NURSE PRACTITIONER III-Geriatrics

Independence Health System Careers•Greensburg, PA
•Onsite

About The Position

Evaluates, examines, diagnoses, 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 hospital setting. May include weekends and shift work. Provides medical services for elder patients. Provides comprehensive healthcare services for aging patients, conducts physicals, evaluates well-being, and devises care plans specifically for this population. Educates patients and their caregivers on diagnoses, examinations, and prescriptions. Demonstrates the ability to assess, plan, and treat patients, ranging from healthy, acutely and chronically ill to complex patients with multiple co-morbidities, new to end-of-life decision-making. Collaborates with and involves the patient, family, caretakers, and significant others, as well as members of the community and care team in developing and implementing a plan of care, revising the plan as appropriate. Maintains co-signature of Allscripts office notes for all new or transferred CRNPs for 90 days by the Supervising physician. After a 90-day observation period, at the discretion of the supervising physician, the CRNP manually sends the first 10 office notes of every month to be signed by the Supervising physician. Establishes a written collaborative agreement with the supervising physician regarding Prescriptive Authority for prescribing medication for Family Medicine patients.

Requirements

  • Must have a Geriatrics specialty.
  • Must have experience in a hospital setting.
  • Must be able to provide medical services for elder patients.
  • Must be able to provide comprehensive healthcare services for aging patients.
  • Must be able to conduct physicals.
  • Must be able to evaluate the well-being of patients.
  • Must be able to devise care plans specifically for the geriatric population.
  • Must be able to educate patients and their caregivers on diagnoses, examinations, and prescriptions.
  • Must demonstrate the ability to assess, plan, and treat patients, ranging from healthy, acutely and chronically ill to complex patients with multiple co-morbidities, new to end-of-life decision making.
  • Must collaborate with and involve the patient, family, caretakers, and significant others, as well as members of the community and care team in developing and implementing a plan of care, revising the plan as appropriate.
  • Must maintain co-signature of Allscripts office notes for all new or transferred CRNPs for 90 days by the Supervising physician.
  • Must establish a written collaborative agreement with the supervising physician regarding Prescriptive Authority for prescribing medication for Family Medicine patients.
  • Must manage the physical and psychological problems of the patient.
  • Must identify normal and abnormal findings.
  • Must implement an individualized plan of treatment, reassess and revise plan as needed.
  • Must evaluate the physical and emotional responses to medications and treatments.
  • Must prescribe immunizations per recommended schedules.
  • Must seek appropriate consultation.
  • Must communicate effectively with the physician and other healthcare providers to achieve desired outcomes and assure a continuous flow of patient care.
  • Must initiate and maintain the Problem/Medication list at each encounter.
  • Must comply with completeness, accuracy, and timeliness of documentation at each encounter.
  • Must assess the patient and facilitate consultation when indicated.
  • Must direct patients to appropriate level of care and communicate all pertinent information.
  • Must assist in identifying and utilizing resources and/or social agencies for further treatment or rehabilitation.
  • Must demonstrate Leadership by utilizing the concepts inherent to the practice of the professional nurse.
  • Must demonstrate an ability to solve problems independently utilizing critical thinking skills and seek assistance from immediate supervisor when appropriate.
  • Must delegate patient care appropriately.
  • Must maintain accountability for actions taken.
  • Must effectively function as a resource person.
  • Must act as a patient advocate.
  • Must perform effectively in the role of preceptor/mentor to new hires and/or students.
  • Must assist in maintaining / decreasing organizational/department costs.
  • Must complete all competency requirements annually.
  • Must provide for patient safety in compliance with hospital and physician practices policies.
  • Must adhere to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections.
  • Must utilize two forms of patient identification before implementing any form of patient care.
  • Must practice all National Patient Safety Goals.
  • Must assist in the department's compliance with all regulatory agencies.
  • Must participate in continuous survey readiness for inspections and surveys.
  • Must participate in the non-punitive medication reporting system.
  • Must ensure accountability for narcotics per regulatory/organizational policies.
  • Must participate in office fire, safety, utility, hazard, and disaster drills as required.
  • Must participate in on-call, weekend coverage, and first assist responsibilities as required.

Responsibilities

  • Manages the physical and psychological problems of the patient.
  • Identifies normal and abnormal findings.
  • Implements an individualized plan of treatment, reassesses 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 surveys.
  • 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.
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