions II
  - Participates in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.
  - Follows and understands the mission, vision, core values, Employee Standards of Compassionate Care/AIDET and company policies/procedures.
  - Other duties as assigned.