Nurse Practitioner

Nebraska Methodist Health System
Council Bluffs, IA Full Time
POSTED ON 8/6/2022 CLOSED ON 11/18/2022

What are the responsibilities and job description for the Nurse Practitioner position at Nebraska Methodist Health System?

  • Purpose of Job
    • Provides quality of care and safety to our patients and employees.
  • Job Requirements
    • Education
      • Graduate of Masters of Science in Nursing (MSN) or Doctorate of Nursing Practice (DNP) program.
      • Satisfactory completion of annual mandatory education requirements.
      • Graduation from an accredited Nurse Practitioner program, valid state license and certification as Nurse Practitioner.

    • Experience
      • Two years previous clinical experience required.

    • License/Certifications
      • Current valid Registered Nurse (RN) License, valid compact multi-state license , or a temporary permit while awaiting licensure required for the work state.
      • Current Advanced Practice Registered Nurse - Nurse Practitioner (APRN.NP) licensure required.
      • Current American Heart Association Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
      • Current, valid and maintain Nurse Practitioner license required in the state working without restrictions.

    • Skills/Knowledge/Abilities
      • Strong leadership, problem-solving and medical judgement skills required.
      • Strong interpersonal skills necessary to effectively communicate and interact with patients, family members and hospital personnel/co-workers.
      • Ability to perform numerous tasks at once.
  • Physical Requirements
    • Weight Demands
      • Medium Work - Exerting up to 50 pounds of force.

    • Physical Activity
      • Occasionally Performed (1%-33%):
        • Climbing
        • Crawling
        • Kneeling
        • Sitting
      • Frequently Performed (34%-66%):
        • Balancing
        • Carrying
        • Crouching
        • Distinguish colors
        • Keyboarding/typing
        • Lifting
        • Pulling/Pushing
        • Repetitive Motions
        • Stooping/bending
        • Twisting
      • Constantly Performed (67%-100%):
        • Fingering/Touching
        • Grasping
        • Hearing
        • Reaching
        • Seeing/Visual
        • Speaking/talking
        • Walking

    • Job Hazards
      • Not Related:
        • Electrical Shock/Static
        • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
      • Rare (1-33%): - Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
      • Occasionally (34%-66%):
        • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
        • Equipment/Machinery/Tools
        • Explosives (pressurized gas)
      • Frequent (67%-100%):
        • Chemical agents (Toxic, Corrosive, Flammable, Latex)
        • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
        • Mechanical moving parts/vibrations
  • Essential Job Functions
    • Essential Functions I
       

      • Perform primary health care for patients by utilizing the processes of assessment and diagnosis of health status.
        • Obtain patient's medical and history information, data collection is prioritized according to immediate condition or needs.
        • Perform physical exam and determine patient's mental status.
        • Develop and implement treatment, follow-up and evaluation plans for patient outcomes.
        • Collaborate with physicians and other disciplines as appropriate and provides regular and consistent feedback.
        • Use appropriate assessment techniques & diagnostic information.  Performs tests relevant to patient condition and record findings.
        • Order appropriate ancillary tests.
        • Derive diagnosis from the assessment data and diagnostic information as data becomes available.
        • Use new or additional data to form a treatment plan.
        • Perform telephone triage to determine patient condition and provides appropriate consultation scheduling appointments when needed.
        • Incorporate research into clinical practice as appropriate.

      • Implement interventions consistent with the established plan of care in a safe and appropriate manner.
        • Apply established therapeutic practices to patient's problem.
        • Administer medications and immunizations using the appropriate method and with physician oversight if applicable.
        • Prescribe medications according to Controlled Substance Registration Certificate issued by the DEA.
        • Generate referrals to appropriate services as needed to further diagnose and/or progress of care.

      • Evaluate patient care to determine response to care/interventions for optimal patient outcome.
        • Evaluate the patient's capabilities and/or limitations related to nursing and medical interventions.
        • Recognize and address patient and family capabilities and limitations (physical and mental).
        • Return patient telephone calls.
        • Monitor outcomes and documents patient response to interventions.
        • Seek out new treatment methods necessary to ensure patient progress.

      • Provide patient and family teaching and education specific to the patient's health care.
        • Proper use of medication and health/illness prevention to ensure adequate knowledge/awareness.
        • Interview and advise specific to patient needs.
        • Demonstrate sensitivity to family regarding need for patient information on a timely basis.
        • Work collaboratively with physicians and other team members to provide appropriate patient education geared to the patient's needs and family's ability to provide care.
        • Use adult learning principles for teaching purposes being careful to check for understanding and being available for follow-up questions.
        • Recommend references and resources such as printed materials, online, community and other information sources to fulfill the family's need for education.

      • Maintain a professional behavior in attitudes, demeanor, and interactions to achieve organization's mission.
        • Communicate effectively with physicians, staff and patients.
        • Is approachable and professional in working with other health professionals, patients and their family.
        • Maintain a professional appearance, behavior, and work environment.
        • Initiate action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital/clinic employees (i.e., falls, needle sticks, patient concerns).
        • Communicate to appropriate personnel regarding unresolved issues.
        • Serve as a role model in the provision of emerging care.
        • Serve as a reliable/knowledgeable resource for staff.
        • Participate in meetings, research on special projects and professional organizations.

      • Comply with the bylaws, rules and regulations of the organization as they pertain to Nurse Practitioners or Physician Assistants.
        • Know and follow organization policy & procedures.
        • Follow Medical Protocols for professional discipline.
        • Maintain certification/licensure.
        • Follow guidelines of regulatory bodies (FDA etc.).

      • Maintain complete patient records.
        • Document data appropriately.
        • Document treatment plan of care that is individualized, appropriate and reflects patient's needs.
        • Document interventions.
        • Document consultations with other practitioners/physicians.

      • Participate in performance improvement and outcome management.
        • Meet regularly with medical director for chart reviews.
        • Identify concerns in patient care & follows up according to hospital policy.
        • Participate in patient satisfaction and other quality improvement initiatives.
        • Participate in tracking of variances in care.

      • Provide appropriate care specific to the age of the patient to ensure understanding and comfort level of treatment as outlined in the "Age Specific Criteria".
        • Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
        • Right Task
        • Right Person
        • Right Communication (clear, concise, correct, complete)
        • Right Feedback

    • Essential Functions II
       

      • Participate in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.

      • Follow and understand the mission, vision, core values, Employee Standards of Behavior and company policies/procedures.

      • Other duties as assigned.
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