Assess, plan and provide all aspects of patient care, including diagnosis, treatments and consultations. Work both inpatient and outpatient performing independently or as part of a treatment team. Educate patients about preventative care and prescribed treatments. May also conduct physicals, order tests and serve as a patient's primary healthcare provider. May be required to prescribe medications. Assist hospitalist physician staff admit, care for and discharge patients in the hospital. Provide services to inpatients who have no primary care physician or patients whose primary care physician cannot visit the patient in the hospital under the supervision of the hospitalist physician. Consult with physician regarding any task, procedure, or diagnostic problem, deemed necessary. Comprehensive care including care coordination and self-management building skills to promote better outcomes for patients. As part of the team, there will be an emphasis on disease prevention and wellness, as well as being included in the treatment of acute and chronic diseases. This position will help provide care management and support to the patient/family/caregiver prior to treatment, during treatment and following treatment with transitional care and coordination across all elements of the broader health care system. This would include specialty care, hospitalization/ER, home health care, community services and support, test tracking and follow-up, referral tracking and follow-up, and care coordination transitions from one health care facility to another facility or to home. May require assisting in ER, which they will work in collaboration with a physician to assess the physical needs of patients admitted to ER. Orders, interprets, and records results of clinical tests and reports results to physicians Prescribes medications and makes recommendations for other therapeutic forms of treatment.
1. Utilizes advanced nursing processes for the performance of patient care to assess, plan, intervene, implement and evaluate patient care to achieve prioritized patient outcomes. Perform initial assessment and ongoing needs assessment of the patient and family to identify health risks and needs. Provide general and preventative care, conduct check-ups, treat illnesses, order lab tests and prescribe medications for children and adults. Provide primary, secondary, and tertiary health care to individuals, families, and groups emphasizing health promotion, disease prevention, and early detection, management of health problems, acute and chronic illness, and response to acute and chronic illness. Formulate differential diagnoses and develops a comprehensive, multidisciplinary plan of care. Prescribe interventions and perform therapeutic measures to ensure the appropriate individualized plan of care are implemented. Modify the plan of care, in collaboration with other healthcare team members, to achieve the desired outcomes. Participate in health education of patients, families, communities, health care providers and students, through identification of learning needs and/or provision of formal and informal learning. Evaluate patient progress toward desired outcomes. Demonstrate personal accountability in the delivery of patient care in a competent, professional and compassionate manner. Identify and recognize abnormal symptoms/changes in patient condition, established priorities and takes appropriate action. Provide care, counseling and treatment to patients and their families as needed.
2. Evaluate the processes and outcomes of patient care through participation in quality improvement efforts to enhance the delivery of excellent, cost effective healthcare. Evaluate effectiveness of the plan of care for aggregate populations. Analyze appropriateness of resource utilization compared to the level of services required. Evaluate cost and quality outcomes of the care provided. Utilize the outcome data to enhance the delivery of quality, cost effective health care. Coordinate and/or provide formal educational programs. Provide informal educational opportunities for health care team members.
3. Accountable and responsible for professional development within nurse practitioner role by seeking educational opportunities to advance knowledge and skills in order to ensure safe and up to date practice within specialty area. Formulate short and long- term goals based on self-assessment of strengths and areas for improvement. Engage in professional activities such as attending professional educational conferences, writing articles for publication, participating in professional organizations and/or participating in research process. Participate in and supports evidence- based practice as demonstrated by involvement in research activities.
4. Follow policy/procedures/regulatory requirements and perform other work assignments. Comply with all departmental and organizational policies and procedures in addition to regulatory requirements (such as OSHA, CMS, Joint Commission, etc.) and participate in corporate/departmental safety and quality activities.
5. Collaborate with Medical Staff, management and other healthcare providers to coordinate appropriate patient care. Promote team concept through effective communication regarding patient condition, patient care plan and patient satisfaction with appropriate individuals that are involved in the patient’s care. Work effectively with ancillary areas as part of the team approach to patient care. Direct patient- support team members effectively and appropriately. Demonstrate initiative and flexibility in the provision of patient care. Inform and involve manager regarding patient care issues in a timely and appropriate manner. Collaborate with Social Services and Utilization Management if needed. Complete patient and family education.
6. Perform emergency treatment as required. Initiate or assist in patient care in an effective and responsive manner, as each situation requires. Triage each emergency appropriately and involve other resources as appropriate. Administer and perform emergent care in accordance with the applicable patient population type, which may range from newborn to geriatrics. Follow emergency policies, procedures and protocols in an effective manner.
7. Perform and maintain documentation. Document accurate and ongoing assessment of patient status that reflect interventions, patient responses, patient teaching and status of outcomes.
8. Communicates effectively. Communicate and collaborate effectively with other health team members regarding patient condition, plan of care, patient satisfaction needs and recommendations for meeting identified outcomes. Identify and recognize abnormal symptoms/changes in patient
Shifts:Friday 9-7p, Sat 9-1p, Sun 9-1p, Monday 8-5p
QUALIFICATIONS: Masters Degree in Nursing from an accredited school/college of Advanced Registered Nursing Practice Five (5) years experience as a Registered Nurse in a healthcare setting Preferred experienced in acute care Certificates, Licensure, Registrations Currently licensed as an Advanced Registered Nurse Practitioner (ARNP) in the State of Iowa Basic Life Support (BLS) required upon completion of orientation Advanced Life Support (ACLS) required within 6 months of hire Pediatric Advanced Life Support (PALS) required within 6 months of hire Knowledge, Skills and Abilities Demonstrated Leadership skills Knowledge of healthcare policy and societal factors affecting the delivery of healthcare preferred Knowledge of fiscal analysis, database management and informatics preferred
Shenandoah, Iowa , 51601
Aug 29th, 2017