NP or PA - Nocturnist

Start the day excited to make a difference…end the day knowing you did.  Come
join our team.

Job Summary

The Nurse Practitioner/Physician Assistant provides clinical services to the
appropriate programs and its patients/in both the inpatient and outpatient
setting. The Nurse Practitioner/Physician Assistant is actively involved in
providing formal and informal care, education and participates in the review and
development of specific policies, procedures, and practice guidelines. The
incumbent in this position must be able to demonstrate effective interpersonal
skills and an understanding of the interdependent roles of various allied health
professions.
This individual will assess physical, psychosocial, cognitive, and functional
components, develop a treatment plan, order and interpret diagnostic components
of the plan, and prescribe non-pharmacological and pharmacological agents.

The Nurse Practitioner/Physician Assistant functions professionally under a
practice agreement with the supervising physician and operationally under the
Vice President Nursing Services and/or the designee.

Essential Functions & Responsibilities

* In collaboration with physician, demonstrates ability to consul patients and
family members about diagnosis, testing, surgery and risk of procedures.
* Performs comprehensive health assessments for the purpose of diagnosing and
treating individuals.
* Formulates appropriate differential diagnosis, develop treatment plan to
include appropriate diagnostics; identifies non-pharmacological
interventions, appropriate pharmacological agents and education. The plan is
based on mutually established priorities to maximize the heath potential of
the patient.
* Provides relevant patient and family education; makes appropriate referrals
to other professional and community agencies.
* Orders and provides preliminary interpretation of diagnostic studies.
* Prescribes non-pharmacological therapies and pharmacological agents within
the defined scope of service and according to guidelines established by the
supervising physician.
* Demonstrates the ability to use effective organizational/prioritization
problem-solving and decision-making abilities in practice.
* Provides emergency treatments and initiates emergency life saving measures
per ACLS guidelines.
* Meets all the requirements of the practice agreement with the supervising
physician under the regulations and requirements of the Commonwealth of
Virginia.

Delineation of Privileges

* Obtain, record and dictate medical histories
* Perform, record and dictate physical examinations
* Make daily rounds, record progress notes, write routine comfort and diet
orders, order laboratory tests and non-invasive examinations, write approved
routine orders, and change dressings
* Prepare patients for discharge from the hospital
* Dictate discharge and transfer summaries
* Evaluate patients who require a surgical consult

Clinical procedures

* Apply and change dressings
* Remove sutures and staples
* Perform venipunctures
* Insert IV needles and catheters
* Catheterize urinary bladder
* Pass nasogastric tubes
* Place and remove chest tubes and monitoring lines
* Irrigate chest tubes and catheters
* Remove intra-aortic balloon pump
* Debride, irrigate and pack surgical wounds
* Remove drainage catheters

Communication

* Educate patient/family regarding disease, procedures, medication, nutrition,
healthcare, and post-discharge care
* Dictate letters to physicians, patients
* Act as liaison between patients and physicians
* Act as liaison between nursing and physicians
* Request consults from health agencies and act as liaison
* Make and receive phone calls to/from patients, physicians and nurses for
information, advise, triage

Other

* Maintain statistics
* Complete insurance forms and home health forms
* Maintain written material; teach devices and special equipment for use of
personnel and patients.

Qualifications

* Registered Nurse licensed to practice in Virginia or eligible, required
* Successful completion of Physician Assistant National Certification Exam,
required
* Current Virginia state certification as an Adult Nurse Practitioner, required
* MSN, required
* AHA BLS Provider CPR required
* Ability to work effectively in emergency situations and under stress
* Proficient leadership skills
* Ability to work cooperatively/collaboratively as part of a team, developing
productive working relationships with diverse groups of people.

MWHC will not discriminate in its employment practices due to an applicant's
race, color, religion, sex, sexual orientation, gender identity, national
origin, and veteran or disability status (EOE). We are also committed to
equitable and transparent compensation practices and comply with all applicable
pay transparency and pay equity laws.

Compensation Pay Range

$58.61 - $73.26