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

Mary Washington Healthcare • Fredericksburg, WA

2d

About The Position

The Nurse Practitioner or Physician Assistant provides clinical services to patients in inpatient and outpatient settings. The role includes formal and informal patient care and education, and participation in reviewing and developing policies, procedures, and practice guidelines. The clinician assesses patients’ physical, psychosocial, cognitive, and functional needs; develops treatment plans; orders and interprets diagnostic studies; and prescribes non-pharmacological and pharmacological treatments. The position operates under a practice agreement with a supervising physician and operationally under the Vice President Nursing Services and/or designee.

In collaboration with physicians, the clinician performs comprehensive assessments, develops differential diagnoses and treatment plans, provides patient and family education, makes referrals, and delivers emergency treatment, including life-saving measures under ACLS guidelines. The role also includes inpatient surgical-service duties such as rounds, progress notes, routine orders, discharge preparation and summaries, surgical consultations, and a range of clinical procedures. The clinician must meet the requirements of the practice agreement and applicable Commonwealth of Virginia regulations.

Requirements

• Registered Nurse licensed to practice in Virginia or eligible, or a Virginia-licensed Physician Assistant.
• Master of Science in Nursing (MSN) required for the Nurse Practitioner pathway.
• Current Virginia state certification as an Adult Nurse Practitioner required for the Nurse Practitioner pathway.
• AHA BLS Provider CPR required.
• Five years of recent adult medical-surgical experience required.
• 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 physicians.
• Perform comprehensive health assessments to diagnose and treat patients.
• Develop differential diagnoses and treatment plans, including diagnostic testing, non-pharmacological interventions, pharmacological agents, and education, based on mutually established priorities.
• 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 life-saving measures according to ACLS guidelines.
• Meet the requirements of the supervising physician practice agreement and applicable Commonwealth of Virginia regulations.
• Obtain, record, and dictate medical histories and 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 who require a surgical consult.
• Perform clinical procedures, including applying and changing dressings; removing sutures and staples; venipuncture; inserting IV needles and catheters; urinary catheterization; passing nasogastric tubes; placing and removing chest tubes and monitoring lines; irrigating chest tubes and catheters; removing an intra-aortic balloon pump; debriding, irrigating, and packing surgical wounds; and removing drainage catheters.
• Educate patients and families about disease, procedures, medication, nutrition, healthcare, and post-discharge care.
• Dictate letters to physicians and patients; serve as a liaison among patients, physicians, and nursing staff; request consultations from health agencies; and communicate with patients, physicians, and nurses for information, advice, and triage.
• Maintain statistics and complete insurance and home health forms.
• Maintain written materials and teach personnel and patients how to use devices and special equipment.

What This Job Offers

• Job Type: Full-time