NP or PA - PRN - Interventional Radiology - Fredericksburg, VA

Mary Washington Healthcare•Fredericksburg, WA

2d•Onsite

About The Position

The Nurse Practitioner (NP) or Physician Assistant (PA) provides clinical services in the inpatient setting. The NP/PA provides comprehensive care and education and participates in reviewing and developing policies, procedures, and practice guidelines. The role requires effective interpersonal skills and an understanding of the interdependent roles of allied health professionals. The NP/PA assesses patients’ physical, psychosocial, cognitive, and functional status; develops treatment plans; orders and preliminarily interprets diagnostic studies; and prescribes non-pharmacological and pharmacological therapies within the defined scope of service. The position works professionally under a practice agreement with the supervising physician and operationally under the Mary Washington Medical Group. In collaboration with physicians, the NP/PA communicates with patients and families about diagnoses, testing, and procedural risks; performs comprehensive health assessments; develops individualized treatment plans; provides education and referrals; and applies organizational, prioritization, problem-solving, and decision-making skills. The role also provides emergency treatment and initiates lifesaving measures in accordance with ACLS guidelines, while meeting the practice agreement and applicable Commonwealth of Virginia requirements. The position’s delineated privileges include obtaining and documenting medical histories and physical examinations; making rounds and documenting progress; ordering approved tests and care; performing the listed clinical procedures; educating patients and families; communicating and coordinating with physicians, nurses, patients, and health agencies; maintaining statistics and forms; and teaching the use of devices and special equipment.

Requirements

MSN required.
Registered Nurse licensed to practice in Virginia or eligible required.
Current Virginia state certification as a Nurse Practitioner required for the NP role.
Master's degree in Physician Assistant studies required for the PA role.
Virginia Physician Assistant license required for the PA role.
AHA BLS Provider CPR required at hire.
ACLS required at hire.
Minimum of three years of recent relevant advanced practice experience, such as Med/Surg, IR, Cardiology, or Critical Care.
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

Communicate with patients and family members about diagnoses, testing, and procedural risks in collaboration with a physician.
Perform comprehensive health assessments for diagnosis and treatment.
Formulate treatment plans, including diagnostic testing, non-pharmacological interventions, medications, 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 treatment and initiate lifesaving 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 comfort and diet orders; order laboratory tests and non-invasive examinations; write approved orders; and change dressings.
Perform authorized clinical procedures, including dressing care, suture and staple removal, venipuncture, vascular access placement, urinary catheterization, nasogastric tube placement, chest tube and monitoring-line care, thyroid biopsies and fine needle aspirations, thoracentesis, paracentesis, and IR surgical-site and pulse assessment.
Educate patients and families regarding disease, procedures, medication, nutrition, healthcare, and post-discharge care.
Dictate letters to physicians and patients and act as a liaison among patients, physicians, nursing staff, and health agencies.
Make and receive calls with patients, physicians, and nurses to provide information, advice, and triage.
Maintain statistics and appropriate forms, including insurance and home health forms.
Maintain written materials and teach personnel and patients to use devices and special equipment.
Perform other duties as assigned.