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Job Summary:

The Nurse Practitioner/Physician Assistant provides clinical services to the appropriate programs and its patients/in both the inpatient and outpatient setting. The Nurse Practitioner is actively involved in providing formal and informal care, education and participates in the review and development of specific policies, procedures, and practice guidelines. The incumbent in this position must be able to demonstrate effective interpersonal skills and an understanding of the interdependent roles of various allied health professions.

This individual will assess physical, psychosocial, cognitive, and functional components, develop a treatment plan, order and interpret diagnostic components of the plan, and prescribe non-pharmacological and pharmacological agents.

The Nurse Practitioner/Physician Assistant functions professionally under a practice agreement with the supervising physician and operationally under the Vice President Nursing Services and/or the designee.

Essential Functions & Responsibilities: 

In collaboration with physician, demonstrates ability to consul patients and family members about diagnosis, testing, surgery and risk of procedures.Performs comprehensive health assessments for the purpose of diagnosing and treating individuals.Formulates appropriate differential diagnosis, develop treatment plan to include appropriate diagnostics; identifies non-pharmacological interventions, appropriate pharmacological agents and education. The plan is based on mutually established priorities to maximize the heath potential of the patient.Provides relevant patient and family education; makes appropriate referrals to other professional and community agencies.Orders and provides preliminary interpretation of diagnostic studies.Prescribes non-pharmacological therapies and pharmacological agents within the defined scope of service and according to guidelines established by the supervising physician.Demonstrates the ability to use effective organizational/prioritization problem-solving and decision-making abilities in practice.Provides emergency treatments and initiates emergency life saving measures per ACLS guidelines.Meets all the requirements of the practice agreement with the supervising physician under the regulations and requirements of the Commonwealth of Virginia.

Delineation of Privileges:

Obtain, record and dictate medical historiesPerform, record and dictate physical examinationsMake daily rounds, record progress notes, write routine comfort and diet orders, order laboratory tests and non-invasive examinations, write approved routine orders, and change dressingsPrepare patients for discharge from the hospitalDictate discharge and transfer summariesEvaluate patients who require a surgical consult

Clinical procedures:

Apply and change dressingsRemove sutures and staplesPerform venipuncturesInsert IV needles and cathetersCatheterize urinary bladderPass nasogastric tubesPlace and remove chest tubes and monitoring linesIrrigate chest tubes and cathetersRemove intra-aortic balloon pumpDebride, irrigate and pack surgical woundsRemove drainage catheters

Communication:

Educate patient/family regarding disease, procedures, medication, nutrition, healthcare, and post-discharge careDictate letters to physicians, patientsAct as liaison between patients and physiciansAct as liaison between nursing and physiciansRequest consults from health agencies and act as liaisonMake and receive phone calls to/from patients, physicians and nurses for information, advise, triage

Other:

Maintain statisticsComplete insurance forms and home health formsMaintain written material; teach devices and special equipment for use of personnel and patients.

Qualifications:

Registered Nurse licensed to practice in Virginia or eligible, requiredPhysician Assistant licensed to practice in Virginia or eligible, requiredMSN, requiredAHA BLS Provider CPR requiredCurrent Virginia state certification as an Adult Nurse Practitioner, requiredSuccessful Completion of Physician Assistant National Certificatoin Exam, requiredAbility to work effectively in emergency situations and under stressProficient leadership skillsAbility to work cooperatively/collaboratively as part of a team, developing productive working relationships with diverse groups of people.

As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.