General Summary

Under the direction of physicians, practices as an extender/collaborator for the physician(s) supported, enabling panel physician(s) to broaden the scope and effectiveness of their practice. Evaluates and treats according to established plan of care. Supports ancillary staff.

Principal Duties and Responsibilities

SCOPE OF PRACTICE

SCOPE OF PRACTICE

• Diagnose and manage acute, episodic and chronic illness.
• Services include, but are not limited to;
• Practices as an extender/collaborator for the physicians they support
• Evaluates & treats following an established plan of care
• Supports ancillary staff; sonographers, nurses and medical assistants.
• Responds to patient calls
• Ordering, conducting and interpreting diagnostic and laboratory tests
• Prescriptions of pharmacologic agents and non-pharmacologic therapies
• Health promotions, disease prevention, patient and family teaching and counseling
• Accountable for knowledge of the statutes and rules relating to advanced practice nursing and function within the boundaries of the advance practice category.

2. PRACTICE SETTING

• Authorized to initiate medical aspects of care under this protocol to clients in the following settings:
• HeartPlace clinics and its affiliates.
• Affiliated hospitals including but not limited to the cardiac catheterizations and electrophysiology laboratories, critical care units, impatient and outpatient units, emergency department and outpatient facilities.

3. PROCESS OF CARE

• Utilizes the scientific process and national standards of care such as but not limited to, the American College of Cardiology, American Society for Heart Failure, North American Society of Pacing and Electrophysiology as a framework for managing client care.

This process includes:

• Assessment of health status
• Obtaining of relevant health and medical history
• Conduction of Physical Exam
• Performs and orders preventative and diagnostic procedures
• Identifies health and medical risk factors

Assessment of Health Status:

• Obtains relevant health and medical history
• Performs Physical Exam
• Performs and orders preventative and diagnostic procedures
• Identifies health and medical risk factors

Diagnosis:

• Formulates a differential diagnosis based on history, physical exam, and diagnostic test results.

Development of a Treatment Plan:

• Orders and interprets diagnostic tests
• Selects appropriate pharmacologic and non-pharmacologic interventions
• Develops patient education plans to include but not limited to impatient discharge planning, inpatient and outpatient medication regimens, disease prevention and chronic disease management.

Implementation of Treatment Plans:

• Individualized and consistent based on scientific principles, theoretical knowledge and clinical expertise.
• Conducts and interprets diagnostic testing to include but not limited to: 12 lead EKG’s, Holter Monitors, Event recorders, Pacemaker Interrogation, Bi-V pacemaker optimizations, 2-D echocardiograms.
• Prescribes medications by virtue of being a physician’s primary practice site under Section 3.06(d) (6) of the Texas Medical Practice Act. May prescribe for all categories of dangerous drugs and medical devices. May prescribe for controlled drugs, scheduled 111-V with the following limitations: Maximum 30-day supply with refills
• Additional prescriptions for the individual only with prior consultation with the physician and only for the persons 12 years of age or older.
• May authorize generic substitutions
• • Will provide instruction to the patient on use of any medications prescribed, including appropriate warnings and monitoring of lab results.
  • May request and sign for samples of any category of dangerous drug for which the APN may sign a prescription.
  • May prescribe only for the patients the delegating physician has established or will establish a physician/patient relationship, but this does not require that the physician see the patient within a specified period of time.
  • Prescribe only at a site where the collaborating physicians spend a majority of their time, a licensed hospital where both the nurse practitioner and the physicians are authorized to practice.
  • The number of refills shall not exceed a 1-year supply for acute and chronic conditions, except after consultation with the supervising physician.
  • Must be credentialed/privileged for prescriptive authority and will adhere to the Medical Staff Bylaws regarding prescriptive procedures at those affiliated hospitals. May write prescriptions using single signature prescriptions.
  • Makes referrals as required to other health professionals.
  • Provides relevant education and training to nursing and clinical staff.

4. PHYSICIANS RESPONSIBILITIES

• Physicians will be available for consultation and referral or arrange for alternate physicians to be available for and accept referrals from the nurse practitioner.
• Physicians will periodically, and at least annually, review all practice guidelines utilized by the nurse practitioner in initiating and providing medical aspects of care.

5. DOCUMENTATION OF PATIENT STATUS AND CARE

• Responsible for maintaining accurate, legible and confidential records.
• Responsible for Quality Assurance and Continued Competence
• Participates in quality assurance review, including systematic review of records and treatment plans.
• Maintains competence by attending continuing education programs.
• Required to maintain certification in compliance with current state law.
• Applies standardized care guidelines in clinical practice.

6. RESEARCH

• Supports research by developing, conducting or participating in studies.
• Disseminates and incorporates findings into their practice.

7. Follows and abides by company practices and policies including HIPAA, patient

Care, Attendance, etc.

Knowledge, Skills and Abilities

1. Graduate of an accredited nurse practitioner program at the master’s level.
2. Current authorization to practice as an Advanced Practice Nurse (APN)/Nurse

Practitioner (NP) by the Board of Nurse examiners for the State of Texas.

1. Current certification from a nationally recognized organization to practice as a Nurse

Practitioner.

1. Current authorization for prescriptive authority from the Board of Nurse Examiners

for the State of Texas and Board of Medical Examiners for the State of Texas.

1. Current ACLS certifications.
2. Fluently speak, read, and write English.
3. Excellent verbal and written communication skills.
4. Understanding of OSHA requirements in a clinical setting
5. Understanding of HIPAA requirements.
6. Ability to meet physical demands of the job which include, but are not limited to: standing, bending, pushing, pulling, lifting, transporting supplies or equipment, walking for extended periods of time, occasionally lifting or carrying items which may weigh up to 50 pounds, and maneuvering patients.
7. Vision (including the discernment of color) and hearing must be within or correctable to within normal range.
8. Attends work regularly in accordance with their schedule and policy guidelines.

We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing.

We do not require COVID vaccination, but do encourage it.