NURSE PRACTITIONER IV-Vascular Surgery Office

Independence Health System Careers•Greensburg, PA

5d•Onsite

About The Position

Evaluates, examines, diagnoses, and treats patients in collaboration with their supervising and/or substitute supervising physician according to established guidelines and protocols. Maintains and promotes the well-being of the patient, providing care in both the in-patient and out-patient setting. Primarily Monday - Friday.

Requirements

Ability to perform the Essential Functions on the Physical Conditions chart
Ability to perform the Essential Functions on the Working Conditions chart

Nice To Haves

1-2 years surgical experience preferred

Responsibilities

Collects patient assessment data in a systematic manner, focusing on the physical, psychosocial, age, cultural, and spiritual needs of the patient.
Performs systematic physical exam and history of present illness.
Documents assessment data, history of present illness, and physical findings on the appropriate medical record within the established time frame.
Involves the patient/family and other healthcare providers when appropriate.
Identifies normal and abnormal findings.
Implements an individualized plan of treatment, reassesses and revises plan as needed.
Evaluates the physical and emotional responses to medications and treatments.
Prescribes appropriate medications based on the patient's condition per state prescriptive authority guidelines and the Independence Health Allied Health Committee directed by individual physician practice.
Seeks appropriate consultation.
Participates in the assessment of the patient’s readiness to learn, identifying educational barriers and tailoring the educational process to meet the needs of the patient/family.
Ensures the process includes education about safe and effective use of medications, pain management, available resources, obtaining further care, and their responsibility for their care.
Acquires and distributes educational resources tailored to the patient's needs.
Provides appropriate instruction and guidance regarding immunizations.
Initiates and maintains the Problem/Medication list at each encounter.
Complies with completeness, accuracy, and timeliness of documentation at each encounter.
Assesses the patient and facilitates consultation when indicated.
Directs patient to appropriate level of care and communicates all pertinent information.
Assists in identifying and utilizing resources and/or social agencies for further treatment or rehabilitation.
Identifies initiatives to improve patient outcomes, satisfaction, or efficiencies.
Assists in chart reviews/audits as needed for performance improvement data collection.
Supports initiatives implemented to improve patient outcomes and/or office efficiencies.
Demonstrates an ability to solve problems independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate.
Delegates patient care appropriately.
Maintains accountability for actions taken.
Effectively functions as a resource person.
Acts as a patient advocate.
Performs effectively in the role of preceptor/mentor to new hires and/or students.
Assists in maintaining/decreasing organizational/departmental costs.
Completes all competency requirements annually.
Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections.
Utilizes two forms of patient identification before implementing any form of patient care.
Practices all National Patient Safety Goals.
Participates in continuous survey readiness for inspections and surveys.
Participates in the non-punitive medication reporting system.
Ensures accountability for narcotics per regulatory/organizational policies.
Participates in office fire, safety, utility, hazard, and disaster drills as required.
Performs suture removal, and dressing changes as per supervising physician's directions.
Directs and provides appropriate Pre and Post-operative care.
Performs history and physicals as designated by the physician. Identifies normal and abnormal findings and reports to the physician in a timely manner.
Provides preoperative teaching to patients and or families.
Review of labs and diagnostic procedures, and reports overall progress to supervising physician.
Orders appropriate testing per established guidelines and as outlined by supervising physician.
Documentation supports a review of lab/diagnostic results, is reflective of all required history and physical assessment elements.
Communicates with supervising physician in a timely manner regarding changes in the patient's progress, status, or critical test results.
Prepares for and develops discharge planning in conjunction with supervising physician.
Dictates discharge summaries timely and appropriate.
Provides counseling and instruction to patients and or families as appropriate.
Assumes appropriate code team role during emergency situations and responds effectively.
Facilitates timely treatment of abnormal labs or other relevant findings.
Develops workflow patterns to facilitate patient transfers or discharges.
Participates in outcome management and Press Ganey scores.
Interviews, evaluates and assesses patients in the clinic setting. Provides recommendations for treatment.
Evaluates patient's current status providing recommendations for ongoing treatment. Assesses for alternate levels of care as necessary.
Adjusts medication as indicated.
Provides patient/family education regarding medication, rationale for use and possible side effects.
Alerts the treatment team to any significant changes in the patient's status.
Within prescribed time frames reviews treatment goals and objectives with patients making modifications as appropriate.
Communicates pertinent information timely and efficiently to the supervising or substitute supervising physician.
Records patient's current mental status.
Documents all screenings and assessments performed.
Records medication changes, prescriptions written and samples provided.
Documents patient's complaints, concerns and questions as appropriate.
Documents any/all telephone contact with patients, families, pharmacists or physicians.
Records beginning and end times of each session.
Signs and dates all documentation.