Assume medical care of specific patients in collaboration with a physician. Follow established nursing, medical and nurse practitioner's standards, procedures, protocols and practices, and give specific patient care directions to nursing and other staff.
1. Confer with physician(s) concerning assigned patients. Keep physician(s) and Chief Operating Officer informed, as is appropriate, of needs and problems related to patient care.
2. Comply with established nursing standards. Implement and maintain established department/ unit/hospital policies, procedures, objectives, quality improvement, safety, environmental and infection control. Interpret these to physician, patients, public as is appropriate. Utilize supplies and equipment in a cost-effective manner. Maintain a clean, orderly, safe environment for patients and personnel.
3. Cooperate with other personnel to achieve department objectives and maintain good employee relations, interdepartmental relations and public relations. Maintain patient rights and confidentiality of patient information, and abide by established communications code.
5. Maintain professional growth and development through seminars, workshops, and professional affiliations.
6. Consult with physician(s) concerning patient evaluation. Receive assigned patients and orient them to hospital/unit environment. Instruct patients and families and answer questions.
7. Provide diagnostic and assessment services: Secure a health history from patient and/or family, record findings and critically evaluate them. Perform a complete in-depth physical examination. Use assessment techniques including observation, inspection, auscultation, percussion, palpation, and oto-ophthalmic examinations. Requisition laboratory tests and x-ray examinations when appropriate.
8. Provide therapeutic services: Confer with other health care providers to prepare a comprehensive patient care plan. Identify and manage the care of the patient according to established protocols and with collaboration of a physician.
9. Provide surveillance of medical regimens for chronically ill persons, adjust regimens within established protocols and recognize when to refer patient to a physician or other health care provider. Refer complex patient care problems to a physician for assessment and advice. Give direct physical and psychological nursing care in emergencies, as well as in the presence of illness or disability in order to maintain life, provide comfort, reduce stress and enhance a patient's coping ability. Act as coordinator for the admissions and discharge of assigned patients. Collaboratively work with other health agencies and families of patients in the physical and emotional transitions of admission, care, and discharge.
10. Provide for school system history and physicals according to current contract with school districts.
11. Provide for Occupational Health Services according to individual contracts with area employers.
12. Assist employee health in implementing the ongoing employee health program. Identify job associated injuries with appropriate referral to physician when indicated. Offer appropriate examinations and referrals in keeping with facility policy.
13. Provide preventive health care services to patients: Guide patients in nutrition, common and nonroutine illnesses, accidents. Assist in routine immunizations, vaccinations of patients against influenza and other epidemics where indicated. Teach patients and family members ways to improve or maintain their health status. Participate in formal and informal patient-teaching activities aimed at promoting positive health practices and an understanding of the individual's medical problem.
14. Arrange consultations and referrals: initiate requests for consultation or referral. Respond to requests from patient, physician or nursing staff. Examine patient and record, and discriminate between normal and abnormal findings, to recognize early stages of serious physical, emotional or mental problems, and determine when to refer the patient to a physician for evaluation, supervision or directions.
15. Maintain required unit records, reports, statistics. Maintain accurate patient records, charts, documentation for administrative purposes and reimbursement for services.
16. Perform other duties as directed/required.
Exposure to patient elements. Lifting and moving patients and equipment.
Graduate of an accredited school of nursing. Completion of an accredited program for nurse practitioners including preceptorship with NYS certification. Registration and current RN license. CPR update. Sufficient previous experience as staff nurse. Ability to work collaboratively with physicians and other health care providers.