JOB DESCRIPTION SUMMARY :
Under general supervision, accountable for the clinical management of patients, in accordance with State and national regulatory agency standards.
Successful completion of a Nurse Practitioner program
At least five (5) years of related experience in a healthcare environment
Knowledge, Skills and Abilities
- Skill in leading, motivating and developing others
- Skill in teaching nurses, physicians and other clinical and non-clinical staff
- Skill in using computer and a variety of personal productivity applications
- Effective written and oral communication skills to communicate and relate effectively with staff, the public, physicians, and insurers
- Analytical ability in order to problem solve, develop goals, objectives, clinical protocols, critical paths, case management practices, and policies and procedures
- Able to work under varying degrees of stress and the ability to adjust to changes in the work environment
- Skill in care of patients and families with serious illness and/or end of life concerns
- Skill in applying principles and practices of integrative palliative medicine
- Personal or professional experience with integrative medicine or complementary modalities
- Skill in complex pain management including thoughtful opiate stewardship and opiate conversion calculations
- Skill in non-pain symptom management
- Strong communication skills with an emphasis on medical decision-making and end-of-life conversations
- Current registration with the Maryland State Board of Examiners of Nurses as a Nurse Practitioner, specializing in Adult, Family or Geriatrics; Inpatient position can include Acute care certification.
- National and State Certification as required for the relevant position (DEA, CDS)
- Completion of healthcare provider CPR course
- Completion of Center to Advance Palliative Care (CAPC) modules as directed
- Work is of medium physical demand; walking and standing most of the time
- Normal office environment with little exposure to excessive noise, dust, or temperature variances
- Works in Emergency Department and on Patient units in consulting role
Conditions of Employment
- Maintain current licensure and certifications as an RN/Nurse Practitioner
- Maintain CME requirements needed for licensure
- Pursue continuing education and/or personal practice in integrative and palliative medicine
Standard precaution policy and procedures are applicable to this job
Employee has knowledge and understanding of patient safety as it relates to the job duties N/A
Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs
Not applicable Neonate / Infant Pediatric Adolescent Adult Geriatric
Principal Duties and Responsibilities
Assumes responsibility for the initial evaluation and treatment of patients in assigned areas.
- Performs initial integrative/palliative history and physical as evidenced by appropriate documentation.
- Writes standard orders in accordance with hospital policy.
- Writes appropriate orders related to pre-existing conditions.
- Discusses with the attending physician and nursing staff physical and/or emotional findings, which may interfere with care of the patient.
- Creates an integrative treatment plan that incorporates integrative/palliative medicine principles and practices such as the mind-body connection, integrative stress management, health behaviors, pharmacologic and non-pharmacologic pain management, patient and family as the unit of care, end of life care, etc.
Evaluates patient progress on a continuing basis and in collaboration with the attending physician and alters treatment modalities as needed.
- Evaluates nursing, medical, social and educational needs on assigned patients.
- Initiates referral to appropriate ancillary departments and community resources based on patient need and documents on the progress note.
- Writes progress notes for each visit documenting pertinent information regarding patient progress and treatment regimen.
- Writes orders appropriate to the patient's care requirements in compliance with existing contract.
- Establishes medical diagnoses in compliance with contract.
- Refers to the physician or designee those problems which require consultation and documents same on progress note.
- Makes immediate referral of acute and or life-threatening patient conditions to physician or designee. Documents physical findings and treatment plan pertaining to same.
Performs technical functions as covered by the job description and delegation agreement submitted to BPQA and/or MBON, approved NP agreement and in accordance with hospital policy.
- Documents results of technical functions performed.
- Reports to physician or designee any abnormal findings related to it.
- Monitors patient response related to technical function performed and documents it.
- Acts as a clinical resource.
- Actively supports and participates in nursing and/or hospital performance improvement initiatives.
- Leads staff wellness activities as directed by supervisor.
Assumes responsibility for utilizing opportunities for educational advancement by pursuing activities to meet identified educational needs and those required for continue certification as well as attending mandatory in service as required.
Performs activities to facilitate personal growth and professional development
- Participates in clinician wellness activities as directed by supervisor.
- Pursues continuing education in integrative/palliative care principles and practice.
- Able to articulate and carry out a self-care plan.
- Self-assesses and communicates effectively regarding perceived burnout, compassion fatigue, grief and other stresses associated with caring for seriously ill patients and families.