Advanced Practice Provider - Tier II en Hfsc

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We are dedicated to creating an environment of care and engagement that makes us one of the most desirable places to work, providing exceptional care to each patient each and every day!

QUALIFICATIONS

• Required:  Master's degree in nursing with a defined clinical specialty.

• Required:  Minimum of five years' experience in related clinical practice with demonstrated leadership and teaching skills.

• Required:  Current licensure as an Advanced Practice Registered Nurse in the State of Connecticut and current certification in a specialty from the American Nursing Association.

• Required:  Passed the State of Connecticut approved Pharmacology course required in Master's Degree Program.

• Required:  DEA licensure required for narcotic prescription.

• Required:  Basic and life support certification and advanced cardiac life support (ACLS training).

JOB SUMMARY

The Advanced Practice Provider provides patient centered, culturally sensitive, quality care using evidence -based medicine in accordance with hospital policies and protocols.  Works in collaboration with the clinical team to provide patient and family education and support.  Adheres to granted clinical privileges and collaborative agreement with the collaborating physicians, care protocols, HFSC policy on APPs, and medical staff bylaws, rules and regulations.

PHYSICAL DEMANDS

• Job requires sitting/working at a desk and those functions associated with clinical tasks (reaching, bending and stretching to access drawers, records, shelves).

• Job involves carrying of documents, medical records, books, occasionally small equipment and medical procedures based on clinical specialties of the APRN, i.e. endoscopic care, intravenous and medication delivery systems, specialty authorizations, wound ostomy and fistula management.

• Fine manipulation is required for writing as well as some type of patient care techniques.  

• Job requires visual/perceptive skills to perform above tasks. Job requires functional use of both upper/lower extremeties.

• Job requires movement related to walking and standing, fine and gross manipulation related to these activities. May occasionally require pushing and pulling of up to 50 pounds, frequent bending, occasional squatting, kneeling, reaching forward and above shoulders, and twisting.

COGNITIVE DEMANDS

• Job requires independent problem identification, abstract reasoning, adaptability to work environments and quick decision making. A high degree of selective attention, discernment, perception and concentration are necessary.

• Job requires the ability to interpret physical findings, laboratory results and subjective complaints in determination of an accurate and complete differential diagnosis, assessment strategy, and treatment plan in collaboration with the appropriate physician.

• Job requires the ability to set appropriate priorities and accurately triage clinical problems.

• Tasks require legibility, spelling accuracy, logical sentence and paragraph organization. A working knowledge of, and familiarity with, professional (medical) terms and definitions is required.

• Job requires a high level of communication skills including the expression of abstract/complex ideas, use of negotiation and active listening, and the ability to dialogue with multiple parties is necessary.

• Job requires the ability to comprehend lengthy and complex messages, or paragraphs, and to follow multi-stage and three step commands.

• Job requires the ability to add, subtract, multiply and divide with all units of measure including decimal fractions, compute ratio, rate and percent, draw bar graphs, perform basic arithmetic operations involving American monetary units.

WORK DEMANDS

• Job requires high level of independent judgement and ability to function effectively during periods which may be stressful. Job requires working primarily indoors and interdependently with others . Conditions are often noisy with frequent exposure to odors and/or body fluids/blood borne pathogens. Job requires occasionally being on-call and/or responding to emergency situations.

ESSENTIAL FUNCTIONS

• Adheres to the established clinical standards for physician extenders and advance nursing practice.

• Assists physicians in reaching decisions and instituting care plans for assigned patients.

• Adheres to granted clinical privileges and collaborative agreements with the collaborating physicians, care protocols, Hospital for Special Care policy on physician extenders, and medical staff bylaws, rules and regulations.

• Performs complete history and physical examinations, including admission and annual history and physicals, and pre-operative assessments. Will perform all these activities in a problem-oriented fashion.

• Orders and/or obtains all appropriate laboratory, radiological, and specialized tests to evaluate patients per collaborative agreement and protocols. Reports results and makes preliminary interpretations to the appropriate physician and implement care plans.

• Requests appropriate consultations as needed.

• Documents accurately and completely all patient care interventions in medical records including progress notes and discharge summaries.

• Demonstrates competency in follow up care and clinical management for designated patients.

• Provides night/weekend on-call coverage with physician back up whenever requested by the department chief.

• Coordinates care plans, staff education, validation and care plans for specific procedures, e.g., conscious sedation, pre, intra, and postoperative care, diabetic foot and nail care, intrathecal baclofen.

• Assists during urological, gastroenterology, gynecological and other procedures as appropriate.

• Reviews assigned policies, procedures, and/or protocols as needed.

• Participates and identifies opportunities for improvement in patient care and outcome during the day to day practice, special projects, and peer review activities.

• Plans/implements all interventions/interactions with an awareness of cultural, ethnic, religious, language and age-related/developmental needs of each patient.

• Provides accurate and timely documentation of all clinical interventions in a clear and objective manner.

• Develops educational or research presentations using available software.

• Provides evidence of continuing medical education.

• Utilizes quality assurance/improvement data to identify needs for education, process improvement, and effectiveness of quality improvement activities.

• Works with the Chief of Internal Medicine & Pulmonary Medicine and members of the department to maximize efficiency and quality of patient care.

• Provides direction and support to clinical staffing identifying and meeting their learning needs.

• Identifies opportunities for research and participates in clinical investigations that lead to process improvement and improvement in patient care.