Nurse Practitioner

Description

OVERVIEW: 

Provides general medical care/examinations, diagnosis, treatment and at times follows up care or planning to patients in the hospital, the emergency room, Rural Health Clinic under the directions/collaboration of the Medical Director/physician. 

The nurse practitioner shall work in several roles as an employee of the hospital. He /She is allowed to cross over into different departments if the contract agreement reflects this and the NP has the appropriate education and experience to support the roles.

ESSENTIAL JOB FUNCTIONS: 

1. Obtain appropriate medical history and physical data on patients. Review existing patient records 
2. Interprets and integrates data to determine appropriate diagnostic and therapeutic procedures needed 
3. Performs appropriate level of physical exam and documents findings. Establishes presumptive diagnosis 
4. Order appropriate laboratory and diagnostic procedures 
5. Consult appropriately with physicians and other health professionals regarding patient status. Ensures that physicians are kept informed of any unusual or significant findings concerning their patient 
6. Setting up and monitoring medical equipment.
7. Communicating findings with patients and families in a calm professional manner.
8. Manage, lead, and assist with hands on patient care.
9. Completes medical records within the facilities designated time frame.
10. Follows current standards and treatment recommendations.

RESPONSIBILITIES/KNOWLEDGE/SKILLS: 

1. Works in collaboration/under protocols with Medical Director/Physician. Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes but is not limited to symptoms, treatment modalities, drug properties and interactions, and preventative health care measures. Performs patient assessments on in-patient, ER patient, and out-patients, as necessary. 
2. Dictates H/P’s withing 48 hours of admission on the inpatients. H/P’s for swing bed patients will be pulled from acute chart 
3. Dictates discharge summaries within 30 days of the patients discharge from the hospital 
4. Completes ER, RHC, and/or in-patient paperwork on the same day the patient is seen. 
5. Orders, interprets, and evaluates diagnostic tests to identify and assess the patient’s clinical problems and health care needs 
6. When on call for the ER, and not in house, arrives within 20 minutes of being notified by the RN on duty that there is an ER patient to be seen 
7. Accurately records physical findings and formulates a plan and prognosis based on the patient’s conditions and test results 
8. Discusses patient cases with the Medical Director/Physician and other health care professionals as needed to prepare a comprehensive plan of care 
9. Prescribes or recommends drugs or other forms of treatment such as but not limited to physical therapy, occupational therapy, speech therapy, inhalation therapy or related therapeutic procedures 
10. Conducts services/procedures as needed according to those approved on the services request list 
11. Instructs and counsels patients about prescribed therapeutic regimens, normal development, family planning, emotional problems of daily living and health 
12. Times and dates all orders written in the patient chart 
13. Assigns appropriate diagnosis for clinical signs, symptoms and diagnostic testing and physical presentation of the patient 
14. Gives appropriate patient and family counseling regarding health status as needed 
15. Orders appropriate diagnostic tests according to the patient’s clinical presentation 
16. Accurately interprets diagnostic testing and orders appropriate treatments 
17. Collaborates with physician, nurse and other health care staff as needed to best serve the patient 
18. Prescribes/orders the appropriate medication and treatments as warranted for the clinical presentation of the patient 
19. Always maintains confidentiality of patient/staff information according to HIPPA regulations to stay HIPPA compliant 
20. Maintains an effective rapport with patients, visitors, physicians, and other hospital employees 
21. Acts as a team leader during a Code Blue 
22. Follows the Medical Staff Bylaws/Policies 
23. Follows general hospital policies 
24. Participates in Medical Staff Meetings 
25. Works to promote the mission of the hospital 
26. Perform any other duties that may be necessary for the operation of the corporation and/or hospital 

Requirements

QUALIFICATIONS:

1. High school diploma 
2. Graduate from an accredited educational program for nurse practitioners
3. Current license in the state of North Carolina 
4. National Certification as required by North Carolina Board of Healing Arts 
5. BLS, ACLS, ATLS and PALS within one year of employment 
6. NIH Certification 

PHYSICAL REQUIREMENTS:

1. Frequent mobility and/or sitting required for extended periods of time  
2. Manual dexterity and use of a calculator or computer keyboard. 
3. Varied activities including standing, walking, reaching, bending, lifting 
4. Occasionally lifts to 50 pounds 
5. Requires corrected vision and hearing to normal ranges 
6. Requires working under stressful conditions or working irregular hours 
7. Exposure to communicable diseases, toxic substances, ionization radiation, medicinal preparations, and other conditions common to a hospital and/or clinic environment