Ambulatory Nurse Practitioner - Full-time

GBMC HealthCare•Padonia, KS
•$109,502 - $164,254

About The Position

Under general supervision, the Ambulatory Nurse Practitioner is accountable for the clinical management of patients. The role evaluates and treats patients, documents care, establishes diagnoses and treatment plans within the applicable contract and hospital policies, and collaborates with physicians and nursing staff. The practitioner also supports patient and family education, referrals, technical functions, and quality improvement initiatives. The position requires completion of a Certified Nurse Practitioner Program or Physician Assistant Program. Candidates must have current Maryland registration as a Certified Adult or Family Nurse Practitioner or be a Licensed Physician Assistant, a valid contract with preceptors, and yearly completion of a Healthcare Provider CPR course. The work takes place in a normal patient care environment, with possible exposure to excessive noise, dust, temperature variation, adverse conditions related to patient care, and communicable diseases. The role requires prolonged standing and walking and sustained concentration and attention to detail, including while working with patients and families in stressful situations.

Requirements

  • Completion of a Certified Nurse Practitioner Program or Physician Assistant Program.
  • Current registration with the Maryland State Board of Examiners of Nurses as a Certified Adult or Family Nurse Practitioner, or licensure as a Physician Assistant.
  • Valid contract with preceptors.
  • Yearly completion of a Healthcare Provider CPR course.
  • High level of analytical ability for assessing patients and implementing appropriate interventions.
  • Substantial interpersonal skills to interact effectively with staff, physicians, patients, and family members.
  • Ability to concentrate and pay close attention to detail for up to 80% of work time, including in stressful situations.
  • Ability to stand and walk for prolonged periods.

Responsibilities

  • Assume responsibility for the initial evaluation and treatment of patients in assigned areas.
  • Perform and document initial histories and physical examinations.
  • Write standard orders in accordance with hospital policy and orders related to pre-existing conditions.
  • Discuss physical or emotional findings that may interfere with patient care with the attending physician and nursing staff.
  • Continuously evaluate patient progress in collaboration with the attending physician and adjust treatment modalities as needed.
  • Evaluate nursing, medical, social, and educational needs of assigned patients.
  • Initiate and document referrals to appropriate ancillary departments and community resources based on patient needs.
  • Write progress notes for each visit documenting pertinent information about patient progress and treatment.
  • Write orders appropriate to patient care requirements in compliance with the existing contract and establish medical diagnoses in compliance with the contract.
  • Refer problems requiring consultation to the physician or designee and document the referral.
  • Immediately refer acute or life-threatening conditions to the physician or designee and document findings and the treatment plan.
  • Perform and document technical functions authorized by the job description, delegation agreement, approved NP agreement, and hospital policy.
  • Report abnormal findings related to technical functions to the physician or designee, monitor patient responses, and document them.
  • Act as a clinical resource.
  • Actively support and participate in nursing and/or hospital performance improvement initiatives.
  • Meet patient and family educational needs, including teaching about preventive health care, current medical conditions, and treatment regimens, and document the education provided.
  • Plan and review home care instructions with patients and families as needed, including community-resource and hospital-based ancillary-service needs.
  • Pursue educational advancement to meet identified needs and continuing-certification requirements, and attend mandatory in-service training.
  • Demonstrate GBMC Values: Respect, Excellence, Accountability, Teamwork, Ethical Behavior, and Results.
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