NP Full-time

Provides patient care services, including assessing and managing patients in the outpatient and/or inpatient environment, by following established standards and practices within the practice specific specialty.

Education

    • Minimum:
      • Master Degree in Nursing
    • Preferred:
      • Doctor of Nursing Practice

Registration/Certification/Licensure:

    • Current PA RN and CRNP licenses, ACLS, and Act 33/73 clearances. Individual must meet the credentialing requirements of the Medical Staff Office.

Experience

    • Minimum:
      • None
    • Preferred:
      • One year experience working as a CRNP.


Other Requirements
:   N/A

StatusExempt

Physical Requirements:

  • The following frequency definitions apply to all Physical Requirements unless otherwise noted:
    Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr)
    Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr)
    Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr)

      NOTE: An asterisk (*) indicates that the item is an essential function.
  • Non-Material Handling
    • Standing - Remaining on one's feet in an upright position remaining stationary - FREQUENT
    • Walking - Remaining upright on one's feet, and moving about - FREQUENT
    • Sitting - Body remains in a seated position - OCCASIONAL
    • Stooping - To bend the body downward and forward by bending the spine at the waist - OCCASIONAL
    • Bending - To flex the upper body forward - OCCASIONAL
    • Twisting - To rotate the upper body forward - OCCASIONAL
    • Climbing - To move the body in any direction on equipment or structures that do not include stairs or ladders - OCCASIONAL
    • Ladders - To ascend and descend ladders - N/A
    • Stairs - To ascend and descend stairs - OCCASIONAL
    • Kneeling - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL
    • Squatting - To move the body downwards by bending both knees - OCCASIONAL
    • Crouching - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL
    • Crawling - To move the body forward or backwards on hands and knees - N/A
    • Reaching Horizontal - To extend the arms and hands outward, remaining under shoulder height - FREQUENT
    • Reaching Overhead - To extend the arms and hands up and out over shoulder height - OCCASIONAL
    • Grasping - Using functional gripping of the hand to handle an object - FREQUENT
    • Finger Manipulation - To manipulate objects with the use of fingers - FREQUENT
    • Seeing - Using visual feedback to accomplish a task or activity - CONSTANT
    • Hearing - Using sound feedback to accomplish a task or activity - CONSTANT
    • Repetitive Upper Extremity Use - Using the arms and/or hands continuously or more than 2/3 of the total time - N/A
    • Repetitive Lower Extremity Use - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A
  • Material Handling 
    • Pushing - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person
      • OCCASIONAL
      • 50# - > 100#
    • Pulling - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards the person
      • OCCASIONAL
      • 50# - > 100#
    • Lift - Floor to Waist
      • OCCASIONAL
      • 20# - 50#
    • Lift - Waist to shoulder
      • OCCASIONAL
      • Up to 20#
    • Lift - Shoulder to overhead
      • OCCASIONAL
      • Up to 20#
    • Carrying - To transport an object or article using the arms or hands (> 10 feet)
      • OCCASIONAL
      • Up to 20#
  • Environmental Factors
    • Working alone - OCCASIONAL
    • Working in cramped quarters - N/A
    • Constant interruptions - FREQUENT
    • Working with hands in water - OCCASIONAL
    • Use of power tools - OCCASIONAL
    • Working on ladders/scaffolding - N/A
    • Exposure to vibration - N/A
    • Exposure to dust - OCCASIONAL
    • Exposure to noise (constant) - N/A
    • Exposure to electrical energy (outlets, etc) - OCCASIONAL
    • Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A
    • Exposure to slippery walking surfaces - OCCASIONAL
    • Exposure to solvents, grease, oils - OCCASIONAL
    • Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) - OCCASIONAL
    • Working with bloodborne pathogens - CONSTANT
  • Cardiovascular Energy Requirements - Physical Demand 

Physical Demand

Met Level

Examples of similar activity intensity

Sedentary to Light

0 - 3.5

Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work.

Medium

3.6 - 6.3

House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs).

Heavy to Very Heavy

> 6.4

Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood.

    • As relates to this position:
      • Sedentary to Light - CONSTANT
      • Medium - FREQUENT
      • Heavy to Very Heavy - OCCASIONAL

I. Specific Job Responsibilities (Essential Functions):

  • Manages day-to-day in and out patient care in conjunction with supervising physicians. Provides patient and or family with information regarding treatment or procedures, condition and expectation during illness or recovery.
  • Provides patient education/counseling and instruction regarding common patient problems.
  • Formulates differential diagnoses by priority considering multiple potential mechanisms causing complex acute, critical, and chronic illness states.
  • Demonstrates effective verbal, nonverbal, and written communication skills, including documentation according to established standards while maintaining patient confidentiality.
  1. Displays commitment to expanding his/her knowledge base and views this as a continuous process to maintain professional and personal growth.

II. Organizational Responsibilities:

  • Completed mandatory education, annual competencies and department specific education within established timeframes.
  • Completed annual employee health requirements within established timeframes.
  • Maintained license/certification, registration in good standing throughout fiscal year.
  • Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self. Identifies and works to reduce potentially unsafe patient care or other safety practices.
  • Adheres to regulatory agency requirements, survey process and compliance.

  • “Sets the Stage” by using greetings/introductions when interacting with any customer or entering a patient room. Looks and acts like a professional. Uses consistent phone etiquette. Helps people who look lost or confused. Keeps a clean and professional environment and work space. Clarifies expectations and creates positive handoffs and positive lasting impressions.
  • Fosters a teamwork approach by respecting other members of the hospital team. Stays involved and informed of happenings within the organizations. Creates win-win situations by helping others. Works to resolve conflicts and concerns in a constructive way and asks for assistance in helpful ways.
  • Is the Owner: Takes responsibility for problems, issues or opportunities for improvement by initiating constructive review of concern rather than negatively attacking an issue. Understands systems and processes and uses appropriate channels to address concerns when out of own span of control. Demonstrates compassion and works beyond “own assignment” by seeing “big picture”.
  • Creates a Caring Environment by communicating in helpful ways. Always protects the confidentiality and dignity of patients and others. Listens with empathy and understanding and provides options and choices.
  • Provides Great Explanations through user-friendly information and explanations (uses language others can understand). Makes sure people know what they can and cannot expect and checks for understanding and agreement.

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Independence Health System

NURSE PRACTITIONER URGENT CARE

Evaluates, examines, diagnose, and treats patients in collaboration with their supervising and or substitute supervising physician according to established guidelines and protocols. Maintains and promotes the well-being of the patient through preventative healthcare and guidance. Provides care in the outpatient setting only ? predominately Monday through Friday 1. Regular, consistent, on-site, and timely attendance. 2. Ensures that the assessment of the patient and the direct and indirect patient care delivered is in accordance with appropriate licensing board, hospital policies, procedures, and protocols, and all other professional standards of care. a. Collects patient assessment data in a systematic manner, focusing on the physical, psychosocial, age, cultural, and spiritual needs of the patient. b. Performs systematic physical exam and history of present illness. c. Documents assessment data, history of present illness, and physical findings on the appropriate medical record within established time frame. d. Involves the patient/family and other healthcare providers when appropriate. 3. Manages the physical and psychological problems of the patient. a. Identifies normal and abnormal findings. b. Implements an individualized plan of treatment, reassess and revises plan as needed. c. Evaluates the physical and emotional responses to medications and treatments. d. Prescribes immunizations per recommended schedules. e. Seeks appropriate consultation. 4. Develops an educational process for the provision and coordination of patient care activities that promote and maintain health, foster self-care and improves outcomes. a. Participates in the assessment of the patient’s readiness to learn, identifying the educational barriers and tailor the educational process to meet the needs of the patient/family. b. Ensures the process include education about safe and effective use of medications, pain and managing pain, available resources, obtaining further care and their responsibility for their care. c. Acquires and distributes educational resources tailored to the patient's needs. d. Provides appropriate instruction and guidance regarding immunizations. 5. Communicates effectively with the physician and other healthcare providers to achieve desired outcomes and assure a continuous flow of patient care a. Initiates and maintains the Problem/Medication list at each encounter. b. Complies with completeness, accuracy, and timeliness of documentation at each encounter. c. Assesses the patient and facilitates consultation when indicated. d. Directs patient to appropriate level of care and communicates all pertinent information. e. Assists in identifying and utilizing resources and/or social agencies for further treatment or rehabilitation. 6. Participates in Performance Improvement activities designed to enhance the quality of patient care, customer service, or practice efficiencies. a. Identifies initiatives to improve patient outcomes, satisfaction, or efficiencies. b. Assists in chart reviews/audits as needed for performance improvement data collection. c. Supports initiatives implemented to improve patient outcomes and/or office efficiencies. 7. Demonstrates Leadership by utilizing the concepts inherent to the practice of the professional nurse. a. Demonstrates an ability to solve problems independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate b. Delegates patient care appropriately. c. Maintains accountability for actions taken. d. Effectively functions as a resource person. e. Acts as a patient advocate. f. Performs effectively in the role of preceptor/mentor to new hires and/or students. g. Assists in maintaining/decreasing organizational/departmental costs. h. Completes all competency requirements annually. 8. Provides for patient safety in compliance with hospital and physician practices policies. a. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections. b. Utilizes two forms of patient identification before implementing any form of patient care. c. Practices all National Patient Safety Goals. 9. Assists in the department's compliance with all regulatory agencies. a. Participates in continuous survey readiness for inspections and surveys. b. Participates in the non-punitive medication reporting system. c. Ensures accountability for narcotics per regulatory/organizational policies. d. Participates in office fire, safety, utility, hazard, and disaster drills as required. “Ability to perform the Essential Functions on the Physical Conditions chart; and the ability to perform the Essential Functions on the Working Conditions chart (see attached charts)” 1. Performs procedures, assists in surgery, and provides care to the patient as per established guidelines. a. Positions patients and assists surgeon in the operating room. b. Preps and drapes the patient as per established guidelines. c. Assists in surgery by performing tasks defined by the surgeon. d. Assists and maintains sterile techniques through procedures. e. Per supervising physician's direction performs skin closures as directed. f. Monitors patients until clinically stable unless requested by the surgeon to perform other duties. g. Performs suture removal, and dressing changes as per supervising physician's directions. h. Be available for call from home to assist in emergency surgeries. 2. Directs and provides appropriate Pre and Post-operative care. a. Performs history and physicals as designated by the physician. Identifies normal and abnormal findings and reports to the physician in a timely manner. b. Provides preoperative teaching to patients and or families. c. Performs patient rounds ensuring accurate assessment, review of labs and diagnostic procedures, and reports overall progress to supervising physician. d. Orders appropriate testing per established guidelines and as outlined by supervising physician. e. Documentation supports a review of lab/diagnostic results, is reflective of all required history and physical assessment elements. f. Communicates with supervising physician in a timely manner regarding changes in the patient's progress, status, or critical test results. g. Prepares for and develops discharge planning in conjunction with supervising physician. h. Dictates discharge summaries timely and appropriate. i. Provides counseling and instruction to patients and or families as appropriate. 3. Performs clinical responsibilities in a manner that maximizes patient care and outcomes. a. Assumes appropriate code team role during emergency situations and responds effectively. b. Facilitates timely treatment of abnormal labs or other relevant findings. c. Develops workflow patterns to facilitate patient transfers or discharges. d. Participates in outcome management and Press Ganey scores. 4. In collaboration with the physician: Interviews, evaluates and assesses patients in the clinic setting. Provides recommendations for treatment. a. Evaluates patient's current status providing recommendations for ongoing treatment. Assesses for alternate levels of care as necessary b. Adjusts medication as indicated c. Provides patient/family education regarding medication, rationale for use and possible side effects 5. Collaborates with the supervising physician and or substitute supervising physician and members of the treatment team to achieve desired outcomes and to assure continuous flow of patient care. a. Alerts the treatment team to any significant changes in the patient's status b. Within prescribed time frames reviews treatment goals and objectives with patients making modifications as appropriate c. Communicates pertinent information timely and efficiently to the supervising or substitute supervising physician 6. Documents in the medical record. a. Records patient's current mental status b. Documents all screenings and assessments performed c. Records medication changes, prescriptions written and samples provided d. Documents patient's complaints, concerns and questions as appropriate e. Documents any/all telephone contact with patients, families, pharmacists or physicians f. Records beginning and end times of each session g. Signs and dates all documentation 7. Demonstrates leadership by utilizing the concepts inherent to the practice of a professional physician assistant. a. Demonstrates an ability to problem solve independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate b. Maintains accountability for actions taken c. Effectively functions as a resource person d. Acts as a patient advocate e. Performs effectively in the role of preceptor/mentor to new hire/students 8. Participates in Performance Improvement activities designed to enhance the quality of patient care, customer service, or practice efficiencies. a. Identifies initiatives to improve patient outcomes and satisfaction b. Assists in chart review/audits as needed for performance improvement data collection c. Supports initiatives implemented to improve patient outcomes and or efficiencies 9. Provides for patient safety in compliance with hospital and or physician practice policies. a. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections b. Utilizes two forms of patient identification before implementing any form of patient care c. Practices the National Patient Safety Goals • Related training/experience (preferably within the past five years