NURSE PRACTITIONER IV

Independence Health System•Greensburg, PA

2d•Onsite

About The Position

Evaluates, examines, diagnoses, and treats patients in collaboration with a supervising or substitute supervising physician, following established guidelines and protocols. Promotes patient well-being through preventive healthcare and guidance. Care is provided in outpatient settings and is predominantly Monday through Friday. The role also includes procedures and surgical assistance, pre- and post-operative care, and responding from home when called to assist with emergency surgeries. The Nurse Practitioner conducts patient assessments and examinations, develops and revises treatment plans, evaluates responses to medications and treatments, and provides patient and family education. The role requires ongoing communication and coordination with physicians and other healthcare providers, accurate and timely medical-record documentation, and participation in quality improvement, leadership, patient safety, and regulatory compliance activities.

Requirements

Ability to perform the essential functions on the Physical Conditions and Working Conditions charts.
Ability to perform the duties in accordance with applicable licensing-board requirements, hospital policies, procedures, protocols, and professional standards of care.

Nice To Haves

1–2 years of cardiology experience preferred.

Responsibilities

Maintain regular, consistent, on-site, and timely attendance.
Assess patients systematically, conduct physical examinations and histories, identify normal and abnormal findings, and document findings in the medical record within established time frames.
Manage patients’ physical and psychological needs; implement, reassess, and revise individualized treatment plans; evaluate responses to medications and treatments; prescribe immunizations according to recommended schedules; and seek consultation as appropriate.
Develop and provide patient and family education that supports health maintenance, self-care, safe medication use, pain management, access to resources and further care, and appropriate immunizations.
Coordinate care and communicate effectively with supervising physicians, other healthcare providers, patients, families, and treatment teams; maintain problem and medication lists; facilitate consultations; direct patients to appropriate levels of care; and connect patients with resources or social agencies when appropriate.
Participate in performance improvement activities, including identifying improvement initiatives and assisting with chart reviews and audits.
Demonstrate leadership, critical thinking, problem-solving, delegation, accountability, patient advocacy, and resourcefulness; serve as a preceptor or mentor; help maintain or decrease organizational costs; and complete annual competency requirements.
Follow patient-safety practices, including infection-control precautions, use of two patient identifiers, and National Patient Safety Goals.
Support regulatory compliance and survey readiness; participate in medication reporting and required safety drills; and maintain accountability for narcotics under applicable policies.
Perform procedures and assist in surgery, including positioning patients, preparing and draping them, performing surgeon-directed tasks and skin closures, maintaining sterile technique, monitoring patients until clinically stable, and performing suture removal and dressing changes as directed.
Be available for calls from home to assist with emergency surgeries.
Direct and provide pre- and post-operative care, including histories and physicals, preoperative teaching, patient rounds, review of laboratory and diagnostic results, ordering testing under established guidelines, discharge planning, discharge summaries, and patient and family counseling.
Respond effectively in emergency situations, facilitate timely treatment of abnormal findings, support patient transfers and discharges, and participate in outcome management and Press Ganey scores.
Evaluate clinic patients in collaboration with physicians, recommend treatment, assess ongoing status and alternate levels of care, adjust medications as indicated, and educate patients and families about medications and possible side effects.
Review treatment goals and objectives with patients within prescribed time frames, alert the treatment team to significant changes, and communicate pertinent information promptly to supervising or substitute supervising physicians.
Document mental status, screenings, assessments, medication changes, prescriptions and samples, patient concerns, telephone contacts, session start and end times, and sign and date documentation.
Perform essential functions identified in the Physical Conditions and Working Conditions charts.