The APP will perform complete history & physicals and document them in the medical record. They will order and collect data using appropriate assessment techniques, relevant supporting diagnostic information, and diagnostic procedures where indicated. The APP may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions. The APP will assess for risks associated with the care of the acute and complex chronically ill patient, including medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions, and diagnostic procedures. The APP will collaborate with the interdisciplinary health care team in making diagnoses of acute and complex chronic conditions and manage diagnostic tests through ordering, interpretation, performance, and supervision. They will formulate differential diagnoses by priority, diagnose complications, and order appropriate interventions. The APP will identify expected outcomes from diagnosis and formulate and document a plan of care to address complex acute and chronic health care needs, utilizing evidence-based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum. They will implement and modify the plan of care, prescribe diagnostic strategies and therapeutic interventions, and may perform advanced procedures consistent with privileges and competency validation. Documentation includes key components of patient's progress via daily progress note, transfer, and discharge summary, and/or clinic note where applicable (h&p, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, in medical record per specific patient unit or service, death summary). Documentation is timely, meets acute care compliance standards, and captures patient acuity. The APP will maintain ongoing communication and collaboration with the interdisciplinary health care team, facilitating and communicating with patient, family, and staff to promote continuity of care across the inpatient and outpatient continuum of care. Professional practice behaviors include preceptor/mentoring, education, and instruction of graduate students. The APP will seek opportunities for active engagement in research and the analysis of evidenced based practice, actively participate in Advance Practice Grand Rounds and specialty specific meetings, and maintain CEUs and membership in a professional organization.
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Job Type
Full-time
Career Level
Mid Level