Nurse Practitioner or Physician Assistant Hospitalist

Sheridan Memorial Hospital•Sheridan, WY

About The Position

The Hospitalist Physician Assistant (PA) or Nurse Practitioner (NP) provides medical consultation, follow-ups, routine patient care, and minor office procedures, primarily diagnosing and treating patients in the hospital setting under physician supervision. The role includes performing physical examinations within prescribed guidelines, diagnosing and managing common acute and stable chronic diseases, and ordering, interpreting, and evaluating diagnostic and laboratory tests. The PA or NP prescribes pharmacological and non-pharmacological therapies, documents findings and care plans in patient records, and discusses cases with supervising physicians and other healthcare professionals. The role also includes making appropriate referrals, performing inpatient and outpatient consultations as requested, participating in performance improvement and continuous quality improvement activities, and providing clinic administrative support as needed. On hospital units, the PA or NP performs medical assessments and initiates and evaluates care under the sponsorship of a staff physician. The position requires population-specific competencies and adherence to applicable patient safety goals, organizational policies, professional practice standards, and the Wyoming State Board of Medicine's guidelines. The PA or NP provides patient-centered care, communicates effectively with a multidisciplinary team, and supports safe, respectful care for patients and families. The role may involve exposure to blood or body fluids, infectious disease, hazardous waste, odorous chemicals or specimens, and latex products; personal protective equipment may be required. Pre-employment drug and alcohol screening is required.

Requirements

  • Completion of an accredited Physician Assistant program and certification, if applying as a PA.
  • Wyoming Physician Assistant license, if applying as a PA.
  • NCCPA certification, if applying as a PA.
  • Current BLS certification.
  • Current ACLS certification.
  • Completion of an accredited Nurse Practitioner education program and certification, if applying as an NP.
  • Master's degree, if applying as an NP.
  • Wyoming Nurse Practitioner license, if applying as an NP.
  • Adult gerontology acute care certification, if applying as an NP.
  • Effective spoken and written English communication skills.
  • Basic computer knowledge and organizational skills.
  • Ability to communicate and collaborate with multidisciplinary healthcare professionals and healthcare consumers.
  • Ability to diagnose and manage common acute and stable chronic diseases.
  • Ability to perform patient assessments and provide services within scope of practice.
  • Participation in continuing education and keeping current with clinical practice, evidence-based guidelines, and organizational policies.
  • Pre-employment drug and alcohol screening is required.

Nice To Haves

  • Additional language skills are desirable.

Responsibilities

  • Provide medical consultation, follow-ups, routine patient care, and minor office procedures.
  • Diagnose and treat patients in the hospital setting under physician supervision.
  • Perform physical examinations and head-to-toe assessments, and reassess patients according to policy and population-specific needs.
  • Diagnose and manage common acute and stable chronic diseases and identify actual or potential health problems.
  • Order, interpret, and evaluate diagnostic and laboratory tests, radiological examinations, and other routine diagnostic procedures.
  • Prescribe or initiate appropriate medications, treatments, consultations, and non-pharmacological therapies.
  • Document physical findings and patient care plans in medical records, meeting current standards and policies.
  • Discuss cases with supervising physicians and other healthcare professionals, and refer patients for physician consultation or specialized resources when appropriate.
  • Perform inpatient and outpatient consultations as requested by other practitioners.
  • Obtain pre-operative medical clearances and consult supervising physicians about unusual problems encountered.
  • Formulate, revise, and evaluate individualized plans of care, including pain assessment and management.
  • Provide counseling and education to patients and families, involving them in care and pain management.
  • Participate in multidisciplinary rounds and make recommendations when appropriate.
  • Make hospital rounds as directed by the supervising physician.
  • Collaborate with departments and consult other professionals to provide an interdisciplinary approach to patient needs.
  • Communicate with hospital staff, administration, patients, and the public as a liaison for the Big Horn Health Network.
  • Participate in performance improvement and continuous quality improvement activities.
  • Report near misses, adverse events, complaints, and other situations affecting safe patient-centered care in a timely manner.
  • Provide clinic administrative support as necessary.
  • Support programs to improve coding and reimbursement for office-specific procedures.
  • Attend and actively participate in departmental staff meetings and continuing education activities.
  • Follow organizational policies and procedures, professional practice guidelines, and evidence-based clinical practice.
  • Treat patients and families with respect and dignity, addressing psychosocial, cultural, ethnic, and religious or spiritual needs.
  • Maintain good working relationships, demonstrate flexibility and organization, and function effectively in stressful situations.
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