This position is responsible for providing urgent care services, including assessing, diagnosing, prescribing, treating, and educating patients as medically needed. Works closely with physicians and other clinicians in a team approach to patient care.
Primary Job Responsibilities:
- Assesses patient status by obtaining health history through patient/family interviews and chart reviews; assessing/presenting illness, risk factors, family history, psychosocial situation, and cultural factors; and performing appropriate physical examination and other modalities as deemed appropriate.
- Orders/performs appropriate laboratory diagnostic and other screening tests. Seeks other information as needed, including consultation with physicians and other clinicians, for evaluation of care and/or continuity of care.
- Integrates data to determine diagnosis and therapeutic plan, including identification of any health risks.
- Develops and implements treatment plan by prescribing/dispensing medications and/or injections in compliance with medical practice guidelines and state laws. Handles minor lacerations.
- Instructs patient/family regarding medications and treatments. Educates patients regarding health promotion/illness prevention. Recommends appropriate community resources to meet patient/family needs.
- Communicates appropriately to other professionals and community agencies as necessary for continuity of care.
- Prepares documentation for medical records including updating patient medical chart by posting examination and test results, diagnosis, medications, and treatment in written/computerized manner.
- Participates in peer reviews, chart reviews, staff education, clinical guideline development, and other continuing education and quality assurance activities to demonstrate compliance with standards, regulations, policies, and procedures.
- Acts as consultant/collaborator to clinical team on area of specialty. Complies with patient confidentiality requirements. Promotes patient advocacy.
- Collaborates with physicians in managing acute medical needs of patient. Provides monitoring and continuity of care between visits if deemed appropriate according to treatment plan.
- Collaborates with multidisciplinary team members by making appropriate referrals.
- Performs other duties as assigned.
Education Nurse Practitioner: BSN required, MSN preferred. Successful completion of advanced practitioner training and certification as a practitioner (general or specialized) from an approved nurse practitioner program. Current state registered nurse license. Current state license as an advanced registered nurse practitioner with prescriptive authority.
Education Physician Assistant: Current state PA license, or eligible for same; certified by National Commission on Certification of Physician Assistants.
To maintain their national certification, PAs must log 100 hours of continuing medical education every two years and sit for a recertification every six years.
Experience: Minimum three years of professional experience in a clinic setting, plus two years of nurse practitioner or physician assistant experience.
Current CPR certification.
- Knowledge of advanced practice including medical terminology, anatomy and physiology, pathophysiology, pharmacology and therapeutics, basic nutrition, behavioral factors, psychosocial/family systems, diagnostic testing, interpretation of results and clinical decision making, alternative treatment modalities.
- Knowledge of professional theory, practices and regulations related to evaluating and providing patient care, and professional ethics related to the delivery of care.
- Knowledge of medical equipment and instruments used to administer patient care.
- Knowledge of common safety hazards and precautions to establish/maintain a safe work environment.
- Knowledge of health promotion, health risk identification, and patient education principles and techniques.
- Knowledge of community, professional, and educational resources.
- Knowledge of practice management systems including electronic health record systems (EHRs).
- Skill in oral and written communication; interviewing to gather medical histories; providing presentations, consultations, facilitation, and documentation, e.g., writing medical orders, patient education materials, and medical record updates.
- Skill in case management, time management, problem solving, crisis intervention, multitasking, and other organizational matters.
- Skill in modifying methods and techniques of professional nursing to provide appropriate nursing care and in initiating appropriate emergency response and investigatory procedures.
Equipment Operated: Standard medical examination room equipment and instruments. Using computer/health information management system.
- Ability to analyze complex data and draw conclusions.
- Ability to interpret, adapt, and apply guidelines and procedures.
- Ability to establish/maintain effective working relationships with patients, clinical staff, and the public.
- Ability to competently use Microsoft Office, including Word, PowerPoint, Excel, and appropriate practice management software.
Work Environment: Combination of exam rooms and medical offices. Frequent exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinic environment.
Physical Requirements: Must possess the physical and mental abilities to perform the tasks normally associated with a Nurse Practitioner or Physician Assistant such as standing and walking for extensive periods of time. Lifts and carries items weighing up to 10 lbs., occasionally lifts or moves up to 100 lbs. Requires correct vision and hearing to normal range. Requires working under stress in emergency situations and occasionally may involve irregular working hours.