Nurse Practitioner stationed at Hendricks Behavioral Hospital

Hendricks Regional Health•Danville, IN
•Onsite

About The Position

The Hospitalist Service Nurse Practitioner (HSNP) supports and extends the work of Hospitalist Physicians by providing bedside evaluations, communicating clinical findings, and directing patient care under a Hospitalist Physician’s supervision. The HSNP must follow applicable Indiana nursing laws and regulations, medical staff rules, and health information management policies. Chart entries and orders require subsequent authentication by a Hospitalist Physician, and the physician of record must evaluate each patient at least once every 24 hours. Procedures other than venipuncture, peripheral intravenous catheter placement, Foley catheter placement, and peripheral arterial blood gas sampling require direct supervision by a Hospitalist Physician. The HSNP evaluates and helps direct the care of assigned acute-care patients in collaboration with Hospitalist Physicians, nursing, and other healthcare disciplines. The position includes performing histories and physical examinations, daily bedside assessments and progress notes, writing appropriate orders, preparing discharge documentation, communicating with patients, families, physicians, and staff, participating in quality and safety activities, and sharing the Hospitalist Service on-call rotation with physician backup available. The role also includes preparing and submitting required billing materials.

Requirements

  • At least three years of experience in bedside care of hospitalized acute-care patients as an R.N. or N.P.
  • Hold a current, unrestricted Indiana Registered Nurse license.
  • Meet at least one of the following: have successfully completed, or be within four months of completing, a graduate program offered by a college or university accredited by the Commission on Recognition of Postsecondary Accreditation; or have successfully completed an accredited college or university certificate program and received and maintained certification from a national organization requiring successful completion of a certifying examination.
  • Comply with applicable Indiana nursing laws and regulations, including the specified provisions of I.C. 25-23 and I.A.C. 848, as well as applicable medical staff and health information management policies.

Nice To Haves

  • Experience in general medicine or an intensive care unit is strongly preferred.

Responsibilities

  • Conduct detailed bedside evaluations of general internal medicine patients in the acute-care setting.
  • Interpret laboratory, radiographic, bedside-record, and other clinical data in the context of patients’ diagnoses and conditions.
  • Develop clinically sound diagnoses, initiate appropriate orders, and document history, physical examination, assessment, and plan information in the medical record.
  • Evaluate and help direct assigned patients’ care daily throughout acute hospitalization in coordination with Hospitalist Physicians, nursing, and other healthcare disciplines.
  • Perform and dictate history and physical examinations for assigned patients admitted for admission, observation, or consultation.
  • Perform pertinent daily bedside evaluations and record progress notes for physician review and authentication.
  • Prepare discharge paperwork, including discharge summary dictation, on the day before or day of discharge.
  • Write admitting, daily, and discharge orders appropriate to the patient’s condition and plan of care.
  • Collaborate with Hospitalist Physicians to promote teamwork, efficient care, and fair workload distribution.
  • Communicate regularly and effectively with patients and their families.
  • Communicate regularly and effectively with referring physicians and support staff, including nursing and rehabilitative services.
  • Meet with Hospitalist Physicians at least daily and as needed to review evaluation results and planned care.
  • Support and participate in focused quality, safety, and utilization studies to improve care quality and cost-effectiveness.
  • Alert Hospitalist Physicians to acute declines in patient status, critical laboratory values, and radiographic findings for review of treatment or bedside evaluation.
  • Comply with applicable medical staff rules, regulations, and health information management policies to maintain accurate and complete medical records.
  • Prepare required billing materials and submit them to Hendricks Physician Billing via the QRM Department in a timely manner.
  • Share in the Hospitalist Service on-call rotation, with physician backup available.
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