Nurse Practitioner Iv-Pulmonology - Full Time- Westmoreland

Independence Health System Careers•Greensburg, PA

6h•Onsite

About The Position

This position ensures the assessment of the patient and the direct and indirect care of the patient is delivered in accordance with all appropriate licensing boards, hospital policies, procedures, and all other professional standards. The role involves collecting patient assessment data, performing systematic physical exams and history of present illness, and documenting findings. The Nurse Practitioner will prescribe medications, demonstrate leadership, solve problems using critical thinking, and function as a resource and patient advocate. Responsibilities include assisting in maintaining/decreasing organizational costs, completing annual competencies, assisting with departmental compliance with regulatory agencies, participating in non-punitive medication reporting, and ensuring accountability for narcotics. The role also involves participating in emergency drills, providing for patient safety, utilizing two forms of patient identification, assuming appropriate code team roles, responding effectively during emergencies, and adhering to infection control processes and National Patient Safety Goals. The position participates in unit performance activities to enhance patient care and customer service, identifies initiatives to improve patient outcomes, and assists in chart reviews for performance improvement. The Nurse Practitioner manages the physical and psychological problems of the patient, implements treatment plans, evaluates responses to medications and treatments, and prescribes immunizations. They seek appropriate consultation, communicate effectively with the supervising physician and healthcare team, and maintain problem and medication lists. The role involves assessing and facilitating consultations, directing patients to appropriate care levels, and assisting in identifying resources for treatment or rehabilitation. In surgical settings, the Nurse Practitioner performs procedures, assists in surgery, preps and drapes patients, maintains sterile techniques, performs skin closures, monitors patients, performs suture removal and dressing changes, and is available for call from home for emergency surgeries. They provide pre and post-operative care, perform history and physicals, order appropriate testing, and prepare discharge planning. The role includes providing counseling and instruction to patients and families, facilitating timely treatment of abnormal labs, and developing workflow patterns for patient transfers or discharges. In the clinic setting, the Nurse Practitioner interviews, evaluates, and assesses patients, provides recommendations for treatment, adjusts medication, and provides patient/family education. They collaborate with the supervising physician and treatment team, alert the team to significant changes in patient status, review treatment goals, and document all patient interactions and assessments thoroughly. The position requires demonstrating leadership, problem-solving independently, maintaining accountability, and acting as a preceptor/mentor.

Requirements

Graduate of an accredited Physician Assistant Program OR Nurse Practitioner Program
Current licensure to practice in the State of Pennsylvania
Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program.
Current Certification as a Physician’s Assistant from the National Certification of Physician Assistants (NCCPA).
Current DEA license.
Completion of required CME's
PA Act 153 Clearances (Act 34-PA Criminal record Check from the PA State Police system, Act 33-PA Child Abuse History obtained through the Department of Public Welfare, Act 73-FBI Fingerprinting screening within 2 weeks of hire in order to meet 30 days of hire or transfer position requirements).
Related training/experience (preferably within the past five years)
One-year medical/surgical experience
Excellent communication, interpersonal and organizational skills
Strong leadership ability, 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.
Strong time management and organizational skills; ability to work independently and in a team setting; creativity in treatment in various settings including inpatient, skilled nursing and outpatient clinics; ability to transition smoothly between various treatment settings; flexibility in scheduling.
Sound judgment, problem solving skills, strong oral and written communication skills, ability to follow directions from other team members; works independently assigned duties.
Ability to communicate with all members of the health care team
Independent thinking and decision-making ability
Proficient oral and written communication skills
Ability to multi-task and prioritize assignments
Basic working knowledge of computers and office equipment
Ability to plan, organize and prioritize multiple projects simultaneously.
Interpersonal skills that facilitate positive, constructive interaction with personnel both intra and interdepartmentally.
Ability to support an interdisciplinary team approach to patient care that crosses a comprehensive care continuum.
Experience with JCAHO requirements.

Nice To Haves

Previous Pulmonology experience

Responsibilities

Ensures the assessment of the patient and the direct and indirect care of the patient is delivered in accordance with all appropriate licensing boards, hospital policies, procedures, and all other professional standards.
Collects patient assessment data in a systematic manner, focusing on the physical, psychosocial, age, cultural and spiritual needs of the patient.
Performs systematic physical exam and history of present illness.
Documents assessment data, history of present illness and physical findings as appropriate in the medical record within established time frame.
Involves patient and family and other healthcare providers when appropriate directed by individual physician practice.
Prescribes appropriate medications based on the patient's condition per state prescriptive authority guidelines and the Excela Health Allied Health Committee directed by individual physician practice.
Demonstrates leadership by utilizing the behaviors inherent to the practice of a professional physician assistant.
Solves problems utilizing critical thinking skills and seeks assistance from supervising physician as appropriate.
Maintains accountability for actions taken.
Effectively functions as a resource person.
Functions as a patient advocate.
Performs effectively in the role of preceptor for new employees.
Assists in maintaining/decreasing organizational costs.
Completes competencies required annually.
Assists in the department's compliance with state, JCAHO, OSHA and other regulatory agencies.
Assists in the preparation for surveys/inspections.
Participates in the non-punitive medication reporting system.
Ensures accountability for narcotics per regulatory requirements.
Participates in health system/office fire, safety, utility, hazard, and disaster drills.
Provides for patient safety in compliance with nursing, hospital, and physician practice guidelines and policies.
Utilizes two forms of patient identification before implementing any form of patient care.
Assumes appropriate code team role during emergency situations.
Responds effectively during emergency situations.
Assists in maintaining a safe and clean environment for patients, visitors and staff.
Adheres to infection control processes, including standard precautions to reduce the risk of acquiring or transmitting infections.
Practices the National Patient Safety Goals.
Participates in unit performance activities designed to enhance the quality of patient care and customer service.
Identifies initiatives to improve patient outcomes, satisfaction, or effectiveness.
Assists in chart reviews/audits as needed for performance improvement data collection.
Supports initiatives implemented to improve patient outcomes and/or office efficiencies.
Manages the physical and psychological problems of the patient.
Identifies normal and abnormal findings.
Implements a plan of treatment and reassesses as needed directed by individual physician practice.
Evaluates the physical and emotional responses to medications and treatments.
Prescribes immunization per recommended schedules directed by individual physician practice.
Seeks appropriate consultation with others of the healthcare team.
Communicates effectively with physician supervisor and other healthcare providers to achieve desired outcomes and assures a continuous flow of patient care.
Initiates and maintains problem list and medication lists.
Assesses and facilitates consultation when indicated.
Directs patients to appropriate level of care and communicates all pertinent information in a timely organized manner.
Assists in identifying and utilizing resources and or social agencies for further treatment or rehabilitation.
Performs procedures, assists in surgery, and provides care to the patient as per established guidelines.
Positions patients and assists surgeon in the operating room.
Preps and drapes the patient as per established guidelines.
Assists in surgery by performing tasks defined by the surgeon.
Assists and maintains sterile techniques through procedures.
Per supervising physician's direction performs skin closures as directed.
Monitors patients until clinically stable unless requested by the surgeon to perform other duties.
Performs suture removal, and dressing changes as per supervising physician's directions.
Be available for call from home to assist in emergency surgeries.
Directs and provides appropriate Pre and Post-operative care.
Performs history and physicals as designated by the physician.
Identifies normal and abnormal findings and reports to the physician in a timely manner.
Provides preoperative teaching to patients and or families.
Performs patient rounds ensuring accurate assessment, review of labs and diagnostic procedures, and reports overall progress to supervising physician.
Orders appropriate testing per established guidelines and as outlined by supervising physician.
Documentation supports a review of lab/diagnostic results, is reflective of all required history and physical assessment elements.
Communicates with supervising physician in a timely manner regarding changes in the patient's progress, status, or critical test results.
Prepares for and develops discharge planning in conjunction with supervising physician.
Dictates discharge summaries timely and appropriate.
Provides counseling and instruction to patients and or families as appropriate.
Performs clinical responsibilities in a manner that maximizes patient care and outcomes.
Assumes appropriate code team role during emergency situations and responds effectively.
Facilitates timely treatment of abnormal labs or other relevant findings.
Develops workflow patterns to facilitate patient transfers or discharges.
Participates in outcome management and Press Ganey scores.
In collaboration with the physician: Interviews, evaluates and assesses patients in the clinic setting.
Provides recommendations for treatment.
Evaluates patient's current status providing recommendations for ongoing treatment.
Assesses for alternate levels of care as necessary.
Adjusts medication as indicated.
Provides patient/family education regarding medication, rationale for use and possible side effects.
Collaborates with the supervising physician and or substitute supervising physician and members of the treatment team to achieve desired outcomes and to assure continuous flow of patient care.
Alerts the treatment team to any significant changes in the patient's status.
Within prescribed time frames reviews treatment goals and objectives with patients making modifications as appropriate.
Communicates pertinent information timely and efficiently to the supervising or substitute supervising physician.
Documents in the medical record.
Records patient's current mental status.
Documents all screenings and assessments performed.
Records medication changes, prescriptions written and samples provided.
Documents patient's complaints, concerns and questions as appropriate.
Documents any/all telephone contact with patients, families, pharmacists or physicians.
Records beginning and end times of each session.
Signs and dates all documentation.
Demonstrates leadership by utilizing the concepts inherent to the practice of a professional physician assistant.
Demonstrates an ability to problem solve independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate.
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 hire/students.
Participates in Performance Improvement activities designed to enhance the quality of patient care, customer service, or practice efficiencies.
Identifies initiatives to improve patient outcomes and satisfaction.
Assists in chart review/audits as needed for performance improvement data collection.
Supports initiatives implemented to improve patient outcomes and or efficiencies.
Provides for patient safety in compliance with hospital and or physician practice 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 the National Patient Safety Goals.
Performs any and all other duties as assigned and appropriate.