Family or Adult Nurse Practitioner Substance Abuse Consult Service Job Baltimore area,Maryland USA,Nursing

Overview

This position is working at our downtown campus in Substance Abuse Consult Service working day shift.

Summary Under general supervision, responsible for diagnosing and treating patients in collaboration with physician colleagues. Provide continuity of patient care by facilitating and coordinating communication between the health care team, patient and patient’s family. Coordinate care to ensure quality, cost effective care; appropriate length of stay; and patient safety. Serves as link integrating relevant research and best practices.

Principal Responsibilities

The following statements are designed to describe the general nature and level of work being performed by the provider assigned to this classification. This description is not intended to be an exhaustive list of all job responsibilities performed by this individual.

A detailed description specific to performance functions will be described in the Nurse Practitioner’s collaborative written agreement.

Clinical Responsibilities In collaboration with the attending physician, provides day to day organizational and clinical direction and leadership of the healthcare provider team. Performs comprehensive history and physical assessment for patients admitted/scheduled to service/practice setting. Orders, obtains and interprets appropriate diagnostic tests. Establishes medical diagnosis based on history, assessment, and diagnostic findings. Designs, orders and documents appropriate treatment plans/plans of care including prescriptions of medications based on a comprehensive review of HPI and diagnostic results.

Initiates protocols/clinical pathways, evaluates the plan of care ensuring timely intervention. Performs invasive procedures. Collaborates with attendings and residents regarding admission, discharge and transfer decisions. Presents patients in the nurse practitioner’s caseload on rounds. Communicates plan of care with appropriate providers including the collaborative physician, the primary care provider, the referring provider, the nursing staff, and the case manager. Communicates plan of care with the patients and family members.

Provides patient and family instruction related to the plan of care, disease process, new treatment plans, and medication regimens. Counsels and educates patients and family members in disease process, health maintenance and health promotion activities. Provides primary, secondary, and tertiary preventive care services. Initiates appropriate referrals and specialty consultations or other agency involvement as needed. Facilitates patient flow. Collaborates with the multidisciplinary team including case management ensuring appropriate and timely discharge.

Provides specialty consultation. Advocates for patients ensuring patient/family participation in care, knowledge of treatment options, and understanding of patient rights. Considers the holistic needs of patients and orchestrates resources (i.e. Pain service, palliative care) Performs other activities as delineated in individual nurse practitioner written agreements.

Education Responsibilities Provides formal and informal educational programs for other members of the health care team consistent with evidence-based practice standards. Participates in mentoring activities. Precepts students. Promotes understanding of disease processes in area of specialty/program. Functions as a clinical resource for other team members including but not limited to interns, residents, fellows, nurses, and medical students. Provides community education, health promotion and outreach.

Acts as a community health resource for specialty disease entity.

Clinical Leadership/Outcomes Is responsible for coordinating adequate nurse practitioner coverage on their service. Works with the physician and nurse practitioner staff to assure this coverage. Works with physician leaders and hospital administration to achieve service specific outcome targets for key metrics including clinical outcomes, LOS, cost of care and patient satisfaction. Participates in performance improvement activities aimed at improving clinical outcomes and minimizing variation.

In collaboration with physician…


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