Position Summary :
The Acute Care Nurse Practitioner or Physician Assistant manages patients on their specialty service/practice under the direction and indirect supervision of their supervising physician, who may or may not be the Service Line Medical Director. This role is a leadership position and the individual is responsible for effective time management, resource utilization, cost effective delivery of patient care and demonstration of positive role modeling.
Essential Duties :
Attend daily rounds with the physician as needed. Develop a treatment plan based upon direction and guidance provided by the physician on daily rounds. Collect database information by performing a physical assessment and constructing a problem list. Monitor and evaluate patients' hospital course, participating in patient diagnosis, management, evaluation, and plan. Order and evaluate daily lab tests, radiographs, and studies. Initiate written orders and consults based on the treatment plan. Assess and intervene in the general health care needs of specialty patients to facilitate efficient treatment of and effective recovery from the medial/surgical problem. Promote health by providing preventive health education and intervention appropriate to patient's age and medical/surgical problem and/or risk. Provide teaching and support to patients and families related to their specific medical problem and treatment and generate referrals to community resources as needed. Ascertain patient and family understanding of medical/surgical problem and prognosis. Provide detailed information to patients and their families regarding surgical/medical diagnosis, expected course and prognosis, and plan of care. Evaluate complex cases and establish a plan of care for rehabilitation. Facilitate and make referrals for therapy and physical medicine and rehabilitation. Monitor and evaluate patients for discharge. Evaluate and define discharge regimen, complete discharge exam, write discharge orders, dictate comprehensive summaries for co-signature, recommend follow-up and consult referrals. As appropriate, ACNP may function in the outpatient clinic setting. Functions include: Independently provide episodic and hospital follow up visits. Monitor on-going patient problems, providing counseling and coordinating or resources. Monitor for resolution of medical/surgical problems after hospital discharge. Evaluate new patient complaints and complete work up as indicated, including review of radiographs, labs and studies. Perform standardized procedure functions. Provide telephone advice and referrals to patients Complete hospital and clinic records, including but not limited to progress notes, orders, radiograph requests, and study requests. Dictate records when appropriate. Perform extended role procedures as defined in standardized protocols and standardized procedures, including but not limited to the RNFA standardized procedure. Act as a resource for staff and other hospital personnel. Serves as an expert consultant in their specialty area. Participates in ongoing educational events. Participate in specialty specific research grants and studies. Maintains current professional licenses and/or certifications as and when required by state, regulatory agency, or hospital mandate. Performs hospital discharge follow-up telephone counseling. Evaluates and manages patients in an outpatient setting - providing disease specific education for the patient and significant others. Abstracts and enters patient data into the patient management tool. Provides call coverage as needed. Leads the initiation and maintenance of disease specific certifications Informs administrators, medical directors and hospital department leaders regarding any regulatory changes Demonstrates ability to problem solve and be supportive of innovation and creativity of others related to changes in processes Excellent written/oral communication skills, including group dynamics and conflict resolution Clinically competent, resource person in area of expertise with the assigned disease specific program and Disease Specific Certification, continuation of staying up to date with regulations Accountable and responsible for the management of the disease specific program including disease specific protocols needed/provided by the Medical Director of the program Facilitates the on-going success of the service line's disease specific program and certifications through department, hospital, and disease specific program mission and goals. Program descriptions should always be referenced as a foundation for composing annual program goals and objectives, explicitly noting the connection. Leads and participates in data collection, health outcomes reporting, clinical audits, and evaluations related to clinic operations, to ensure the objectives of the program are being met. Participation in Disease Specific Care committee meetings is mandatory to ensure the program goals are met in a timely fashion. Disease Specific Care meeting duties include but are not limited to taking minutes, evaluation of data, chart audits, collaboration with hospital departments involved in the care of the programs patient population and development of tools to assist in the evaluation and communication of the program. Maintain open and effective communication with the Medical Director of the disease program to ensure physician engagement and approval of changes. Follow proper processes for gaining approval of changes to program elements (i.e. changes in program description, order sets, performance improvement plans, etc.) Initiate and participate in an annual document review to ensure the standardization of disease specific care based upon current and accepted Clinical Practice Guidelines, in accordance with the requirements as outline by the Joint Commission. Provide education to hospital staff regarding new procedures and or techniques that surgeons perform, ensuring that the staff would be better able to articulate to patients about the care they may receive. Collaborate with the marketing department to produce marketing items, patient testimonials and website enhancements relevant to the disease specific program. Participate in marketing and community events that promote the disease specific program. Provide continuing education for staff that provide services to the program's target population. (i.e. annual symposiums and/or summits).
Telephone skills - must demonstrate hospital telephone etiquette by answering phones promptly, courteously and by identifying department and self. Policy/procedures - is aware of and follows all hospital and department policies and procedures. Teamwork - promotes positive co-worker relationships through teamwork and cooperation. Understands and supports the needs of individuals in other departments and promotes conflict resolution. Shares information, work knowledge and experience with co-workers, physicians, and students in a non-threatening manner. Offers assistance and promptly responds to requests. Productivity - maintains high productivity and performs efficiently, regardless of whether the work volume is high or low. Appropriately prioritizes work activities. Responds to difficult situations with self-control and a positive attitude. Makes decisions independently and knows when to ask for assistance. Exercises good judgment and arrives at sound decisions. Clinical skills - Maintains clinical expertise to provide optimal patient care and act as resource to the staff. Demonstrates the knowledge and skills necessary to knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs. Acts as a role model demonstrating the behaviors expected of staff relative to attendance, work quality productivity, and patient care. Acts as a patient advocate. Coordinates and/or plans care for neuro patients/families, promoting continuity between home, hospital and other health agencies. Develops and/or evaluates standards of care, clinical protocols, teaching protocols and procedures, and documentation guidelines. Abstracts and enters data on all neuro patients into the patient management tool. Continually assess, analyze and lead improvement of the quality of care and service provided related to neuro patient. Monitor care and report to appropriate committees. Collaborates with other healthcare professionals in the delivery of health care to facilitate problem resolution and expand resources to patients and families. Works with Medical Staff to initiate and maintain protocols for patient care. Assists in developing the capital and equipment budgets, and works within budget parameters. Maintains department compliance with applicable law, and regulating/accrediting agencies. Problem solves through collaborative approach with physicians, patients, families, staff, and directors. Identifies and researches key issues affecting the delivery of patient care. Identifies, plans, and implements strategies which resolve identified problems. Accepts responsibility for decisions made. Participates in hospital-wide committees as assigned. Maintains clinical expertise through continuing education. Disseminates information to staff via approved systems. Performs other duties as assigned.
Takes personal responsibility for providing quality services every day. Displays outstanding customer service skills. Looks for opportunities daily to "Go the Extra Mile" in not only meeting customer needs, but exceeding expectations. Sensitive to an individual's race, color, religion, sex, sexual orientation, national origin, age, disability or any characteristic protected by law. Respects, accepts, and anticipates spiritual and personal needs.
Key Success Factors:
Attendance - reports to work each regularly scheduled workday. Accurately records all work time including meal periods. Punctuality - is ready for work at precise starting time and continues working until scheduled departure time. Returns on time from all meal periods. General Work Habits - readily accepts work assignments in a positive manner. Performs work that is accurate, neat, and consistent. Documentation is legible. Safety - keeps work area neat and maintains equipment in accordance with health and safety codes. Reports safety issues and equipment failures appropriately. Appearance - projects a professional image, follows the hospital dress code policy and/or department requirements. Wears hospital ID badge at all times on duty. Confidentiality - sensitive information including, but not limited to, patient records, charts, hospital documents and employee information is kept confidential without exception. Annual Requirements - completes annual requirements (PPD requirements, Annual Update, Ethics Training, Licensure and/or Professional Certification) on time.
Is knowledgeable of performance/process improvement (P.I.) methodology. Can verbalize knowledge of hospital-wide performance/process improvement activity. Offers suggestions for departmental and/or hospital-wide performance/process improvement. Knowledge of and participation in the performance/process improvement is a condition of employment.
- Master's degree in Nursing or Physician Assistant
- Current California RN license and Nurse Practitioner or Physician Assistant Certificate
- Specialty Board Certification as an ACNP or equivalent in specialty area
- Current California Furnishing License and DEA Number
- Current American Heart Association BLS Certification
- Min (2) two years' experience as a nurse practitioner or physician assistant
Primary Location: Fountain Valley, California
Facility: Fountain Valley Regional Hospital and Medical Center
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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