Inpatient Palliative Care APC

Jefferson Health Plans•Philadelphia, PA

2d•Onsite

About The Position

The APP serves as a first responder for nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions. The role involves performing complete histories and physicals, ordering and collecting data using appropriate assessment techniques, and assessing for risks associated with the care of acute and complex chronically ill patients. The APP collaborates with the interdisciplinary health care team in making diagnoses, managing diagnostic tests, formulating differential diagnoses, and diagnosing complications. They also formulate and implement plans of care, prescribe diagnostic strategies and therapeutic interventions, and may perform advanced procedures consistent with privileges and competency validation. Documentation includes daily progress notes, transfer and discharge summaries, and other relevant patient information, meeting acute care compliance standards. The role also involves ongoing communication and collaboration with the interdisciplinary health care team, patients, families, and staff to promote continuity of care. Professional practice behaviors include preceptor/mentoring, education and instruction of graduate students, active engagement in research, participation in Advance Practice Grand Rounds and specialty specific meetings, maintaining CEUs, and membership in a professional organization.

Requirements

Master’s Degree

Responsibilities

Performs complete history & physicals and documents in the medical record.
Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
Serves as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.
Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
Manages diagnostic tests through ordering, interpretation, performance, and supervision.
Formulates differential diagnoses by priority.
Diagnoses complications and orders appropriate interventions.
Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs.
Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.
Implements and modifies plan of care.
Prescribes diagnostic strategies and therapeutic interventions.
May perform advanced procedures consistent with privileges and competency validation.
Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable. (h&p, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, in medical record per specific patient unit or service, death summary)
Ensures documentation is timely, meets acute care compliance standards and captures patient acuity.
Maintains ongoing communication and collaboration with interdisciplinary health care team.
Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.
Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of graduate students.
Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
Actively participates in Advance Practice Grand Rounds and specialty specific meetings.
Maintains CEUs, and membership in a professional organization.

Benefits

medical (including prescription)
supplemental insurance
dental
vision
life and AD&D insurance
short- and long-term disability
flexible spending accounts
retirement plans
tuition assistance
voluntary benefits
tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service