Hospitalist Physician Extender

Position Summary

The Advanced Practice Provider is responsible for providing primary patient care under the supervision of a licensed physician as part of the inpatient hospitalist team.

This position is a full-time position schedule Sunday-Thursday evening from 6:00PM-2:00AM.

Responsibilities

Specific Duties

Meets with hospitalist on call at start of shift to determine which patients the physician extender will be seeing for the shift.

Rounds on assigned patients in the hospital including discussion with the patient and other relevant family/caregivers. All of these assigned patients will be seen and examined by the attending physician each day.

• Obtains medical history and performs the appropriate physical examination to establish a working problem list.
• Assesses patients at an advanced level, identifies health status including abnormal conditions, establishes a diagnosis, develops and implements treatment plans and evaluates client outcomes.
• Orders or performs the appropriate laboratory or diagnostic testing.
• Orders or performs routine procedures such as injections, immunizations, suturing and wound care.

Prescribes legend drugs, therapeutic devices, and controlled substances (Schedule III-V) as permitted under Arkansas Law, in accordance with written protocols and/or collaborative practice agreement.

Collaborates with multidisciplinary health team members to provide comprehensive care to inpatients and initiates consultations to other services as needed.

Provides education to hospital inpatients and families as needed.

Documents progress notes, discharge summaries, and care provided in the patient’s medical record, which will be cosigned by the attending physician each day.

Discusses any issues which require guidance or approval from the attending hospitalist regarding treatment or diagnostic testing on assigned patients and notifies the attending physician of any worsening of medical condition on assigned patients.

Recognizes his/her limits of knowledge and experience, planning for situation beyond his/her expertise, and collaborating with or referring to other healthcare providers as appropriate.

Supervises assisting nurses and ancillary personnel in their provision of patient care.

Uses critical thinking and decision making at an advanced level, commensurate with the autonomy, authority and responsibility of his/her license.

Provides discharge follow-up with patients as necessary, to ensure discharge guidelines are followed and follow-up appointments are scheduled.

Demonstrates a commitment to service, organization values, and professionalism through appropriate conduct and demeanor at all times.

• Adheres to and exhibits our core values.
• Maintains confidentiality and protects sensitive data at all times.
• Demonstrates awareness of costs and utilization of hospital resources.
• Demonstrates exceptional customer services and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community.
• Participates in the formulation of Standards of Care, Protocols, procedures, and structure standards.

Performs other functions and procedures at the direction of the attending physician for which the physician extender is trained and which are within the scope of the physician’s specialty.

Maintains necessary licenses, certifications, and education requirements for clinical practice and Medical Staff Office credentialing.

Qualifications

Minimum Job Qualifications

A current, unencumbered Advanced Practice Registered Nursing (acute care) or Physician Assistant license from the State of Arkansas.