NURSE PRACTITIONER

Description

Full-time, benefited position working 80 hours per two week pay period in an exempt status. Days of work are Monday - Friday with hours between 7 am - 5 pm. Working weekend / night on call with provider.

STATEMENT OF PURPOSE

The Nurse Practitioner is responsible for the overall success of the Advanced Wound Center as well as provides support for podiatry. This position collaborates with the Medical Director and specialty clinics manager to coordinate services in providing quality care to patients with chronic non-healing wounds through the use of hospital and nursing standards. This includes responsibility for clinical outcomes, reimbursement, performance improvement, and professional/community referral development.

Job Functions

• Evaluation: Elicit a detailed and accurate history from a patient, perform an appropriate physical examination, and make an assessment and diagnosis from all available information. Initiate, review and revise treatment and therapy plans. Demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Demonstrate knowledge of the principles of growth and development over the life span. Assess and interpret data reflective of the patient’s status requirements and age specific needs, and provide appropriate care based upon the results of the assessment.
• Monitoring: Develop and implement patient management plans. Specific to Podiatry: Assist the providers in routine clinic follow-up of patients. Develop and implement patient management plans.
• Diagnostics: Order or transmit an order for laboratory procedures, screening procedures, therapeutic procedures, radiology procedures, therapeutic diets, physical/occupational therapy, nursing services, and other studies. Initiate arrangement for admissions, complete forms and charts pertinent to the patient’s medical record. Specific to Podiatry: Order or transmit an order for x-ray, other studies, therapeutic diets, physical/occupational therapy, respiratory therapy, and nursing services. Order or transmit an order for, perform or assist in the performance of laboratory procedures, screening procedures and therapeutic procedures. Initiate arrangement for admissions, complete forms and charts pertinent to the patient’s medical record, and provide services to patients requiring continuing care, including patients at home.
• Therapeutics: Knowledge of up-to-date topical wound care products and therapies, including ordering, application, and management of the products on wounds and ostomies, also including negative pressure wound therapy, and hyperbaric. Provides hands on wound care to patients including debridement of wounds by enzymatic, sharp, or autolytic methods when appropriate. Specific to Podiatry: Offer treatment by prescribing medication, performing minor procedures, and coordinating treatment. Provide health education, counsel, and guidance regarding treatment provided, and communicate with patients as appropriate. Perform routine procedures such as injections, suturing and wound care to include debridement of wounds and burns. Perform minor surgical procedures which are customarily performed under local anesthesia, such as removal of foreign bodies from the skin, incision and drainage of superficial skin infections and abscesses, removal of sutures and dressing changes. Manage simple and/or stable chronic conditions and assist in the management of more complex illnesses and injuries.
• Documentation: Provides legible and timely documentation for care coordination and communication and is compliant with requirements for coding and reimbursement.
• Promote and participate in marketing to develop referrals within community.
• Provide continuity of care for patients in collaboration with physicians.
• Evaluate monthly adherence to the Clinical Pathway.
• Integrate knowledge of reimbursement into patient communication, collaborating with third party payors and professionals as needed.
• Responsible for clinical oversight for the treatment of hyperbaric patients.
• Participates and attends designated meetings, drills, and in-service programs.
• Attends mandatory programs and maintains required certification per hospital policy.
• Maintains clinical experience by completing annual competency evaluations and attending educational offerings. Ensures recertifications are kept current and appropriate to position/policies.
• Follows disaster procedures. Utilizes standard precautions and aseptic techniques. Follows guidelines for infection control and isolation. Investigates and reports incidents per risk management policy.
• Participates in performance improvement activities as assigned.
• Participates in orientation of new personnel and performance evaluation of fellow peers.
• Assists in the development, revision and implementation of department policies, and procedures.
• Vein Ablations Only: Assists in the evaluation, pre, post, and follow up care of the patients undergoing vein treatment. Follows the patient through from clinic setting to procedure and documents this in the medical record. Acts as the point of contact in collaboration with the department managers and radiologist for all aspects of patient care.
• Performs other related duties as assigned or requested.
  
  

Requirements

QUALIFICATIONS/REQUIREMENTS FOR THIS POSITION: Nurse Practitioner: Wound

• PREPARATION AND TRAINING - Must be a graduate from a nurse practitioner training program approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP). Must have successfully completed the certifying examination of the National Commission on Certification of Nurse Practitioner. Must hold licensure/registration as required in the state of North Dakota. DEA certification required. Position is required to attend Crisis Prevention Intervention (CPI) training in the appropriate timeframe according to department orientation checklist.
• WORK EXPERIENCE - Prefer previous experience as a NP with preference for wound management experience. The successful applicant must be able to demonstrate that during the past 12 months he or she has been actively involved in the clinical practice as a nurse practitioner and has provided inpatient and outpatient services to a reasonable number of patients, which can be documented.
• ATTENDENCE - Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employee are expected to report to work as scheduled, on time and prepared to start working. Employees are also expected to remain at work for their entire work schedule.
• ANALYTICAL ABILITY - A high level of analytical ability is required in a variety of duties in order to gather and interpret complex data and to find solutions to difficult problems.
• INDEPENDENT JUDGEMENT - Must have critical thinking and organizational skills as well as strong oral and written communication skills.
• CONTACTS WITH OTHERS - Demonstrates effective interpersonal skills in interactions with patients, staff and co-workers. Must demonstrate social sensitivity and the ability to communicate effectively in a professional manner.
• SUPERVISING THE WORK OF OTHERS - Required to plan, assign work to and check the work of others. Supervision is provided to LPN and RN.
• RESPONSIBILITY FOR WELFARE OF OTHERS - High degree of contact with other employees that may result in minor discomfort and delay to patients and co-workers.
• MENTAL/VISUAL EFFORT - Must be able to speak and write the English language in an understandable manner. Must demonstrate physical and emotional ability to meet agreed upon work schedule and performance standards required by the position. Required duties are such that concentrated attention must be applied on demand consistent with manual skill requirements in situations that may at times be stressful. Visual acuity necessary for reading charts and working with medical devices or instruments; color perception necessary for interpreting testing procedures involving color comparisons and supplies.
• WORKING CONDITIONS - Works in a clean, well-lighted, heated, ventilated area. OSHA job classification: This position is defined as a Category I in which the employee does have exposure to blood borne pathogens and other potential infectious materials. Participates in and complies with JRMC Safety Management program. Position is subject to frequent interruptions. Work may be beyond normal working hours, on weekends and holidays. Position is subject to on-call after regular working hours. Risk of exposure to elements and hazards related to travel and work in satellite clinics. Must hold a current, unencumbered North Dakota driver's license. Working areas are clean and vented, but on occasion the position requires tasks that will expose individual to grinder dust.
• PROMOTION - No formal line of promotion.
• BACKGROUND CHECK - Background Check will be required for this position.
• PHYSICAL REQUIREMENT - These are physical requirements of the position that may be performed as part of daily duties. Inability to meet one or more of these physical requirements will not automatically disqualify a candidate or employee from the position. Upon request for a reasonable accommodation, JRMC may be able to adjust or excuse one or more of these requirements, depending on the requirement, the essential functions to which it relates, and the proposed accommodation.
  
  

Employee Requirements

• Visual Observation - Continuously
• Standing - Frequently
• Walking - Frequently
• Sitting - Frequently
• Hands and Finger Dexterity - Continuously
• Reaching with Hands and Arms - Frequently
• Climbing - Rarely
• Stooping/Kneeling/Crouching/Crawling - Frequently
• Hearing/Listening - Occasionally
• Tasting or Smelling - Rarely
• Working Inside - Continuously
• Working Outside - Never
• Working in Extreme Heat - Never
• Working in Extreme Cold - Never
• Working with Hazardous Materials - Occasionally
• Noise - Occasionally
• Working in Dirt/Dust - Never
• Driving - Never
  
  

Lifting: -

• Up to 10 pounds - Occasionally
• Up to 25 pounds - Occasionally
• Up to 50 pounds - Occasionally
• Up to 75 pounds - Occasionally
• Up to 100 pounds - Occasionally
• Over 100 pounds - Occasionally
  
  

Carrying: -

• Up to 10 pounds - Occasionally
• Up to 25 pounds - Occasionally
• Up to 50 pounds - Occasionally
• Up to 75 pounds - Occasionally
• Up to 100 pounds - Occasionally
• Over 100 pounds - Occasionally
  
  

Pushing: -

• Up to 10 pounds - Occasionally
• Up to 25 pounds - Occasionally
• Up to 50 pounds - Occasionally
• Up to 75 pounds - Occasionally
• Up to 100 pounds - Occasionally
• Over 100 pounds - Occasionally
  
  

Pulling: -

• Up to 10 pounds - Occasionally
• Up to 25 pounds - Occasionally
• Up to 50 pounds - Occasionally
• Up to 75 pounds - Occasionally
• Up to 100 pounds - Occasionally
• Over 100 pounds - Occasionally