The Family Nurse Practitioner / Physician Assistant provides nursing and practitioner care within the scope of New Jersey licensure and certification. The role assesses the health status of individuals and families through history taking, data collection, and physical examination, and assists staff nurses in facilitating care for walk-in patients. The practitioner collaborates with staff, physicians, allied health professionals, and others to implement and continuously evaluate and revise patient plans of care. Responsibilities include providing pharmacological care, prescribing or making judgments regarding pharmacologic agents and therapeutic devices, and dispensing, administering, or prescribing medications according to policy and protocol. The practitioner recognizes and manages deviations from health, identifies problems outside the scope of practice and obtains appropriate care, orders and follows up on laboratory and diagnostic tests, and communicates with patients to develop mutually agreed-upon care plans. The role also provides individualized health education to patients and families, promotes health education for groups and communities as appropriate, and supports patient independence and self-care. It includes referral and case management, including referrals to internal resources, specialty care, and primary care as appropriate, and follow-up on referrals according to site-specific standards. Accurate documentation and participation in annual updates to joint practice protocols are required.
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