NURSE PRACTITIONER III -NEUROLOGY

Evaluates, examines, diagnose, and treats patients in collaboration with their supervising and or substitute supervising physician according to established guidelines and protocols. Maintains and promotes the well-being of the patient through preventative healthcare and guidance. Provide care in the hospital setting. May include weekends and shift work.

Core Essential Functions

• Regular, consistent, on-site, and timely attendance.
• Manages the physical and psychological problems of the patient.
• Identifies normal and abnormal findings.
• Implements an individualized plan of treatment, reassess and revises plan as needed.
• Evaluates the physical and emotional responses to medications and treatments.
• Prescribes immunizations per recommended schedules.
• Seeks appropriate consultation.
• Communicates effectively with the physician and other healthcare providers to achieve desired outcomes and assure a continuous flow of patient care.
• Initiates and maintains the Problem/Medication list at each encounter.
• Complies with completeness, accuracy, and timeliness of documentation at each encounter.
• Assesses the patient and facilitates consultation when indicated.
• Directs patients to appropriate level of care and communicates all pertinent information.
• Assists in identifying and utilizing resources and/or social agencies for further treatment or rehabilitation.
• Demonstrates Leadership by utilizing the concepts inherent to the practice of the professional nurse.
• Demonstrates an ability to solve problems independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate.
• Delegates patient care appropriately.
• Maintains accountability for actions taken.
• Effectively functions as a resource person.
• Acts as a patient advocate.
• Performs effectively in the role of preceptor/mentor to new hires and /or students.
• Assists in maintaining / decreasing organizational/department costs.
• Completes all competency requirements annually.
• Provides for patient safety in compliance with hospital and physician practices policies.
• Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections.
• Utilizes two forms of patient identification before implementing any form of patient care.
• Practices all National Patient Safety Goals.
• Uses LEAN principles.
• Assists in the department's compliance with all regulatory agencies.
• Participates in continuous survey readiness for inspections and survey's.
• Participates in the non-punitive medication reporting system.
• Ensures accountability for narcotics per regulatory/organizational policies.
• Participates in office fire, safety, utility, hazard, and disaster drills as required.

“Ability to perform the Essential Functions on the Physical Conditions chart; and the ability to perform the Essential Functions on the Working Conditions chart (see attached charts)”

Specialty Essential Functions

• Performs procedures, assists in surgery, and provides care to the surgical patient as per established guidelines (when applicable).
• Positions patients and assists surgeon in the operating room.
• Preps and drapes the patient as per established guidelines.
• Assists in surgery by performing tasks defined by the surgeon.
• Assists and maintains sterile techniques through procedures.
• Per supervising physician's direction performs skin closures as directed.
• Monitors patients until clinically stable unless requested by the surgeon to perform other duties.
• Performs suture removal, and dressing changes as per supervising physician's directions.
• Be available for call from home to assist in emergency surgeries.
• Directs and provides appropriate Pre and Post-operative care (when applicable).
• Performs history and physicals as designated by the physician. Identifies normal and abnormal findings and reports to the physician in a timely manner.
• Provides preoperative teaching to patients and or families.
• Performs patient rounds ensuring accurate assessment, review of labs and diagnostic procedures, and reports overall progress to supervising physician.
• Orders appropriate testing per established guidelines and as outlined by supervising physician.
• Documentation supports a review of lab/diagnostic results, is reflective of all required history and physical assessment elements.
• Communicates with supervising physician in a timely manner regarding changes in the patient's progress, status, or critical test results.
• Prepares for and develops discharge planning in conjunction with supervising physician.
• Dictates discharge summaries timely and appropriate.
• Provides counseling and instruction to patients and or families as appropriate.
• Performs clinical responsibilities in a manner that maximizes patient care and outcomes.
• Assumes appropriate code team role during emergency situations and responds effectively.
• Facilitates timely treatment of abnormal labs or other relevant findings.
• Develops workflow patterns to facilitate patient transfers or discharges.
• Participates in outcome management and Press Ganey scores.
• In collaboration with the physician: Interviews, evaluates and assesses patients in the clinic setting. Provides recommendations for treatment.
• Evaluates patient's current status providing recommendations for ongoing treatment. Assesses for alternate levels of care as necessary
• Adjusts medication as indicated
• Provides patient/family education regarding medication, rationale for use and possible side effects
• Collaborates with the supervising physician and or substitute supervising physician and members of the treatment team to achieve desired outcomes and to assure continuous flow of patient care.
• Alerts the treatment team to any significant changes in the patient's status
• Within prescribed time frames reviews treatment goals and objectives with patients making modifications as appropriate
• Communicates pertinent information timely and efficiently to the supervising or substitute supervising physician
• Documents in the medical record.
• Records patient's current mental status
• Documents all screenings and assessments performed
• Records medication changes, prescriptions written and samples provided
• Documents patient's complaints, concerns and questions as appropriate
• Documents any/all telephone contact with patients, families, pharmacists or physicians
• Records beginning and end times of each session
• Signs and dates all documentation
• Demonstrates leadership by utilizing the concepts inherent to the practice of a professional physician assistant.
• Demonstrates an ability to problem solve independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate
• Maintains accountability for actions taken
• Effectively functions as a resource person
• Acts as a patient advocate
• Performs effectively in the role of preceptor/mentor to new hire/students
• Participates in Performance Improvement activities designed to enhance the quality of patient care, customer service, or practice efficiencies.
• Identifies initiatives to improve patient outcomes and satisfaction
• Assists in chart review/audits as needed for performance improvement data collection
• Supports initiatives implemented to improve patient outcomes and or efficiencies
• Provides for patient safety in compliance with hospital and or physician practice policies.
• Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections
• Utilizes two forms of patient identification before implementing any form of patient care
• Practices the National Patient Safety Goals
• Performs procedures, assists in surgery, and provides care to the patient as per established guidelines(when applicable)
• Positions patients and assists surgeon in the operating room.
• Preps and drapes the patient as per established guidelines.
• Assists in surgery by performing tasks defined by the surgeon.
• Assists and maintains sterile techniques through procedures.
• Per supervising physician's direction performs skin closures as directed.
• Monitors patients until clinically stable unless requested by the surgeon to perform other duties.
• Performs suture removal, and dressing changes as per supervising physician's directions.
• Be available for call from home to assist in emergency surgeries.
• Directs and provides appropriate Pre and Post operative care (when applicable).
• Performs history and physicals as designated by the physician. Identifies normal and abnormal findings and reports to the physician in a timely manner.
• Provides preoperative teaching to patients and or families.
• Performs patient rounds ensuring accurate assessment, review of labs and diagnostic procedures, and reports overall progress to supervising physician.
• Orders appropriate testing per established guidelines and as outlined by supervising physician.
• Documentation supports a review of lab/diagnostic results, is reflective of all required history and physical assessment elements.
• Communicates with supervising physician in a timely manner regarding changes in the patient's progress, status, or critical test results.
• Prepares for and develops discharge planning in conjunction with supervising physician.
• Dictates discharge summaries timely and appropria