Nurse Practitioner or Physician Assistant - FT - Advanced Surgical Mary Washington Hospital

Mary Washington Healthcare•Fredericksburg, VA
•$59 - $73

About The Position

The Nurse Practitioner or Physician Assistant provides clinical services to patients in appropriate programs in both inpatient and outpatient settings. The role includes formal and informal patient care and education, as well as participation in the review and development of policies, procedures, and practice guidelines. The position requires effective interpersonal skills and an understanding of the interdependent roles of allied health professionals. The incumbent assesses physical, psychosocial, cognitive, and functional components; develops treatment plans; orders and interprets diagnostic components of those plans; and prescribes non-pharmacological and pharmacological agents. In collaboration with physicians, the role includes consulting with patients and families about diagnoses, testing, surgery, and procedural risks; providing education and referrals; and delivering emergency treatment and life-saving measures in accordance with ACLS guidelines. The position functions professionally under a practice agreement with the supervising physician and operationally under the Vice President Nursing Services and/or the designee. The practitioner must meet the requirements of the practice agreement and applicable Commonwealth of Virginia regulations.

Requirements

  • Registered Nurse license to practice in Virginia or eligibility for licensure.
  • Master of Science in Nursing (MSN).
  • Current Virginia state certification as an Adult Nurse Practitioner.
  • AHA BLS Provider CPR.
  • Virginia Physician Assistant license.
  • Five years of recent adult medical-surgical experience.
  • Ability to work effectively in emergency situations and under stress.
  • Proficient leadership skills.
  • Ability to work cooperatively and collaboratively as part of a team and develop productive working relationships with diverse groups of people.

Responsibilities

  • Consult with patients and family members about diagnoses, testing, surgery, and procedural risks in collaboration with a physician.
  • Perform comprehensive health assessments to diagnose and treat individuals.
  • Formulate differential diagnoses and treatment plans, including diagnostics, non-pharmacological interventions, pharmacological agents, and patient education.
  • Provide patient and family education and make appropriate referrals to professional and community agencies.
  • Order diagnostic studies and provide preliminary interpretations.
  • Prescribe non-pharmacological therapies and pharmacological agents within the defined scope of service and supervising-physician guidelines.
  • Use effective organizational, prioritization, problem-solving, and decision-making skills in practice.
  • Provide emergency treatments and initiate life-saving measures in accordance with ACLS guidelines.
  • Meet the requirements of the supervising physician practice agreement and applicable Virginia regulations.
  • Obtain, record, and dictate medical histories; perform, record, and dictate physical examinations.
  • Make daily rounds; record progress notes; write routine comfort, diet, and approved routine orders; order laboratory tests and non-invasive examinations; and change dressings.
  • Prepare patients for hospital discharge and dictate discharge and transfer summaries.
  • Evaluate patients requiring a surgical consultation.
  • Apply and change dressings; remove sutures and staples; perform venipunctures; insert IV needles and catheters; catheterize urinary bladders; pass nasogastric tubes; place and remove chest tubes and monitoring lines; irrigate chest tubes and catheters; remove intra-aortic balloon pumps and drainage catheters; and debride, irrigate, and pack surgical wounds.
  • Educate patients and families about disease, procedures, medication, nutrition, healthcare, and post-discharge care.
  • Dictate letters to physicians and patients; act as a liaison among patients, physicians, and nursing staff; request consultations from health agencies and act as a liaison; and handle calls with patients, physicians, and nurses for information, advice, and triage.
  • Maintain statistics and written materials; complete insurance and home health forms; and teach personnel and patients how to use devices and special equipment.
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