NURSE PRACTITIONER IV- BEHAVIORAL HEALTH

Essential Job Functions               

• Manages the physical and psychological problems of the patient.
• Identifies normal and abnormal findings.
• Implements an individualized plan of treatment, reassess and revises plan as needed.
• Evaluates the physical and emotional responses to medications and treatments.
• Prescribes immunizations per recommended schedules.
• Seeks appropriate consultation.
• Communicates effectively with the physician and other healthcare providers to achieve desired outcomes and assure a continuous flow of patient care.
• Initiates and maintains the Problem/Medication list at each encounter.
• Complies with completeness, accuracy, and timeliness of documentation at each encounter.
• Assesses the patient and facilitates consultation when indicated.
• Directs patients to appropriate level of care and communicates all pertinent information.
• Assists in identifying and utilizing resources and/or social agencies for further treatment or rehabilitation.
• Demonstrates Leadership by utilizing the concepts inherent to the practice of the professional nurse.
• Demonstrates an ability to solve problems independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate.
• Delegates patient care appropriately.
• Maintains accountability for actions taken.
• Effectively functions as a resource person.
• Acts as a patient advocate.
• Performs effectively in the role of preceptor/mentor to new hires and /or students.
• Assists in maintaining / decreasing organizational/department costs.
• Completes all competency requirements annually.
• Provides for patient safety in compliance with hospital and physician practices policies.
• Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections.
• Utilizes two forms of patient identification before implementing any form of patient care.
• Practices all National Patient Safety Goals.
• Assists in the department's compliance with all regulatory agencies.
• Participates in continuous survey readiness for inspections and survey's.
• Participates in the non-punitive medication reporting system.
• Ensures accountability for narcotics per regulatory/organizational policies.
• Participates in office fire, safety, utility, hazard, and disaster drills as required.
• Participates in on-call, weekend coverage, and first assist responsibilities as required.

Specialty Job Functions 

• Please see specialty specific Addendum.

Required Qualifications 

• The successful completion of an approved nurse practitioner program.
• Bachelor’s Degree in Nursing.
• Strong leadership ability, good organizational skills, independent thinking and decision-making ability, analytical problem solving skills, sound judgment, excellent oral and written communication skills, must be able to function in a team environment, and knowledge of legal aspects and liability of nursing practice.
• Demonstrate the skills necessary to provide care and appropriately treat patients.
• Provide the care needs as described in the department policy and procedures.

Preferred Qualifications 

• Master’s Degree in Nursing preferred.
• Professional nursing experience and/or nurse practitioner experience preferred.

License, Certification & Clearances

• Current licensure to practice as a Registered Nurse in the State of Pennsylvania.
• Licensed as a Certified Registered Nurse Practitioner (CRNP) with prescriptive authority certified by a national certifying board accepted by Excela Health.
• Current DEA registration.
• Current Basic Life Support (BLS) required.

• PA Act 153 Clearance.

Supervisory Responsibilities

• This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department.

Position Type/Expected Hours of Work

• Regular, consistent, on-site and timely attendance.
• Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.).
• Travel may be expected locally between Excela Health locations.

LEAN

• Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Excela’s missions, vision and values.

AAP/EEO 

• Excela Health is an Equal Opportunity Employer. It is the policy of Excela Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Excela Health will conform to the spirit as well as the letter of all applicable laws and regulations.
• Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.

Work Environment

Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines

When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift.	Physical Condition	Essential	Marginal	Constantly	Frequently	Occasionally	Rarely	Never
	Extreme Heat							X
	Extreme Cold							X
	Heights							X
	Confined Spaces							X
	Extreme Noise(>85dB)							X
	Mechanical Hazards							X
	Use of Vibrating Tools							X
	Operates Vehicle							X
	Operates Heavy Equipment							X
	Use of Lifting/Transfer Devices	X				X
	Rotates All Shifts	X		X
	8 Hours Shifts	X			X
	10-12 Hours Shifts	X			X
	On-Call	X					X
	Overtime(+8/hrs/shift; 40/hrs/wk)	X				X
	Travel Between Sites							X
	Direct Patient Care	X			X
	Respirator Protective Equipment	X				X
	Eye Protection	X				X
	Head Protection (hard hat)							X
	Hearing Protection							X
	Hand Protection	X			X
	Feet, Toe Protection							X
	Body Protection	X				X
	Latex Exposure		X		X
	Solvent Exposure							X
	Paint (direct use) Exposure							X
	Dust (sanding) Exposure							X
	Ethylene Oxide Exposure							X
	Cytotoxic (Chemo) Exposure							X
	Blood/Body Fluid Exposure	X				X
	Chemicals (direct use) Exposure	X				X
	Mist Exposure							X
	Wax Stripper (direct use)							X
	Non-Ionizing Radiation Exposure							X
	Ionizing Radiation Exposure							X
	Laser Exposure							X

 

Physical Demands

When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.

When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift.	Physical Condition	Essential	Marginal	Constantly	Frequently	Occasionally	Rarely	Never
	Bending (Stooping)	X			X
	Sitting	X				X
	Walking	X			X
	Climbing Stairs		X				X
	Climbing Ladders							X
	Standing	X			X
	Kneeling		X				X
	Squatting (Crouching)	X				X
	Twisting/Turning	X				X
	Keyboard/Computer Operation	X			X
	Gross Grasp	X				X
	Fine Finger Manipulation	X			X
	Hand/Arm Coordination	X				X
	Pushing/Pulling(lbs. of force)	X			10#	50#
	Carry	X				25#
	Transfer/Push/Pull Patients	X			X
	Seeing Near w/Acuity	X		X
	Feeling (Sensation)	X			X
	Color Vision	X				X
	Hearing Clearly	X		X
	Pulling/Pushing Objects Overhead	X					X
	Reaching Above Shoulder Level	X				X
	Reaching Forward	X			X
	Lifting Floor to Knuckle	X					10#
	Lifting Seat Pan to Knuckle	X				50#
	Lifting Knuckle to Shoulder	X					20#
	Lifting Shoulder to Overhead	X					10#